Liao Hongxian, Xie Lifen, Zhang Nan, Lu Jinping, Zhang Jie
Department of Radiology, Zhuhai People's Hospital, The First School of Clinical Medicine of Guangdong Medical University, Zhuhai, China.
Department of Radiology, Zhuhai People's Hospital (Zhuhai Hospital affiliated to Jinan University), Zhuhai, China.
Front Cell Infect Microbiol. 2025 May 2;15:1560569. doi: 10.3389/fcimb.2025.1560569. eCollection 2025.
Antimicrobial resistance (AMR) constitutes a significant global public health challenge, posing a serious threat to human health. In clinical practice, physicians frequently resort to empirical antibiotic therapy without timely Antimicrobial Susceptibility Testing (AST) results. This practice, however, may induce resistance mutations in pathogens due to genetic pressure, thereby complicating infection control efforts. Consequently, the rapid and accurate acquisition of AST results has become crucial for precision treatment. In recent years, advancements in medical testing technology have led to continuous improvements in AST methodologies. Concurrently, emerging artificial intelligence (AI) technologies, particularly Machine Learning(ML) and Deep Learning(DL), have introduced novel auxiliary diagnostic tools for AST. These technologies can extract in-depth information from imaging and laboratory data, enabling the swift prediction of pathogen antibiotic resistance and providing reliable evidence for the judicious selection of antibiotics. This article provides a comprehensive overview of the advancements in research concerning pathogen AST and resistance detection methodologies, emphasizing the prospective application of artificial intelligence and machine learning in predicting drug sensitivity tests and pathogen resistance. Furthermore, we anticipate future directions in AST prediction aimed at reducing antibiotic misuse, enhancing treatment outcomes for infected patients, and contributing to the resolution of the global AMR crisis.
抗菌药物耐药性(AMR)是一项重大的全球公共卫生挑战,对人类健康构成严重威胁。在临床实践中,医生常常在没有及时获得抗菌药物敏感性试验(AST)结果的情况下就采用经验性抗生素治疗。然而,这种做法可能会由于基因压力导致病原体产生耐药性突变,从而使感染控制工作变得更加复杂。因此,快速准确地获得AST结果对于精准治疗至关重要。近年来,医学检测技术的进步使得AST方法不断改进。与此同时,新兴的人工智能(AI)技术,特别是机器学习(ML)和深度学习(DL),为AST引入了新型辅助诊断工具。这些技术可以从影像和实验室数据中提取深入信息,能够迅速预测病原体的抗生素耐药性,并为明智选择抗生素提供可靠依据。本文全面概述了病原体AST及耐药性检测方法的研究进展,强调了人工智能和机器学习在预测药物敏感性试验和病原体耐药性方面的前瞻性应用。此外,我们还展望了AST预测的未来方向,旨在减少抗生素的滥用,提高感染患者的治疗效果,并为解决全球AMR危机做出贡献。