Naseef Pathoor Naji, Viswanathan Akshaya, Wadhwa Gulshan, Ganesh Pitchaipillai Sankar
Department of Microbiology, Centre for Infectious Diseases, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University (Deemed to be University), Chennai, Tamil Nadu, India.
Department of Biotechnology, Ministry of Science and Technology, New Delhi, India.
APMIS. 2024 May;132(5):317-335. doi: 10.1111/apm.13399. Epub 2024 Mar 5.
Acinetobacter baumannii (A. baumannii) is a Gram-negative, nonmotile, and aerobic bacillus emerged as a superbug, due to increasing the possibility of infection and accelerating rates of antimicrobial agents. It is recognized as a nosocomial pathogen due to its ability to form biofilms. These biofilms serve as a defensive barrier, increase antibiotic resistance, and make treatment more difficult. As a result, the current situation necessitates the rapid emergence of novel therapeutic approaches to ensure successful treatment outcomes. This review explores the intricate relationship between biofilm formation and antibiotic resistance in A. baumannii, emphasizing the role of key virulence factors and quorum sensing (QS) mechanisms that will lead to infections and facilitate insight into developing innovative method to control A. baumannii infections. Furthermore, the review article looks into promising approaches for preventing biofilm formation on medically important surfaces and potential therapeutic methods for eliminating preformed biofilms, which can address biofilm-associated A. baumannii infections. Modern advances in emerging therapeutic options such as antimicrobial peptide (AMPs), nanoparticles (NPs), bacteriophage therapy, photodynamic therapy (PDT), and other biofilm inhibitors can assist readers understand the current landscape and future prospects for effectively treating A. baumannii biofilm infections.
鲍曼不动杆菌是一种革兰氏阴性、无运动性的需氧杆菌,由于感染可能性增加和抗菌药物耐药率上升,已成为一种超级细菌。由于其形成生物膜的能力,它被认为是一种医院病原体。这些生物膜起到防御屏障的作用,增加抗生素耐药性,并使治疗更加困难。因此,当前的形势需要迅速出现新的治疗方法,以确保治疗取得成功。这篇综述探讨了鲍曼不动杆菌生物膜形成与抗生素耐药性之间的复杂关系,强调了关键毒力因子和群体感应(QS)机制的作用,这些机制会导致感染,并有助于深入了解开发控制鲍曼不动杆菌感染的创新方法。此外,这篇综述文章还研究了在医学重要表面上防止生物膜形成的有前景的方法以及消除预先形成的生物膜的潜在治疗方法,这些方法可以解决与生物膜相关的鲍曼不动杆菌感染。新兴治疗选择如抗菌肽(AMPs)、纳米颗粒(NPs)、噬菌体疗法、光动力疗法(PDT)和其他生物膜抑制剂的现代进展,可以帮助读者了解有效治疗鲍曼不动杆菌生物膜感染的当前状况和未来前景。