An Experimental Framework for Quantifying Bacterial Tolerance.

Biophys J
Authors
Keywords
Abstract

Antibiotic tolerance and persistence are often associated with treatment failure and relapse, yet are poorly characterized. In distinction from resistance, which is measured using the minimum inhibitory concentration metric, tolerance and persistence values are not currently evaluated in the clinical setting, and so are overlooked when a course of treatment is prescribed. In this article, we introduce a metric and an automated experimental framework for measuring tolerance and persistence. The tolerance metric is the minimum duration for killing 99% of the population, MDK, which can be evaluated by a statistical analysis of measurements performed manually or using a robotic system. We demonstrate the technique on strains of Escherichia coli with various tolerance levels. We hope that this, to our knowledge, new approach will be used, along with the existing minimum inhibitory concentration, as a standard for the in vitro characterization of sensitivity to antimicrobials. Quantification of tolerance and persistence may provide vital information in healthcare, and aid research in the field.

Year of Publication
2017
Journal
Biophys J
Volume
112
Issue
12
Pages
2664-2671
Date Published
2017 Jun 20
ISSN
1542-0086
DOI
10.1016/j.bpj.2017.05.014
PubMed ID
28636922
PubMed Central ID
PMC5479142
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