The emergence of antibiotic-resistant bacterial strains
is a source
of public health concern across the globe. As the discovery of new
conventional antibiotics has stalled significantly over the past decade,
there is an urgency to develop novel approaches to address drug resistance
in infectious diseases. The use of a CRISPR-Cas-based system for the
precise elimination of targeted bacterial populations holds promise
as an innovative approach for new antimicrobial agent design. The
CRISPR-Cas targeting system is celebrated for its high versatility
and specificity, offering an excellent opportunity to fight antibiotic
resistance in pathogens by selectively inactivating genes involved
in antibiotic resistance, biofilm formation, pathogenicity, virulence,
or bacterial viability. The CRISPR-Cas strategy can enact antimicrobial
effects by two approaches: inactivation of chromosomal genes or curing
of plasmids encoding antibiotic resistance. In this Review, we provide
an overview of the main CRISPR-Cas systems utilized for the creation
of these antimicrobials, as well as highlighting promising studies
in the field. We also offer a detailed discussion about the most commonly
used mechanisms for CRISPR-Cas delivery: bacteriophages, nanoparticles,
and conjugative plasmids. Lastly, we address possible mechanisms of
interference that should be considered during the intelligent design
of these novel approaches.