Disinfectants, antiseptics, and sanitizers are crucial for hygiene standards and disease control, as recently emphasized by the SARS-CoV-2 (COVID-19) pandemic. With the foreshadowing of antibiotic resistance, new cutting-edge technologies and innovative methodology need to be applied to prevent the latest emerging antimicrobial resistance crisis, resistance to disinfectants. Disinfectant resistance is a relatively novel field of study, and although some molecular mechanisms have been elucidated, little is known about complex mechanisms, cross-resistance with antibiotics, and the existence of resistance biomarkers. Fortunately, great advances have been made in the field of sequencing technology and bioinformatics. Although there are many limitations to this technology, various “omics” approaches to disinfectant resistance will be crucial in directing environment-specific disinfection programs. In addition, the vast amounts of data generated by sequencing technologies can be applied by artificial intelligence (AI) models to identify key disinfectant resistance markers and in the surveillance of disinfectant resistance genes. A combination of these approaches will be crucial in identifying new disinfectant resistance mechanisms, in monitoring resistant populations, and in identifying cellular targets for new disinfectant formulations. These molecular tools will be vital in the battle against disinfectant resistance, the latest development in the antimicrobial resistance crisis.
Disinfectants and biosecurity are critically important to control microbial diseases. Resistance to disinfectants compromises sectors such as agriculture and healthcare systems. Currently, efflux pumps are the most common mechanism of antimicrobial resistance. This study aimed to identify the efflux transporters responsible for disinfectant resistance in a multidrug-resistant isolate Serratia sp. HRI compared to a susceptible Serratia sp. type strain. An efflux system profile was generated using the Transporter Automatic Annotation Pipeline (TransAAP) for both isolates. Thereafter, the efflux pump inhibitors, reserpine (RSP) and carbonyl cyanide 3-chlorophenylhydrazone (CCCP) were used to reveal the role of efflux pumps in susceptibility to three disinfectants (Didecyldimethylammonium chloride, HyperCide®, and benzalkonium chloride). Interestingly, the resistant isolate had fewer efflux systems in total compared to the type strain and fewer efflux systems classified as resistance efflux pumps. After the addition of RSP, a significant reduction in resistance capabilities against all three antimicrobials was observed for both isolates. However, CCCP supplementation produced mixed results with some outcomes suggesting the involvement of the Eagle effect. This study provides evidence that efflux pumps are responsible for the disinfectant resistance phenotype of the Serratia species due to the increased susceptibility when efflux pump inhibitors are added.
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