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research article

Nanotools and molecular techniques to rapidly identify and fight bacterial infections

Dinarelli, S.
•
Girasole, M.
•
Kasas, S.  
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2017
Journal Of Microbiological Methods

Reducing the emergence and spread of antibiotic-resistant bacteria is one of the major healthcare issues of our century. In addition to the increased mortality, infections caused by multi-resistant bacteria drastically enhance the healthcare costs, mainly because of the longer duration of illness and treatment. While in the last 20 years, bacterial identification has been revolutionized by the introduction of new molecular techniques, the current phenotypic techniques to determine the susceptibilities of common Gram-positive and Gram-negative bacteria require at least two days from collection of clinical samples. Therefore, there is an urgent need for the development of new technologies to determine rapidly drug susceptibility in bacteria and to achieve faster diagnoses. These techniques would also lead to a better understanding of the mechanisms that lead to the insurgence of the resistance, greatly helping the quest for new antibacterial systems and drugs. In this review, we describe some of the tools most currently used in clinical and microbiological research to study bacteria and to address the challenge of infections. We discuss the most interesting advancements in the molecular susceptibility testing systems, with a particular focus on the many applications of the MALDI-TOF MS system. In the field of the phenotypic characterization protocols, we detail some of the most promising semi-automated commercial systems and we focus on some emerging developments in the field of nanomechanical sensors, which constitute a step towards the development of rapid and affordable point-of-care testing devices and techniques. While there is still no innovative technique that is capable of completely substituting for the conventional protocols and clinical practices, many exciting new experimental setups and tools could constitute the basis of the standard testing package of future microbiological tests. (C) 2016 Elsevier B.V. All rights reserved.

  • Details
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Type
research article
DOI
10.1016/j.mimeL2016.01.005
Web of Science ID

WOS:000404786600009

Author(s)
Dinarelli, S.
Girasole, M.
Kasas, S.  
Longo, G.  
Date Issued

2017

Publisher

Elsevier

Published in
Journal Of Microbiological Methods
Volume

138

Start page

72

End page

81

Subjects

Microbiology

•

Bacterial resistances

•

Antibiotics

•

Susceptibility

•

Identification

•

Innovative techniques

•

Phenotypic methods

•

Molecular methods

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LPMV  
Available on Infoscience
September 5, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/140269
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