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Advances in bacteriophage-mediated strategies for combating polymicrobial biofilms
Marta Gliźniewicz1, Dominika Miłek1, Patrycja Olszewska1
1Faculty of Pharmacy, Medical Biotechnology and Laboratory Medicine, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Frontiers in Microbiology
|January 22, 2024
Summary
Bacteriophages (phages) show promise in combating challenging polymicrobial biofilms, offering an alternative to antibiotics. This review explores their effectiveness and potential in treating infections caused by these resilient microbial communities.
Area of Science:
- Microbiology
- Biotechnology
- Infectious Diseases
Background:
- Microbial biofilms, often containing bacteria and fungi, are resistant to conventional treatments like antibiotics.
- The protective matrix of biofilms shields microorganisms from disinfectants and the immune system, complicating infection control.
- Multidrug-resistant bacteria in biofilms pose a significant therapeutic challenge.
Purpose of the Study:
- To review the use of bacteriophages (phages) in combating polymicrobial biofilms.
- To evaluate the therapeutic potential of phages, alone or in combination with other agents.
- To summarize the advantages, disadvantages, and future perspectives of phage therapy against biofilms.
Main Methods:
- Review of in vitro studies investigating bacteriophage efficacy against polymicrobial biofilms.
- Analysis of different experimental models for biofilm eradication.
- Assessment of phage therapy strategies, including combination approaches.
Main Results:
- Bacteriophages demonstrate potential in disrupting and eliminating polymicrobial biofilms in vitro.
- Phages offer alternative mechanisms of action compared to antibiotics, crucial for resistant strains.
- Synergistic effects observed when phages are combined with antibiotics or other agents.
Conclusions:
- Phage therapy presents a viable alternative and complementary strategy for treating biofilm-related infections.
- Further research and clinical trials are needed to optimize phage therapy protocols.
- Phages hold significant promise for addressing the global challenge of antibiotic resistance.

