Antimicrobial Resistance: Challenges and Solutions in Antibiotic Therapy

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Drug Discovery, Development and Delivery".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 1559

Special Issue Editors


E-Mail Website
Guest Editor
Faculty of Medicine, “Lucian Blaga” University of Sibiu, 550169 Sibiu, Romania
Interests: pharmacology; drug development; drug safety; pharmaceutical chemistry
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania
Interests: drug delivery strategies; nanoparticles; dendrimers conjugated with bioactive compounds; polymers conjugated with bioactive compounds; chronic diseases therapy; diagnosis; pharmacovigilance
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania
Interests: analytical method development; analytical method validation; NIR Spectroscopy; chemometrics; quality control of health products; drug delivery; cosmetics
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Antimicrobial resistance (AMR) became one of the main concerns in public health worldwide due to its prevalence. Microorganisms’ adaptation to the activity of antibiotics is a dynamic phenomenon resulting in the lack of therapeutical efficacy and poses a challenge in developing more efficient therapeutical strategies. Moreover, the apparition of multidrug resistant (MDR) bacteria, extensively drug-resistant (XDR) bacteria and superbugs lead to a decrease or even loss of antibiotics efficacy and an increase in morbidity and mortality resulting in reducing the rate of success of conventional antibiotherapy. Also, the recent COVID-19 pandemic forced the use of complex therapeutical strategies with antibiotics to manage bacterial overgrowth coinfections/PDR (pandrug-resistant), a fact already confirmed by other respiratory infections like H1N1, SARS and MERS.

A World Health Organization report from 2021 warned that AMR became very serious and by 2050 might lead to up to 10 million deaths yearly, from different causes like the misuse of antibiotics in human therapy or the abuse of antibiotics for improving some species of plants and animals.

The need for new approach strategies of AMR became stringent and aims to offer improved pharmacotherapies by means of developing antibiotics with new action mechanisms and/or innovative drug delivery systems with already approved molecules.

This special issue intends to present new strategies for antibiotherapy of difficult to treat infections starting from the pharmacology of new compounds (with new mechanisms) to delivery systems and other drug modifications for molecules already available on the market.

For this special issue authors are invited to submit their original or review articles on the following research directions (but not limited to):

  • New targets for antibiotherapy;
  • Discovery and development of new therapeutical strategies;
  • Treatment of complications related to lack of efficacy of antibiotherapy;
  • MDR, XDR, PDR – microorganisms adapting to antibiotherapy;
  • New drug delivery systems for antibiotics;
  • Design of new pharmaceutical dosage forms.

Dr. Anca-Maria Arseniu
Dr. Adriana Aurelia Chiș
Dr. Claudiu Morgovan
Dr. Luca-Liviu Rus
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 100 words) can be sent to the Editorial Office for announcement on this website.

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. Biomedicines 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 2600 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
  • drug discovery
  • drug delivery systems
  • pharmaceutical formulation design

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.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

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

Published Papers (2 papers)

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

Research

Jump to: Other

15 pages, 1306 KiB  
Article
The Impact of the COVID-19 Pandemic on the Antibiotic Resistance of Gram-Negative Pathogens Causing Bloodstream Infections in an Intensive Care Unit
by Andreea Loredana Golli, Simona Georgiana Popa, Alice Elena Ghenea and Flavia Liliana Turcu
Biomedicines 2025, 13(2), 379; https://doi.org/10.3390/biomedicines13020379 - 6 Feb 2025
Cited by 1 | Viewed by 827 | Correction
Abstract
Background/Objectives: In this research, we aimed to analyze the trend of the antimicrobial resistance pattern of Gram-negative isolated in blood samples collected from patients with severe invasive infections hospitalized in the intensive care unit in selected periods during and after COVID-19. Methods [...] Read more.
Background/Objectives: In this research, we aimed to analyze the trend of the antimicrobial resistance pattern of Gram-negative isolated in blood samples collected from patients with severe invasive infections hospitalized in the intensive care unit in selected periods during and after COVID-19. Methods: A retrospective study of bacterial pathogens was performed on 481 patients admitted to the ICU between 2020 and 2023. The resistance patterns were analyzed using the Vitek 2 Compact system. Results. A total of 686 Gram-negative bacterial isolates were obtained. The most frequently detected Gram-negative pathogens were Klebsiella spp. (30.91%), Acinetobacter spp. (24.64%), and Escherichia coli (18.95%). Almost 50% of all the pathogens were multidrug-resistant, with a statistically significant increase post-pandemic (p < 0.05). Post-pandemic, the study highlighted a significantly higher percentage of the Klebsiella strains (p < 0.05), and a significant increase in the antibiotic resistance rate against colistin (p < 0.001) and tigecycline (p = 0.005). A very high percentage of MDR Acinetobacter spp. isolates was found, with a significant increase in the antibiotic resistance rate against colistin (p < 0.001). A significantly lower resistance was recorded for the Escherichia coli strains in the case of ceftazidime (p = 0.03) and aminoglycosides (gentamicin—p = 0.01, amikacin—p < 0.001). An increase in the percentage of carbapenem-resistant Klebsiella spp., Acinetobacter spp., and Enterobacter spp. strains was observed, and a significant decrease in the in the case of Proteus spp. (p = 0.01). Conclusions: Our findings revealed a statistically significant increase in the resistance rate to last-line antibiotics and in the percentage of MDR Gram-negative strains isolated in the blood samples in the post-COVID-19 era. Full article
Show Figures

Figure 1

Other

Jump to: Research

2 pages, 134 KiB  
Correction
Correction: Golli et al. The Impact of the COVID-19 Pandemic on the Antibiotic Resistance of Gram-Negative Pathogens Causing Bloodstream Infections in an Intensive Care Unit. Biomedicines 2025, 13, 379
by Andreea Loredana Golli, Simona Georgiana Popa, Alice Elena Ghenea and Flavia Liliana Turcu
Biomedicines 2025, 13(4), 848; https://doi.org/10.3390/biomedicines13040848 - 2 Apr 2025
Viewed by 158
Abstract
In the original publication [...] Full article
Back to TopTop