Mechanisms of resistance to quinolones: target alterations, decreased accumulation and DNA gyrase protection

被引:513
作者
Ruiz, J [1 ]
机构
[1] Hosp Clin Barcelona, Dept Microbiol, Inst Clin Infecc & Immunol, E-08036 Barcelona, Spain
关键词
quinolone resistance; DNA gyrase; topoisomerase IV; efflux pumps; qnr;
D O I
10.1093/jac/dkg222
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Quinolones are broad-spectrum antibacterial agents, commonly used in both clinical and veterinary medicine. Their extensive use has resulted in bacteria rapidly developing resistance to these agents. Two mechanisms of quinolone resistance have been established to date: alterations in the targets of quinolones, and decreased accumulation due to impermeability of the membrane and/or an overexpression of efflux pump systems. Recently, mobile elements have also been described, carrying the qnr gene, which confers resistance to quinolones.
引用
收藏
页码:1109 / 1117
页数:9
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