Molecular detection of antimicrobial resistance in livestock mycoplasmas: current status and future prospects

Pathogenic <i>Mycoplasma</i> species significantly impact livestock health, causing respiratory, articular, mammary gland, and reproductive disorders with substantial economic losses. Antimicrobials remain essential for controlling clinical signs and production losses; however, treatment efficacy is increasingly threatened by antimicrobial resistance (AMR). Phenotypic methods remain the most reliable approach for detecting AMR in <i>Mycoplasma</i> species; however, they are time-consuming, technically demanding, and results are often difficult to interpret. The absence of clinical breakpoints and limited epidemiological cut-off values (ECOFFs) further complicate AMR categorization. Advances in molecular techniques offer a promising alternative for faster AMR detection and prediction. This review summarizes current knowledge of genetic mechanisms underlying AMR in clinically important <i>Mycoplasma</i> species affecting ruminants, swine, and poultry. It highlights the role of molecular assays in identifying resistance-associated mutations. Additionally, a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis evaluates these methods' practical applications and limitations in veterinary mycoplasmas. Finally, the potential of genome-wide association studies (GWAS) is explored as an emerging tool for linking genetic traits to phenotypic resistance patterns, offering new insights for enhancing resistance prediction in veterinary medicine.