Mechanisms of Resistance To -Lactam Antibiotics in Staphylococcus aureus

S. aureus has shown a great power of adaptation to antimicrobial agents, acquiring, step-by step, resistance to all available antibiotics for treatment of the infections it causes. S. aureus has three major mechanisms of resistance to B-lactam antibiotics: enzyme mediated (penicillinase or B-lactama...

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Bibliographic Details
Main Authors: Maribel Castellano González, Armindo Perozo Mena
Format: Article in Journal/Newspaper
Language:English
Spanish
Published: Universidad del Zulia,Facultad de Medicina,Departamento de Enfermedades Infecciosas y Tropicales 2010
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Online Access:https://doaj.org/article/a13fe1634b3d44229ef71ac1e46e02bd
Description
Summary:S. aureus has shown a great power of adaptation to antimicrobial agents, acquiring, step-by step, resistance to all available antibiotics for treatment of the infections it causes. S. aureus has three major mechanisms of resistance to B-lactam antibiotics: enzyme mediated (penicillinase or B-lactamase) by which the antibiotic is inactivated; intrinsic resistance,which is not due to drug inactivation and accounts for methicillin resistance;and modifications of penicillin-binding proteins (PBPs). Additionally, S. aureus can express the tolerance phenomenon, in which there is a dissociation of the inhibitory and killing actions of â-lactam antibiotics. Of these, the most important mechanism is intrinsic resistance, which is probably more complex because several factors can affect its expression.