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Published on: July 24, 2021
Frontiers in superbug management: innovating approaches to combat antimicrobial resistance
Priyanka Chambial1, Neelam Thakur2, Prudhvi Lal Bhukya3
1Department of Biosciences (UIBT), Chandigarh University, NH-05, Ludhiana - Chandigarh State Hwy, Sahibzada Ajit Singh Nagar, Punjab, 140413, India.
Abstract:
Anti-microbial resistance (AMR) is a global health issue causing significant mortality and economic burden. Pharmaceutical companies' discontinuation of research hinders new agents, while MDR pathogens or "superbugs" worsen the problem. Superbugs pose a threat to common infections and medical procedures, exacerbated by limited antibiotic development and rapid antibiotic resistance. The rising tide of antimicrobial resistance threatens to undermine progress in controlling infectious diseases. This review examines the global proliferation of AMR, its underlying mechanisms, and contributing factors. The study explores various methodologies, emphasizing the significance of precise and timely identification of resistant strains. We discuss recent advancements in CRISPR/Cas9, nanoparticle technology, light-based techniques, and AI-powered antibiogram analysis for combating AMR. Traditional methods often fail to effectively combat multidrug-resistant bacteria, as CRISPR-Cas9 technology offers a more effective approach by cutting specific DNA sequences, precision targeting and genome editing. AI-based smartphone applications for antibiogram analysis in resource-limited settings face challenges like internet connectivity, device compatibility, data quality, energy consumption, and algorithmic limitations. Additionally, light-based antimicrobial techniques are increasingly being used to effectively kill antibiotic-resistant microbial species and treat localized infections. This review provides an in-depth overview of AMR covering epidemiology, evolution, mechanisms, infection prevention, control measures, antibiotic access, stewardship, surveillance, challenges and emerging non-antibiotic therapeutic approaches.
Insights
Antimicrobial resistance (AMR) is a growing global threat. This review highlights novel strategies like CRISPR/Cas9, nanotechnology, and AI to combat resistant bacteria and infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Biotechnology
Background:
- Antimicrobial resistance (AMR) presents a significant global health challenge, leading to increased mortality and economic strain.
- The decline in new antibiotic development and the rise of multidrug-resistant (MDR) pathogens, or
- superbugs
- exacerbate the AMR crisis, threatening common infections and medical procedures.
- AMR undermines decades of progress in infectious disease control.
Purpose of the Study:
- To review the global spread, mechanisms, and drivers of AMR.
- To explore innovative methodologies for identifying resistant strains and combating AMR.
- To provide a comprehensive overview of AMR, including epidemiology, control, and emerging therapies.
Main Methods:
- Literature review of global AMR proliferation, mechanisms, and contributing factors.
- Examination of advanced techniques including CRISPR/Cas9, nanoparticle technology, light-based methods, and AI-powered antibiogram analysis.
- Analysis of challenges in implementing AI-based diagnostics in resource-limited settings.
Main Results:
- CRISPR/Cas9 offers precise DNA targeting for combating MDR bacteria, surpassing traditional methods.
- Light-based antimicrobial techniques show promise for killing resistant microbes and treating localized infections.
- AI-driven antibiogram analysis via smartphones presents potential but faces infrastructure and technical hurdles.
Conclusions:
- Novel therapeutic approaches beyond traditional antibiotics are crucial for addressing the AMR crisis.
- Technological advancements like CRISPR/Cas9 and AI offer promising avenues for AMR surveillance and treatment.
- Effective AMR control requires a multifaceted strategy encompassing prevention, stewardship, surveillance, and innovative non-antibiotic therapies.
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