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While in recent years, health authorities, such as the Centers for Disease Control and Prevention, have reported the alarming emergence and spread of drug\u2010resistant pathogenic fungi and warned against the devastating consequences, progress in the diagnosis and treatment of fungal infections is limited. Early diagnosis and patient\u2010tailored therapy are established to be key in reducing morbidity and mortality associated with fungal (and cofungal) infections. As such, antifungal susceptibility testing (AFST) is crucial in revealing susceptibility or resistance of these pathogens and initiating correct antifungal therapy. Today, gold standard AFST methods require several days for completion, and thus this much delayed time for answer limits their clinical application. This review focuses on the advancements made in developing novel AFST techniques and discusses their implications in the context of the practiced clinical workflow. The aim of this work is to highlight the advantages and drawbacks of currently available methods and identify the main gaps hindering their progress toward clinical application.<\/jats:p>","DOI":"10.1002\/smtd.202100713","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T06:54:46Z","timestamp":1636700086000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Paving the Way to Overcome Antifungal Drug Resistance: Current Practices and Novel Developments for Rapid and Reliable Antifungal Susceptibility Testing"],"prefix":"10.1002","volume":"5","author":[{"given":"Christopher","family":"Heuer","sequence":"first","affiliation":[{"name":"Institute of Technical Chemistry Leibniz University Hannover  30167 Hannover Germany"},{"name":"Department of Biotechnology and Food Engineering Technion\u2013Israel Institute of Technology  Haifa 320003 Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7008-1673","authenticated-orcid":false,"given":"Janina","family":"Bahnemann","sequence":"additional","affiliation":[{"name":"Institute of Technical Chemistry Leibniz University Hannover  30167 Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Scheper","sequence":"additional","affiliation":[{"name":"Institute of Technical Chemistry Leibniz University Hannover  30167 Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9472-754X","authenticated-orcid":false,"given":"Ester","family":"Segal","sequence":"additional","affiliation":[{"name":"Department of Biotechnology and Food Engineering Technion\u2013Israel Institute of Technology  Haifa 320003 Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,23]]},"reference":[{"key":"e_1_2_11_1_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2016.00011"},{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.3004404"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30316-X"},{"key":"e_1_2_11_4_1","unstructured":"Centers for Disease Control and Prevention at the U.S. Department of Health and Human Services Antibiotic Resistance Threats in the United States2019 https:\/\/www.cdc.gov\/drugresistance\/pdf\/threats-report\/2019-ar-threats-report-508.pdf(accessed: May 2021)."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1008921"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30304-3"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30303-1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaa6097"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2011.0358"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00066-16"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1021\/acssensors.8b00900"},{"key":"e_1_2_11_12_1","unstructured":"M. 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