Global Dissemination and Evolution of Epidemic Multidrug-Resistant Gram-Negative Bacterial Pathogens: Surveillance, Diagnosis and Treatment

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About this Research Topic

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Background

The inappropriate use of antibiotics combined with a lack of newly developed ones are the main contributors to the current antibiotic resistance crisis. The World Health Organization (WHO) has acknowledged that bacterial antibiotic resistance represents one of the biggest threats to global public health, increasing therapy costs and mortality rates in serious infections. The leading cause of nosocomial infections globally is largely due to a league of gram-negative bacteria that readily develop antimicrobial resistance. They frequently cause severe disease and easily ‘escape’ the activity of antibiotics. However, many unanswered questions concerning the mechanisms of global dissemination and evolution patterns of these notorious epidemic multidrug-resistant gram-negative bacterial pathogens. Thus, the time is right now to arrange a Research Topic to present and highlight novel findings in this research field.

This research topic highlights new advances in understanding antimicrobial resistance mechanisms at the molecular level and the transmission dynamics and developing new treatments of multidrug-resistant gram-negative bacteria. This Research Topic welcomes genomic epidemiological studies to explore the molecular basis of antimicrobial resistance and to discover the new channels of resistance transmission between humans, animals, and the environment to encapsulate the ‘One Health’ concept. Also, surveillance on both global or local scales focuses on both the transmission of bacteria and the genes and mobile genetic elements (MGEs) that confer antimicrobial resistance to the ‘last-resort antimicrobial agents’ heightened virulence are more than welcome. Finally, studies that attempt to identify new resistance mechanisms, explore newly discovered antimicrobial agents, and introduce new techniques and methods for rapid detection, characterization and elimination of multidrug-resistant gram-negative bacteria would be particularly welcome.

This Research Topic encourages collecting original research articles, (mini)reviews, protocols, perspectives and opinion articles that focus on the molecular basis of global dissemination and evolution of epidemic multidrug-resistant gram-negative bacterial pathogens of clinical importance. This Research Topic will present authoritative works that include, but are not limited to, the following themes:

• Unrevealing the development of antimicrobial resistance, the molecular epidemiology, and the transmission dynamics of the international multidrug-resistant high-risk clones by genomic epidemiological and spatial-temporal analysis.
• Developing novel antibiotics, alternative approaches and emerging diagnostic strategies or methodologies (e.g. CRISPR/Cas9 and Nanoparticles) to combat antibiotic resistance.
• Development of a new bioinformatics approach or database to perform bacterial in silico typing and predict the antimicrobial resistance phenotypes from whole-genome sequencing data

Keywords: Bacterial infections, Multidrug resistance, Whole genome sequencing, Genomic epidemiology, Surveillance

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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