Evidence map›Paper›PMID 42506902›Full record

SynthesisBioMed research international2026

Efficacy of Cold Atmospheric Plasma Against Methicillin-Resistant Staphylococcus aureus Biofilms: A Systematic Review of In Vitro Studies.

Reyhaneh Shoorgashti, Faezeh Dehghan Ghanatkaman, Sana Baghizadeh, Sarah Sadat Ehsani, Simin Lesan, Hooman Ebrahimi

Abstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Reyhaneh ShoorgashtiResearcher, Department of Oral Medicine, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0002-1658-8983
Faezeh Dehghan GhanatkamanResearcher, Faculty of Dentistry, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0009-0007-5371-6212
Sana BaghizadehResearcher, Faculty of Dentistry, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0002-7983-4803
Sarah Sadat EhsaniDepartment of Diagnosis and Oral Health, School of Dentistry, University of Louisville, Louisville, Kentucky, USA, louisville.edu.ORCID https://orcid.org/0009-0007-7564-570X
Simin LesanAssistant Professor, Department of Oral Medicine, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0003-3877-328X
Hooman EbrahimiAssistant Professor, Department of Oral Medicine, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0001-5939-3185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethicillin-resistant Staphylococcus aureus poses a serious threat to global health due to its resistance to conventional antibiotics and its ability to form resilient biofilms. Cold atmospheric plasma has emerged as a promising alternative for microbial biofilm inactivation.

objectiveTo systematically evaluate the in vitro efficacy of cold atmospheric plasma in disrupting or eradicating methicillin-resistant Staphylococcus aureus biofilms and to identify factors influencing treatment outcomes

methodsA comprehensive search was conducted in five databases (PubMed/MEDLINE, Embase, Scopus, Web of Science, and Google Scholar) for in vitro studies published up to July 2025. Eligible studies assessed cold atmospheric plasma effects on methicillin-resistant Staphylococcus aureus biofilms. Data were extracted on study characteristics, cold atmospheric plasma device parameters, exposure conditions, and microbial outcomes. Risk of bias was assessed using a modified version of the ToxRTool.

resultsSeventeen in vitro studies were included. Most studies originated from European countries (n = 10), with a peak in publications observed in 2021. Dielectric barrier discharge and plasma jets were the most common devices. Air-based plasmas were the most commonly used in 12 studies, followed by helium. All studies reported cold atmospheric plasma-mediated reductions in methicillin-resistant Staphylococcus aureus biofilm load, with log

conclusionsThese findings suggest that cold atmospheric plasma may have potential as an adjunctive strategy for biofilm-related infection control, although further standardized and clinically relevant studies are needed.

Indexed as

BiofilmsMethicillin-Resistant Staphylococcus aureusPlasma GasesAnti-Bacterial AgentsHumansAnti-Bacterial AgentsPlasma Gases

Identifiers

PMID42506902
PMCPMC13404011

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.