Methicillin-resistant Staphylococcus aureus (MRSA) causes great health
hazards to society because most antibiotics
are ineffective. Photodynamic treatment (PDT) has been proposed to
combat MRSA due to the advantage of imaging-guided no-drug resistance
therapy. However, the traditional photosensitizers for PDT are limited
by aggregation-caused quenching for imaging and low photodynamic antibacterial
efficiency. In this work, we synthesize a new aggregation-induced
emission (AIE) photosensitizer (APNO), which can ultrafast distinguish
between Gram-positive and Gram-negative bacteria within 3 s by AIE-active
photosensitizer imaging. Meanwhile, APNO can generate antibacterial
reactive oxygen species under light irradiation, which holds potential
for antibacterial PDT. Then, APNO is loaded by PHEAA hydrogel to obtain
a highly efficient photodynamic hydrogel (APNO@gel). In vitro results
show complete inhibition of MRSA by APNO@gel under lower-power light
irradiation. Transcriptome analysis is performed to investigate antibacterial
mechanism of APNO@gel. Most importantly, APNO@gel also exhibits significant
inhibition and killing ability of MRSA in the MRSA wound infection
model, which will further promote rapid wound healing. Therefore,
the photodynamic hydrogel provides a promising strategy toward MRSA
ultrafast imaging and killing.