Copper Modified Titania Nanocomposites with a High Photocatalytic Inactivation of Escherichia coli

TiO2 Nanocomposite Coatings and Inactivation of Carbapenemase-Producing Klebsiella Pneumoniae Biofilm-Opportunities and Challenges

The worldwide increase of multidrug-resistant Gram-negative bacteria is a global threat. The emergence and global spread of Klebsiella pneumoniae carbapenemase- (KPC-) producing Klebsiella pneumoniae represent a particular concern. This pathogen has increased resistance and abilities to persist in human reservoirs, in hospital environments, on medical devices, and to generate biofilms. Mortality related to this microorganism is high among immunosuppressed oncological patients and those with multiple hospitalizations and an extended stay in intensive care. There is a severe threat posed by the ability of biofilms to grow and resist antibiotics. Various nanotechnology-based strategies have been studied and developed to prevent and combat serious health problems caused by biofilm infections. The aim of this review was to evaluate the implications of nanotechnology in eradicating biofilms with KPC-producing Klebsiella pneumoniae, one of the bacteria most frequently associated with nosocomial infections in intensive care units, including in our department, and to highlight studies presenting the potential applicability of TiO2 nanocomposite materials in hospital practice. We also described the frequency of the presence of bacterial biofilms on medical surfaces, devices, and equipment. TiO2 nanocomposite coatings are one of the best long-term options for antimicrobial efficacy due to their biocompatibility, stability, corrosion resistance, and low cost; they find their applicability in hospital practice due to their critical antimicrobial role for surfaces and orthopedic and dental implants. The International Agency for Research on Cancer has recently classified titanium dioxide nanoparticles (TiO2 NPs) as possibly carcinogenic. Currently, there is an interest in the ecological, non-toxic synthesis of TiO2 nanoparticles via biological methods. Biogenic, non-toxic nanoparticles have remarkable properties due to their biocompatibility, stability, and size. Few studies have mentioned the use of nanoparticle-coated surfaces as antibiofilm agents. A literature review was performed to identify publications related to KPC-producing Klebsiella pneumoniae biofilms and antimicrobial TiO2 photocatalytic nanocomposite coatings. There are few reviews on the antibacterial and antibiofilm applications of TiO2 photocatalytic nanocomposite coatings. TiO2 nanoparticles demonstrated marked antibiofilm activity, but being nano in size, these nanoparticles can penetrate cell membranes and may initiate cellular toxicity and genotoxicity. Biogenic TiO2 nanoparticles obtained via green, ecological technology have less applicability but are actively investigated.

Progress of disinfection catalysts in advanced oxidation processes, mechanisms and synergistic antibiotic degradation

Human diseases caused by pathogenic microorganisms make people pay more attention to disinfection. Meanwhile, antibiotics can cause microbial resistance and increase the difficulty of disease treatment, resulting in risk of triggering a vicious circle. Advanced oxidation process (AOPs) has been widely studied in the field of synergistic treatment of the two contaminates. This paper reviews the application of catalytic materials and their modification strategies in the context of AOPs for disinfection and antibiotic degradation. It also delves into the mechanisms of disinfection such as the pathways for microbial inactivation and the related influencing factors, which are essential for understanding the pivotal role of catalytic materials in disinfection principles by AOPs. More importantly, the exploratory research on the combined use of AOPs for disinfection and antibiotic degradation is discussed, and the potential and prospects in this field is highlighted. Finally, the limitations and challenges associated with the application of AOPs in disinfection and antibiotic degradation are summarized. It aims to provide a starting point for future research efforts to facilitate the widespread use of advanced oxidation processes in the field of public health.