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March 05, 2023 12:21 PM

Avoiding resistance: Alternatives in antimicrobial additives

Andrea Morandini, Lodovico Agostinis, Aimplas Chemical Technology Team
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    Virus
    Jeremytitus from Pixabay

    Electron microscope image of a virus infection.

    The COVID-19 pandemic has highlighted just how easily pathogens can be transmitted from surfaces and has made it necessary to use chemical agents for continuous, thorough disinfection. Besides the use of many different products, this practise also depends on operator performance and quality. The need to develop surfaces capable of killing or repelling pathogens is therefore a key part of infection control, especially for plastics.

    In terms of promoting products that can form part of the circular economy, one approach involves using carbon-based nanomaterials and bio-based antimicrobial products, whereas considerable interest has also been shown in different application sectors in the shift away from common additives such as metal ions and oxides of silver, copper and titanium, which are under scrutiny due to their possible toxicity and disposal issues.

    Carbon-based nanomaterials are known for having several properties, including electrical conductivity, mechanical strength and thermal conductivity. Recently, however, they have been found to possess strong bactericidal properties. Their antibacterial mechanism is complex and depends on factors such as composition and surface concentration, but they appear to be able to act on cell membranes and destroy them and/or cause oxidative stress, as in the case of silver-based nanomaterials. Because these materials can act on contact without releasing substances, they are suitable for medical applications such as prostheses and implants in constant contact with the body.

    Natural antibacterial agents derived from extracts of animals, plants and microorganisms are generally considered safe, healthy and environmentally friendly. Natural antimicrobial peptides such as nisin, natamycin, leucocin, enterocin and pediocin are recognized biopreservatives that are used to inhibit and kill pathogens and bacteria that can cause food spoilage. Because they are composed of proteins, they are sensitive to high temperatures, making them difficult to use in thermoplastic compounds. However, they can be encapsulated in porous inorganic or heterostructure (inorganic/organic hybrid) matrices to make them more resistant to high-temperature processes.

    Chitosan is one of the most intensively researched and used biopolymers for food coating and packaging and has excellent antimicrobial properties. It is the most abundant polysaccharide in the world and is also biodegradable and biocompatible. Chitosan is becoming increasingly important as an antimicrobial additive in plastic applications and its derivatives are widely used as natural alternatives to antibacterial and antioxidant agents, especially in food contact applications.

    Antimicrobial compounds have applications in a wide range of technology industries, such as protection of crops from pest infestations in agriculture and the search for solutions in healthcare.

    In the agricultural sector, there is great interest in developing bio-based antimicrobial technologies and finding new applications for them, given that inappropriate application and storage of their synthetic counterparts often lead to contamination of plant tissues, as well as contamination of the air, water and soil. Moreover, the presence of pesticides can increase the development of tolerance, resistance, persistence of the microbiomes of these environments and even their ability to degrade these pesticides. It has been observed that it is difficult for biobased materials to develop antimicrobial resistance (AMR), so their activity is assured over time.

    AMR is and will be a very important issue for hospitals and the healthcare sector, as indicated by the WHO when it included AMR as one of the 10 global public health threats that humanity will have to face in the coming decades. Developing new antimicrobial materials that do not allow bacteria and other microbes to generate resistance is a key area for future development in the medical sector.

    Aimplas

    Can alternative antimicrobials play a role in the fight against AMR?

    Antimicrobial Resistance (AMR) occurs when bacteria, viruses, fungi and parasites change over time and no longer respond to medicines making infections harder to treat and increasing the risk of disease spread, severe illness and death. AMR occurs naturally over time, usually through genetic changes. Antimicrobial resistant organisms are found in people, animals, food, plants and the environment (in water, soil and air). They can spread from person to person or between people and animals, including from food of animal origin.
    Key facts:

    • Antimicrobial resistance (AMR) is a global health and development threat. It requires urgent multisectoral action in order to achieve the Sustainable Development Goals (SDGs).
    • WHO has declared that AMR is one of the top 10 global public health threats facing humanity.
    • Misuse and overuse of antimicrobials are the main drivers in the development of drug-resistant pathogens.
    • Lack of clean water and sanitation and inadequate infection prevention and control promotes the spread of microbes, some of which can be resistant to antimicrobial treatment.
    • The cost of AMR to the economy is significant. In addition to death and disability, prolonged illness results in longer hospital stays, the need for more expensive medicines and financial challenges for those impacted.
    • Without effective antimicrobials, the success of modern medicine in treating infections, including during major surgery and cancer chemotherapy, would be at increased risk.
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