BACTERIAL NANOMECHANICAL VIBRATIONS AS A DIAGNOSTIC TOOL: A NARRATIVE REVIEW OF EVIDENCE, TERMINOLOGY, AND LIMITATIONS, БАКТЕРІАЛЬНІ НАНОМЕХАНІЧНІ КОЛИВАННЯ ЯК ДІАГНОСТИЧНИЙ ІНСТРУМЕНТ: НАРАТИВНИЙ ОГЛЯД ДОКАЗОВИХ ДАНИХ, ТЕРМІНОЛОГІЇ ТА ОБМЕЖЕНЬ

<jats:p>Introduction. Atomic force microscopy (AFM) and graphene-based nanomechanical resonators show that bacterial cells generate detectable nanoscale mechanical oscillations (“nanomotion”) linked to flagellar rotation, pilus activity, and metabolism. These signals have been proposed for rapid antimicrobial susceptibility testing (AST), but are often discussed together with mechanistically unrelated phenomena, including ultrasound imaging of gas-vesicle reporter bacteria, quorum sensing, and the effects of external sound or electromagnetic fields on bacterial growth. Aim. To critically review the evidence for bacterial nanomechanical vibrations as a diagnostic tool, with an emphasis on rapid AST, and to clarify the terminological and mechanistic boundaries between nanomotion detection and related but distinct acoustic phenomena. Materials and methods. A narrative review was conducted using PubMed, supplemented by Google Scholar, with combinations of the search terms “bacterial nanomotion”, “AFM bacteria”, “graphene resonator bacteria”, “bacterial vibration antibiotic susceptibility”, and “acoustic reporter genes”, restricted to English-language studies. Titles and abstracts were screened for relevance to mechanical, acoustic, or ultrasound-based detection of bacterial activity; unrelated sources were excluded. Results. AFM- and graphene-drum-based nanomotion assays can distinguish metabolically active from antibiotic-killed bacteria within hours in single-species proof-of-concept studies, but large-scale validation across multiple bacterial species and antibiotics against reference MIC testing remains limited. Ultrasound imaging of acoustic reporter genes, quorum-sensing regulation of biofilm formation and virulence, and the effects of external sound or electromagnetic exposure are supported by separate, non-overlapping evidence. Proposed industrial, environmental, and space microbiology applications remain largely hypothetical, with no clinical, regulatory, or industrial validation identified. Conclusions. Nanomechanical vibration detection is a promising but early-stage diagnostic approach, supported mainly by proof-of-concept studies. Multicenter validation, standardized terminology, and clear separation from mechanistically distinct phenomena are needed before broader translational claims can be justified.</jats:p>