Overbye-Abstract Infections caused by drug resistant bacteria can strike anyone. In 2004 the IDSA reported that ~2 million people a year in the United States are treated for bacterial infections and 90,000 of these patients die from their infections. At that time the majority of the infecting bacteria were resistant to at least one antibiotic. The mortalitiy rate and resistance profile has not improved. How and where will the new antibiotics be discovered? This talk will focus on what makes a successful antibiotic. We will examine the antibiotics that have been in the clinic the longest and can we learn something about what makes a drug maintain its effectiveness? We will examine drug targets, their mode of action, spontaneous mutation and consider resistance development. Will we continue to have incremental improvements in therapeutic agents or will it be possible to find the next novel super drug? Consideration will be given to the potential role of diagnostics in the future of drug therapy.