Widespread antibiotic heterotolerance in bacteria remains undetected by resistance assays

Despite global efforts, antimicrobial resistance persists. Mechanisms like heterotolerance further undermine antibiotic effectiveness. Testing > 1000 clinical strains revealed widespread heterotolerance largely missed by conventional MIC-based diagnostics. Since AMR alone does not predict treatment success, new tests and strategies incorporating tolerance data are urgently needed to significantly improve patient outcomes.

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Publication Details

Journal
Drug Resistance Updates
Published
2025-03-15
DOI
https://doi.org/10.1016/j.drup.2025.101239
Primary Topic
Antibiotic Resistance in Bacteria
Type
article
Field-Weighted Citation Impact
0.00
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article

Widespread antibiotic heterotolerance in bacteria remains undetected by resistance assays

Laure Verstraete, Philip Ruelens, Linda De Vooght, Laurence Van Moll et al.
Drug Resistance Updates
Antibiotic Resistance in Bacteria
article

Widespread antibiotic heterotolerance in bacteria remains undetected by resistance assays

Laure Verstraete, Philip Ruelens, Linda De Vooght, Laurence Van Moll, Jan Michiels, Bram Van den Bergh, Nele Geerts, Natalie Verstraeten, Paul Cos, Sang D. Nguyen, Lieze Agten
article en

Abstract

Despite global efforts, antimicrobial resistance persists. Mechanisms like heterotolerance further undermine antibiotic effectiveness. Testing > 1000 clinical strains revealed widespread heterotolerance largely missed by conventional MIC-based diagnostics. Since AMR alone does not predict treatment success, new tests and strategies incorporating tolerance data are urgently needed to significantly improve patient outcomes.

Drug Resistance UpdatesVol. 81
University of Antwerp (BE), Vlaams Instituut voor Biotechnologie (BE)
Zero hunger
Openalex Percentile: Top 96%
Antibiotic Resistance in Bacteria
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Widespread antibiotic heterotolerance in bacteria remains undetected by resistance assays — Laure Verstraete, Philip Ruelens, et al. · Drug Resistance Updates (2025) | TGRS Research Map | TGRS