Over the past 20 years, the pharmaceutical industry has adopted a variety of strategies in the hunt for new antibiotics. Traditionally, the most successful approach has been random screening for new active molecules followed by chemical optimization, using simple antibiotic activity for primary selection. Until recently, more imaginative strategies were limited by knowledge and technology. The advent of microbial genomics has provided the information necessary to extend our knowledge into new areas of microbial physiology and to build the tools that will facilitate investigation. The aim of this paper is to demonstrate how microbial genomics is being used to discover and develop new antimicrobial agents, targeted at speci®c clinical needs.
UNMET MEDICAL NEEDThe clinical need for new classes of antibiotic continues to grow, driven by drug resistance which erodes the ef®cacy of current therapies. Historically, most antibiotics were discovered by random screening campaigns but over the past 20 years, this strategy has largely failed to deliver a suf®cient range of chemical diversity to keep pace with changing clinical pro®les, particularly resistance. The urgency of this need is most critically experienced in the hospital environment (Struelens 1998;Kmietowicz 2000) although even in the community, choices are becoming limited for con®dent treatment