The Relationship Between the Microbiome and Antimicrobial Resistance

Clin Infect Dis. 2023 Dec 5;77(Suppl 6):S479-S486. doi: 10.1093/cid/ciad641.

Abstract

Antibiotics have benefitted human health since their introduction nearly a century ago. However, the rise of antibiotic resistance may portend the dawn of the "post-antibiotic age." With the narrow pipeline for novel antimicrobials, we need new approaches to deal with the rise of multidrug resistant organisms. In the last 2 decades, the role of the intestinal microbiota in human health has been acknowledged and studied widely. Of the various activities carried out by the gut microbiota, colonization resistance is a key function that helps maintain homeostasis. Therefore, re-establishing a healthy microbiota is a novel strategy for treating drug resistance organisms. Preliminary studies suggest that this is a viable approach. However, the extent of their success still needs to be examined. Herein, we will review work in this area and suggest where future studies can further investigate this method for dealing with the threat of antibiotic resistance.

Keywords: Clostridioides difficile; antimicrobial resistance; microbiome; microbiome therapeutics; microbiota; multidrug resistant organsisms.

Publication types

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

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Clostridioides difficile*
  • Clostridium Infections*
  • Drug Resistance, Bacterial
  • Gastrointestinal Microbiome*
  • Humans
  • Microbiota*

Substances

  • Anti-Bacterial Agents