Conventional methods and future trends in antimicrobial susceptibility testing

Antimicrobial susceptibility testing is an essential task for selecting appropriate antimicrobial agents to treat infectious diseases. Constant evolution has been observed in methods used in the diagnostic microbiology laboratories. Disc diffusion or broth microdilution are classical and conventiona...

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Main Authors: Md. Abdus Salam, Md. Yusuf Al-Amin, Jogendra Singh Pawar, Naseem Akhter, Irine Banu Lucy
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Saudi Journal of Biological Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319562X2300027X
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author Md. Abdus Salam
Md. Yusuf Al-Amin
Jogendra Singh Pawar
Naseem Akhter
Irine Banu Lucy
author_facet Md. Abdus Salam
Md. Yusuf Al-Amin
Jogendra Singh Pawar
Naseem Akhter
Irine Banu Lucy
author_sort Md. Abdus Salam
collection DOAJ
description Antimicrobial susceptibility testing is an essential task for selecting appropriate antimicrobial agents to treat infectious diseases. Constant evolution has been observed in methods used in the diagnostic microbiology laboratories. Disc diffusion or broth microdilution are classical and conventional phenotypic methods with long turnaround time and labour-intensive but still widely practiced as gold-standard. Scientists are striving to develop innovative, novel and faster methods of antimicrobial susceptibility testing to be applicable for routine microbiological laboratory practice and research. To meet the requirements, there is an increasing trend towards automation, genotypic and micro/nano technology-based innovations. Automation in detection systems and integration of computers for online data analysis and data sharing are giant leaps towards versatile nature of automated methods currently in use. Genotypic methods detect a specific genetic marker associated with resistant phenotypes using molecular amplification techniques and genome sequencing. Microfluidics and microdroplets are recent addition in the continuous advancement of methods that show great promises with regards to safety and speed and have the prospect to identify and monitor resistance mechanisms. Although genotypic and microfluidics methods have many exciting features, however, their applications into routine clinical laboratory practice warrant extensive validation. The main impetus behind the evolution of methods in antimicrobial susceptibility testing is to shorten the overall turnaround time in obtaining the results and to enhance the ease of sample processing. This comprehensive narrative review summarises major conventional phenotypic methods and automated systems currently in use, and highlights principles of some of the emerging genotypic and micro/nanotechnology-based methods in antimicrobial susceptibility testing.
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spelling doaj.art-6aaed998a2f244fc9770b6b762fa214f2023-03-09T04:12:52ZengElsevierSaudi Journal of Biological Sciences1319-562X2023-03-01303103582Conventional methods and future trends in antimicrobial susceptibility testingMd. Abdus Salam0Md. Yusuf Al-Amin1Jogendra Singh Pawar2Naseem Akhter3Irine Banu Lucy4Department of Basic Medical Sciences, Kulliyyah of Medicine, International Islamic University, MalaysiaPurdue University Interdisciplinary Life Sciences Graduate Program, Purdue University, West Lafayette, IN, USA; Department of Medicinal Chemistry and Molecular Pharmacology, Purdue University, West Lafayette, IN, USADepartment of Medicinal Chemistry and Molecular Pharmacology, Purdue University, West Lafayette, IN, USADepartment of Neurology, Henry Ford Health System, Detroit, MI 48202, USADepartment of Physics, University of Rajshahi, Rajshahi 6205, Bangladesh; Corresponding author at: Department of Physics, University of Rajshahi, Rajshahi 6205, Bangladesh.Antimicrobial susceptibility testing is an essential task for selecting appropriate antimicrobial agents to treat infectious diseases. Constant evolution has been observed in methods used in the diagnostic microbiology laboratories. Disc diffusion or broth microdilution are classical and conventional phenotypic methods with long turnaround time and labour-intensive but still widely practiced as gold-standard. Scientists are striving to develop innovative, novel and faster methods of antimicrobial susceptibility testing to be applicable for routine microbiological laboratory practice and research. To meet the requirements, there is an increasing trend towards automation, genotypic and micro/nano technology-based innovations. Automation in detection systems and integration of computers for online data analysis and data sharing are giant leaps towards versatile nature of automated methods currently in use. Genotypic methods detect a specific genetic marker associated with resistant phenotypes using molecular amplification techniques and genome sequencing. Microfluidics and microdroplets are recent addition in the continuous advancement of methods that show great promises with regards to safety and speed and have the prospect to identify and monitor resistance mechanisms. Although genotypic and microfluidics methods have many exciting features, however, their applications into routine clinical laboratory practice warrant extensive validation. The main impetus behind the evolution of methods in antimicrobial susceptibility testing is to shorten the overall turnaround time in obtaining the results and to enhance the ease of sample processing. This comprehensive narrative review summarises major conventional phenotypic methods and automated systems currently in use, and highlights principles of some of the emerging genotypic and micro/nanotechnology-based methods in antimicrobial susceptibility testing.http://www.sciencedirect.com/science/article/pii/S1319562X2300027XAntimicrobial susceptibility testingConventional methodsAutomationsGenotypic methodsMicro/nanotechnology-based techniquesAdvantages and disadvantages
spellingShingle Md. Abdus Salam
Md. Yusuf Al-Amin
Jogendra Singh Pawar
Naseem Akhter
Irine Banu Lucy
Conventional methods and future trends in antimicrobial susceptibility testing
Saudi Journal of Biological Sciences
Antimicrobial susceptibility testing
Conventional methods
Automations
Genotypic methods
Micro/nanotechnology-based techniques
Advantages and disadvantages
title Conventional methods and future trends in antimicrobial susceptibility testing
title_full Conventional methods and future trends in antimicrobial susceptibility testing
title_fullStr Conventional methods and future trends in antimicrobial susceptibility testing
title_full_unstemmed Conventional methods and future trends in antimicrobial susceptibility testing
title_short Conventional methods and future trends in antimicrobial susceptibility testing
title_sort conventional methods and future trends in antimicrobial susceptibility testing
topic Antimicrobial susceptibility testing
Conventional methods
Automations
Genotypic methods
Micro/nanotechnology-based techniques
Advantages and disadvantages
url http://www.sciencedirect.com/science/article/pii/S1319562X2300027X
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