The emergence of multi-drug-resistant
pathogens threatens the healthcare
systems world-wide. Recent advances in phototherapy (PT) approaches
mediated by photo-antimicrobials (PAMs) provide new opportunities
for the current serious antibiotic resistance. During the PT treatment,
reactive oxygen species or heat produced by PAMs would react with
the cell membrane, consequently leaking cytoplasm components and effectively
eradicating different pathogens like bacteria, fungi, viruses, and
even parasites. This Perspective will concentrate on the development
of different organic photo-antimicrobials (OPAMs) and their application
as practical therapeutic agents into therapy for local infections,
wound dressings, and removal of biofilms from medical devices. We
also discuss how to design highly efficient OPAMs by modifying the
chemical structure or conjugating with a targeting component. Moreover,
this Perspective provides a discussion of the general challenges and
direction for OPAMs and what further needs to be done. It is hoped
that through this overview, OPAMs can prosper and will be more widely
used for microbial infections in the future, especially at a time
when the global COVID-19 epidemic is getting more serious.