Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review

Muluneh Assefa, Azanaw Amare Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Muluneh Assefa, Tel +251945572632, Email mulunehassefa2010@gmail.comAbstract: Biofilm-related...

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Main Authors: Assefa M, Amare A
Format: Article
Language:English
Published: Dove Medical Press 2022-08-01
Series:Infection and Drug Resistance
Subjects:
Online Access:https://www.dovepress.com/biofilm-associated-multi-drug-resistance-in-hospital-acquired-infectio-peer-reviewed-fulltext-article-IDR
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author Assefa M
Amare A
author_facet Assefa M
Amare A
author_sort Assefa M
collection DOAJ
description Muluneh Assefa, Azanaw Amare Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Muluneh Assefa, Tel +251945572632, Email mulunehassefa2010@gmail.comAbstract: Biofilm-related multi-drug resistance (MDR) is a major problem in hospital-acquired infections (HAIs) that increase patient morbidity and mortality rates and economic burdens such as high healthcare costs and prolonged hospital stay. This review focuses on the burden of bacterial biofilm in the hospital settings, their impact on the emergence of MDR in the HAIs, biofilm detection methods, recent approaches against biofilms, and future perspectives. The prevalence of biofilm-associated MDR among HAIs ranges from 17.9% to 100.0% worldwide. The predominant bacterial isolates causing HAIs in recently published studies were S. aureus, A. baumannii, K. pneumoniae, and P. aeruginosa. In addition to the use of qualitative and quantitative methods to detect biofilm formation, advanced PCR-based techniques have been performed for detecting biofilm-associated genes. Although there are suggested therapeutic strategies against biofilms, further confirmation of their efficacy for in vivo application and antibiotics targeting biofilm-associated genes/proteins to minimize treatment failure is required for the future.Keywords: biofilm, multi-drug resistance, hospital-acquired infections
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spelling doaj.art-c8a85cd1b34d4113ae0657a464a8dc5a2022-12-22T01:50:04ZengDove Medical PressInfection and Drug Resistance1178-69732022-08-01Volume 155061506877820Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A ReviewAssefa MAmare AMuluneh Assefa, Azanaw Amare Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Muluneh Assefa, Tel +251945572632, Email mulunehassefa2010@gmail.comAbstract: Biofilm-related multi-drug resistance (MDR) is a major problem in hospital-acquired infections (HAIs) that increase patient morbidity and mortality rates and economic burdens such as high healthcare costs and prolonged hospital stay. This review focuses on the burden of bacterial biofilm in the hospital settings, their impact on the emergence of MDR in the HAIs, biofilm detection methods, recent approaches against biofilms, and future perspectives. The prevalence of biofilm-associated MDR among HAIs ranges from 17.9% to 100.0% worldwide. The predominant bacterial isolates causing HAIs in recently published studies were S. aureus, A. baumannii, K. pneumoniae, and P. aeruginosa. In addition to the use of qualitative and quantitative methods to detect biofilm formation, advanced PCR-based techniques have been performed for detecting biofilm-associated genes. Although there are suggested therapeutic strategies against biofilms, further confirmation of their efficacy for in vivo application and antibiotics targeting biofilm-associated genes/proteins to minimize treatment failure is required for the future.Keywords: biofilm, multi-drug resistance, hospital-acquired infectionshttps://www.dovepress.com/biofilm-associated-multi-drug-resistance-in-hospital-acquired-infectio-peer-reviewed-fulltext-article-IDRbiofilmmulti-drug resistancehospital-acquired infections
spellingShingle Assefa M
Amare A
Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
Infection and Drug Resistance
biofilm
multi-drug resistance
hospital-acquired infections
title Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
title_full Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
title_fullStr Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
title_full_unstemmed Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
title_short Biofilm-Associated Multi-Drug Resistance in Hospital-Acquired Infections: A Review
title_sort biofilm associated multi drug resistance in hospital acquired infections a review
topic biofilm
multi-drug resistance
hospital-acquired infections
url https://www.dovepress.com/biofilm-associated-multi-drug-resistance-in-hospital-acquired-infectio-peer-reviewed-fulltext-article-IDR
work_keys_str_mv AT assefam biofilmassociatedmultidrugresistanceinhospitalacquiredinfectionsareview
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