The literature review is devoted to the modern concepts of the vesiculation phenomenon and its biological role in pathogenic bacteria – causative agents of particularly dangerous human infections. Data on the production, structure, composition, and functions of the outer membrane vesicles (OMV) of bacteria have been summarized. In recent years, the interest of researchers in the formation of spherical structures (so called bubbles or vesicles) from outer membrane of gram-negative bacteria has significantly increased. Such structures are surrounded by the double layer of a phospholipid membrane, the outer layer of which is enriched with lipopolysaccharide molecules. The inner space of vesicles could include various antigens, receptors, adhesins, toxins, enzymes, porins, etc. The formation of vesicles by the outer membranes of bacteria is recognized as a normal physiological manifestation of bacterial activity aimed at adaptation to environmental conditions. The investigation of the biological role of OMV showed their connection with the pathogenesis and immunogenesis of bacterial diseases. The review provides information on the peculiarity of induction, OMV composition and their participation in the processes of patho- and immunogenesis of severe infections caused by groups I–II PBA – the gram-negative causative agents of plague, tularemia, brucellosis, glanders, melioidosis, cholera, and formation of extracellular vesicles in a gram-positive anthrax pathogen. The particular attention is paid to the issue of developing safe and effective next-generation vaccine preparations based on bacterial vesicles.