Hospital-Acquired Infections, Multidrug Resistant (MDR) Bacteria, AI, and Alternative Approaches to Antibiotic Therapy

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Antibiotic Therapy in Infectious Diseases".

Deadline for manuscript submissions: 20 September 2026 | Viewed by 355

Special Issue Editors


E-Mail Website
Guest Editor
Department of Basic Medical Science, College of Medicine, Qatar University, Doha P.O. Box 2731, Qatar
Interests: host-pathogen interactions; Toll-like receptors signaling in disease models
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Basic Medical Science, College of Medicine, Qatar University, Doha, Qatar
Interests: antimicrobial resistance; nosocomial infection; molecular mechanism of resistant bacteria

Special Issue Information

Dear Colleagues, 

Resistance to known and currently used antibiotics represents a growing issue worldwide. It poses a major problem in the treatment of infectious diseases in general and hospital-acquired infections in particular. This is in part due to the overuse and misuse of antibiotics in recent decades, which has led to the selection of highly resistant bacteria and even so-called superbugs, i.e., multidrug-resistant (MDR) bacteria. Nosocomial infections, in particular, are often caused by MDR bacterial pathogens, and their treatment is complicated and extensive, often leading to various side effects. Even though MDR bacteria are widespread globally, their epidemiology varies according to region. Hospital-acquired infections caused by MDR bacteria remain an unresolved problem in the healthcare system. A fundamental part of the overall therapeutic approach is the microbiological examination of adequate clinical materials, in particular, blood culture tests. The results allow for targeted antibiotic therapy based on the identification of bacterial pathogens and the determination of their susceptibility/resistance to antibiotics. Molecular genetic methods play an integral part in solving the problem of bacterial resistance. Only adequately selected molecular typing methods may confirm or rule out epidemiologically related cases. If a new outbreak or even just an increased rate of MDR bacteria is reasonably suspected, then the clonal relationship of strains needs to be analyzed to reveal the source or route of transmission. At the same time, the development of novel antibiotics is lagging, with very few new ones in the pipeline. Finding viable alternatives to treat MDR infections may help in overcoming these therapeutic issues.

Artificial intelligence (AI) and machine learning technologies are emerging as powerful tools in the fight against antimicrobial resistance. AI-powered systems can rapidly analyze microbiological data for faster pathogen identification, predict resistance patterns from genomic sequences, enhance surveillance and outbreak detection, and accelerate drug discovery through computational approaches. These technologies offer promising solutions to improve diagnostic accuracy, optimize treatment protocols, and support antimicrobial stewardship programs.

This Special Issue will showcase papers exploring developments in the field of bacterial resistance, mainly in hospital settings, as well as efficient antibiotic therapy and the identification of useful compounds to tackle this growing issue. We particularly encourage submissions that demonstrate the practical implementation of AI tools in clinical settings and their impact on patient outcomes and antimicrobial stewardship programs. Topics of interest include the following:

  • Novel diagnostic methods focusing on rapid MDR identification;
  • Alternative therapeutic approaches including combination therapies and stewardship;
  • Molecular typing and genomic analysis for understanding resistance transmission;
  • AI-powered surveillance, diagnostics and drug discovery to combat antimicrobial resistance.

Dr. Susu Zughaier
Dr. Nayeem Ahmad
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Antibiotics is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • antimicrobial resistance
  • hospital-acquired infections
  • multidrug resistant
  • artificial intelligence
  • nosocomial infection
  • molecular mechanism of resistant bacteria

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

18 pages, 1316 KB  
Article
Long-Term Trends in Antimicrobial Resistance Among Gram-Negative Clinical Isolates at Mubarak Al-Kabeer Hospital, Kuwait (2007–2022)
by Amani H. Al-Fadhli, Ahmad Al-Dhumair, Jenan AlShemerri, Fatema Al-Failakawy, Mohammad Al-Hasan, Qadreyah Ahmad Almatawah and Wafaa Y. Jamal
Antibiotics 2026, 15(5), 501; https://doi.org/10.3390/antibiotics15050501 (registering DOI) - 17 May 2026
Abstract
Objectives: To examine the long-term trends in antimicrobial resistance (AMR) among major Gram-negative pathogens including Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa collected from inpatient and outpatient specimens in Mubarak Al-Kabeer Hospital in Kuwait from 2007 to 2022. Methods: [...] Read more.
Objectives: To examine the long-term trends in antimicrobial resistance (AMR) among major Gram-negative pathogens including Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa collected from inpatient and outpatient specimens in Mubarak Al-Kabeer Hospital in Kuwait from 2007 to 2022. Methods: The antimicrobial resistance data for 39,200 non-duplicate Gram-negative isolates were collected from the Hospital Laboratory Information System (LIS). Retrospectively antibiotic susceptibility data were interpreted according to Clinical and Laboratory Standards Institute (CLSI) breakpoints with intermediate results classified as resistant. Logistic regression was applied to assess temporal trends in resistance for the following antibiotic cefotaxime, ceftazidime, ciprofloxacin, meropenem and imipenem. False discovery rate (FDR) correction was performed for multiple comparisons. Results: Third-generation cephalosporin resistance increased significantly, from 27% to 60% in Klebsiella pneumoniae and from 19% to 45% in Escherichia coli. Resistance to ciprofloxacin also increased, from 22% to 49% in K. pneumoniae and from 28% to 41% in E. coli. Notably, meropenem resistance in K. pneumoniae increased from 1% to 35% during the study period. Acinetobacter baumannii showed high resistance to most antibiotics (>75%), while colistin retained good activity (<2% resistance). By contrast, Pseudomonas aeruginosa showed relatively stable resistance patterns with only modest changes in susceptibility to key antibiotics. Conclusions: From 2007 to 2022, increasing resistance among major Gram-negative pathogens was observed, with cefotaxime resistance rising from 27% in 2007 to 60% in 2022 in Klebsiella pneumoniae and from 19% to 45% in Escherichia coli. Resistance to ciprofloxacin also increased over time. These findings highlight the increasing burden of antimicrobial resistance over time and emphasize the need for continued surveillance. Full article
Show Figures

Figure 1

Back to TopTop