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May 15, 2026Cureus0 citationsOpen Access

The Silent Threat: Unveiling Pathogenicity and Antimicrobial Resistance in Nonfermenting Gram-Negative Bacilli

DCDhanashree R ChavanRSRavindra V. ShindeSPSatish R Patil

Key Points

  • This research aims to examine the pathogenicity and antimicrobial resistance of nonfermenting gram-negative bacilli in healthcare settings.
  • Analyzed the prevalence of NFGNB in hospital environments.
  • Investigated the mechanisms of intrinsic and acquired antibiotic resistance.
  • Identified specific strains contributing to multidrug-resistant infections.
  • Carbapenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa are priority pathogens (WHO).
  • Growing resistance in NFGNB significantly increases morbidity and mortality rates.
  • Broad-spectrum antibiotic use has led to a notable rise in carbapenem-resistant NFGNB.

Abstract

Nonfermenting Gram-negative bacilli (NFGNB) are aerobic bacteria prevalent in healthcare settings and have become important healthcare-associated pathogens due to their capacity to persist in hospital environments and their intrinsic and acquired antibiotic resistance. Due to their significant involvement in multidrug-resistant infections, the World Health Organization has assigned carbapenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa as priority pathogens. The excessive administration of broad-spectrum antibiotics, notably carbapenems, has driven the global increase in carbapenem-resistant NFGNB, resulting in limited options for treatment and increasing morbidity and mortality. NFGNB, including P. aeruginosa, A. baumannii, Stenotrophomonas maltophilia, and Burkholderia species, are significant opportunistic pathogens associated with serious nosocomial infections, particularly in critically ill and immunocompromised individuals. Their increasing resistance contributes significantly to the worldwide antimicrobial resistance crisis, which is currently acknowledged as a serious public health issue.

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Cite This Study

Chavan et al. (2026) studied this question.

synapsesocial.com/papers/6a06b971e7dec685947ac201https://doi.org/10.7759/cureus.108761
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