Antimicrobial resistance (AMR) is a silent pandemic in the lens of One Health, which is impacting current global healthcare facilities/therapeutics and the environment. AMR is a complex system in which clinical misuse/overuse of antibiotics, environmental contamination, and microbial evolution form a dynamic/adaptive network of resistance propagation for conventional antibiotics, requiring urgent alternatives. This opinion highlights the potential of green-synthesised nano-semiconductors/nanometals (GNSS/GNMS) fabricated using biochemicals procured from plants, microbes, waste/green solvents, to combat AMR. They exhibit multifaceted antimicrobial mechanisms, including oxidative stress induction, membrane disruption, metal ion release, biofilm inhibition, quorum sensing interference, and antibiotic synergism. Moreover, they demonstrated transformative potential in diagnostics, wound healing, agriculture, and wastewater remediation owing to their exceptional physicochemical properties, including band-gap tunability, biocompatibility and low toxicity. The challenges, like synthesis variability and standardisation, that restrict their commercial adaptability are discussed with alternatives to establish them as sustainable solutions to AMR, considering the UN's SDGs.
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