Electrospinning of Natural Polymeric Fibers with Essential Oils for the Control of Multidrug-Resistant Pathogens

Antimicrobial resistance (AMR) represents one of the major threats to global health, driven by the indiscriminate use of antibiotics and decline in the development of new therapeutic agents. In this context, essential oils (EOs) have emerged as innovative natural alternatives due to their broad-spectrum antimicrobial activity and low potential to induce bacterial resistance. However, their clinical application is limited by their volatility, low chemical stability, and rapid degradation. The incorporation of EOs into electrospun natural polymer fibers has emerged as an effective strategy to overcome these limitations, improving their stability, enabling controlled release, and enhancing their antimicrobial efficiency. This review focuses on the use of electrospun natural polymers for biomedical applications, highlighting their biocompatibility, biodegradability, and ability to mimic the extracellular matrix, thereby promoting cell interaction. Additionally, their high surface area and porous structure facilitate efficient encapsulation and controlled release of bioactive compounds. Recent advances in the development of these systems against clinically relevant multidrug-resistant pathogens are analyzed, along with the antimicrobial mechanisms of EOs. Finally, the factors influencing encapsulation and release efficiency, as well as the main challenges and future perspectives for clinical translation, are discussed.