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Updated: Sep 11, 2025

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
A Practice Primer and Update on Anti-Bacterial Resistance.
Pak Ho Au1, Mustafa Gandhi2, Kathryn Deere3
1Fellow, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Antibiotic resistance, especially in Gram-negative bacteria, is worsened by improper antibiotic use. This guide helps clinicians manage resistant infections with updated strategies and newer antibiotic options.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Antibiotic resistance is a significant global health threat.
- Inappropriate antibiotic use is a primary driver of resistance.
- Multi-drug resistance in Gram-negative bacteria is a growing clinical challenge.
Purpose of the Study:
- To provide clinicians with a practical guide for managing antibiotic-resistant infections.
- To summarize current knowledge on resistance mechanisms.
- To review updated treatment guidelines and newer antibiotic agents.
Main Methods:
- Literature review of recent studies on antibiotic resistance mechanisms.
- Analysis of treatment guidelines for resistant Gram-negative infections.
- Evaluation of the spectrum of activity for novel antibiotics.
Main Results:
- Identified key mechanisms contributing to multi-drug resistance in Gram-negative pathogens.
- Highlighted the importance of prompt diagnosis and targeted antibiotic therapy.
- Summarized the clinical utility and spectrum of activity of newly approved antibiotics.
Conclusions:
- Effective management of resistant infections requires understanding resistance mechanisms and judicious antibiotic selection.
- Newer antibiotics offer expanded treatment options for challenging Gram-negative infections.
- Adherence to updated clinical practice guidelines is crucial for combating antibiotic resistance.
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