2 - BACTERIOWEB

2 - BACTERIOWEB 2 - BACTERIOWEB

bacterioweb.univ.fcomte.fr
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06.08.2013 Views

Main resistance mechanisms to drugs Inactivation Modification Cleaning Protection ANTIBIOTIC TARGET Substitution Amplification Efflux Impermeability Reduced affinity - mutations - recombinaisons - enzymatic modification 4

Drug inactivation Target alteration Decreased mb permeability Active efflux Drug resistance mechanisms +++ +++ + + ß-lactams +++ + + + Aminoglycosides Quinolones +/- +++ + + +/- +++ + + Macrolides +/- ++ + +++ 5 Tetracyclines Tetracyclines

Drug inactivation<br />

Target alteration<br />

Decreased mb permeability<br />

Active efflux<br />

Drug resistance mechanisms<br />

+++<br />

+++<br />

+<br />

+<br />

ß-lactams<br />

+++<br />

+<br />

+<br />

+<br />

Aminoglycosides<br />

Quinolones<br />

+/-<br />

+++<br />

+<br />

+<br />

+/-<br />

+++<br />

+<br />

+<br />

Macrolides<br />

+/-<br />

++<br />

+<br />

+++<br />

5<br />

Tetracyclines<br />

Tetracyclines

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