Definitions and guidelines for research on antibiotic persistence. Author Nathalie Balaban, Sophie Helaine, Kim Lewis, Martin Ackermann, Bree Aldridge, Dan Andersson, Mark Brynildsen, Dirk Bumann, Andrew Camilli, James Collins, Christoph Dehio, Sarah Fortune, Jean-Marc Ghigo, Wolf-Dietrich Hardt, Alexander Harms, Matthias Heinemann, Deborah Hung, Urs Jenal, Bruce Levin, Jan Michiels, Gisela Storz, Man-Wah Tan, Tanel Tenson, Laurence Van Melderen, Annelies Zinkernagel Publication Year 2019 Type Journal Article Abstract Increasing concerns about the rising rates of antibiotic therapy failure and advances in single-cell analyses have inspired a surge of research into antibiotic persistence. Bacterial persister cells represent a subpopulation of cells that can survive intensive antibiotic treatment without being resistant. Several approaches have emerged to define and measure persistence, and it is now time to agree on the basic definition of persistence and its relation to the other mechanisms by which bacteria survive exposure to bactericidal antibiotic treatments, such as antibiotic resistance, heteroresistance or tolerance. In this Consensus Statement, we provide definitions of persistence phenomena, distinguish between triggered and spontaneous persistence and provide a guide to measuring persistence. Antibiotic persistence is not only an interesting example of non-genetic single-cell heterogeneity, it may also have a role in the failure of antibiotic treatments. Therefore, it is our hope that the guidelines outlined in this article will pave the way for better characterization of antibiotic persistence and for understanding its relevance to clinical outcomes. Keywords Anti-Bacterial Agents, Bacteria, Terminology as Topic, Drug Tolerance, Biomedical Research, Guidelines as Topic Journal Nat Rev Microbiol Volume 17 Issue 7 Pages 441-448 Date Published 2019 Jul ISSN Number 1740-1534 DOI 10.1038/s41579-019-0196-3 Alternate Journal Nat Rev Microbiol PMCID PMC7136161 PMID 30980069 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML