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It is a promising method for advanced treatment of water and wastewater, particularly targeting disinfection challenges, such as antibiotic-resistant bacteria (ARB). Research in improved aPDT has been exploring new PS materials, and additives in general. Hydrogen peroxide (H2O2) a widely applied disinfectant, mostly in the food industry and clinical settings, present environmentally negligible residuals at the usually applied concentrations, making it friendly for the water and wastewater sectors. Here, we explored the effects of preoxidation with H2O2 followed by blue light-mediated (450 nm) aPDT using curcumin (a natural-based PS) against methicillin-resistant Staphylococcus aureus (MRSA). Results of the sequential treatment pointed to a slight hampering in aPDT efficiency at very low H2O2 concentrations, followed by an increasing cooperative effect up to a deleterious point (\u22657 log10 inactivation in CFU mL\u20131), suggesting a synergistic interaction of preoxidation and aPDT. The increased performance in H2O2-pretreated aPDT encourages studies of optimal operational conditions for the assisted technology and describes potentials for using the described strategy to tackle the issue of ARB spread.<\/jats:p>","DOI":"10.2166\/wh.2023.245","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T15:28:07Z","timestamp":1701962887000},"page":"1922-1932","update-policy":"https:\/\/doi.org\/10.2166\/iwapcrossmarkpolicypage","source":"Crossref","is-referenced-by-count":6,"title":["Hydrogen peroxide preoxidation as a strategy for enhanced antimicrobial photodynamic action against methicillin-resistant <i>Staphylococcus aureus<\/i>"],"prefix":"10.2166","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6881-4217","authenticated-orcid":false,"given":"Kamila Jessie","family":"Sammarro Silva","sequence":"first","affiliation":[{"name":"a Environmental Biophotonics Laboratory, S\u00e3o Carlos Institute of Physics (IFSC), 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