Rapid Susceptibility Testing Methods

Clin Lab Med. 2019 Sep;39(3):333-344. doi: 10.1016/j.cll.2019.04.001. Epub 2019 Jun 12.

Abstract

With emerging antimicrobial resistance, rapid antimicrobial susceptibility testing (AST) is needed to provide early definitive therapeutic guidance to optimize patient outcome. Genotypic methods are fast, but can identify only a subset of known resistance elements. Phenotypic methods determine clinically predictive minimal inhibitory concentrations and include very sensitive optical and biophysical methods to detect changes in replication or physiology of pathogens in response to antibiotics. For the potential of rapid AST to be fully realized, results must be linked with robust decision support solutions that will implement therapeutic changes in real time.

Keywords: Antimicrobial resistance; Genotypic; Phenotypic; Rapid antimicrobial susceptibility testing.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacteria / drug effects*
  • Bacteria / genetics
  • Drug Resistance, Bacterial
  • Genotype
  • Humans
  • Microbial Sensitivity Tests

Substances

  • Anti-Bacterial Agents