“…NP-TEICO was more active than NP-VANCO on VanB-resistant enterococci, NP-VANCO was more active than NP-TEICO on S. haemolyticus, whereas both preparations were not active against VanA enterococci and the Gram-negative representative E. coli. Although many authors have previously reported that IONPs, as well as other types of metal oxide NPs, possess an intrinsic antimicrobial activity (Gabrielyan et al, 2019;Das et al, 2020;Shkodenko et al, 2020), in the different experiments hereby conducted (i.e., agar diffusion assay, BacLight fluorescence assay, bacterial growth kinetics, CFU measurement) a significant bacteriostatic and bactericidal activity was conferred to IONPs only following their conjugation with teicoplanin and vancomycin. As previously reported (Ebrahiminezhad et al, 2014;Arakha et al, 2015;Dinali et al, 2017;Armenia et al, 2018), naked IONPs can interact mainly via electrostatic interactions with bacterial cell envelopes, arresting transiently cell growth and, in sporadic cases, causing cell death, but this phenomenon greatly differs in magnitude from the potent and selective antimicrobial action of 'last-resort' antibiotics such as GPAs towards Gram-positive bacterial strains.…”