Abstract
Background: Antibacterial multidrug resistance has emerged as one of the foremost global problems
affecting human health. The emergence of resistant infections with the increasing number of multidrug-resistant
pathogens has posed a serious problem, which required innovative collaborations across multiple disciplines to
address this issue.
Methods: In this review, we will explain the mechanisms of bacterial multidrug resistance and discuss different
strategies for combating it, including combination therapy, the use of novel natural antibiotics, and the use of
nanotechnology in the development of efflux pump inhibitors.
Results: While combination therapy will remain the mainstay of bacterial multi-drug resistance treatment,
nanotechnology will play critical roles in the development of novel treatments in the coming years.
Conclusion: Nanotechnology provides an encouraging platform for the development of clinically relevant and
practical strategies to overcome drug resistance in the future.
Keywords:
Bacterial multidrug resistance, antibiotics, combination therapy, efflux pumps, nanotechnology, infections.
[5]
World Health Organization. Antimicrobial resistance: global report on surveillance 2014.
[15]
Pagès J-M, Amaral L. Mechanisms of drug efflux and strategies to combat them: challenging the efflux pump of Gram-negative bacteria. Biochim Biophys Acta 2009; 1794: 826-33.
[24]
Levy SB. The antibiotic paradox: how miracle drugs are destroying the miracle. Switzerland: Springer 2013.
[37]
Jayaraman R. Antibiotic resistance: An overview of mechanisms and a paradigm shift. Curr Sci 2009; 1475-84.
[38]
Ganjian H, Nikokar I, Tieshayar A, Mostafaei A, Amirmozafari N, Kiani S. Effects of salt stress on the antimicrobial drug resistance and protein profile of Staphylococcus aureus. Jundishapur J Microbiol 2012; 5: 328-31.
[49]
Ferreira C, Pereira A, Melo L, Simões M. Advances in industrial biofilm control with micro-nanotechnology. Curr Res Technol Edu Topics Appl Microbiol Microb Biotechnol 2010; 2: 845-54.
[50]
Abbas HA, Serry FM. Biofilms: The microbial castle of resistance. Res J Pharm Technol 2013; 6: 2.
[63]
Nikaido H. Multidrug resistance in bacteria. Annu Rev Biochem 2009; 78: 119-46.
[64]
Costa SS, Viveiros M, Amaral L, Couto I. Multidrug efflux pumps in Staphylococcus aureus: An update. The Open Microbiol J 2013; 7: 59.
[65]
Garima K, Pathak R, Tandon R, et al. Differential expression of efflux pump genes of Mycobacterium tuberculosis in response to varied subinhibitory concentrations of antituberculosis agents. Tuberculosis 2015; 95: 155-61.
[73]
Bazzaz BSF, Khameneh B, Jalili-Behabadi MM, Malaekeh-Nikouei B, Mohajeri SA. Preparation, characterization and antimicrobial study of a hydrogel (soft contact lens) material impregnated with silver nanoparticles. Cont Lens Anterior Eye 2014; 37: 149-52.
[87]
Haghighi F, Roudbar Mohammadi S, Mohammadi P, Hosseinkhani S, Shipour R. Antifungal activity of TiO2 nanoparticles and EDTA on Candida albicans biofilms. Infect Epidemiol Microbiol 2013; 1: 33-8.