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© Research
Publication : FEMS microbiology reviews

Antibiotic resistance: turning evolutionary principles into clinical reality.

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in FEMS microbiology reviews - 01 Mar 2020

Andersson DI, Balaban NQ, Baquero F, Courvalin P, Glaser P, Gophna U, Kishony R, Molin S, Tønjum T,

Link to Pubmed [PMID] – 31981358

Link to DOI – 10.1093/femsre/fuaa001

FEMS Microbiol Rev 2020 03; 44(2): 171-188

Antibiotic resistance is one of the major challenges facing modern medicine worldwide. The past few decades have witnessed rapid progress in our understanding of the multiple factors that affect the emergence and spread of antibiotic resistance at the population level and the level of the individual patient. However, the process of translating this progress into health policy and clinical practice has been slow. Here, we attempt to consolidate current knowledge about the evolution and ecology of antibiotic resistance into a roadmap for future research as well as clinical and environmental control of antibiotic resistance. At the population level, we examine emergence, transmission and dissemination of antibiotic resistance, and at the patient level, we examine adaptation involving bacterial physiology and host resilience. Finally, we describe new approaches and technologies for improving diagnosis and treatment and minimizing the spread of resistance.