Electronic Resource
Springer
Pharmacy world & science
9 (1987), S. S11
ISSN:
1573-739X
Keywords:
Combined resistance
;
Drug resistance
;
Mechanisms of resistance
;
Quinolones
Source:
Springer Online Journal Archives 1860-2000
Topics:
Chemistry and Pharmacology
Notes:
Abstract Resistance to quinolones is only due to mutations. The mechanism and the range of quinolones involved, depend on the locus of the chromosomal mutation e.g. a mutation in the gyr A locus is associated with resistance due to changes in the gyrase. Using high inoculain vitro, varying, but relatively low mutation rates of resistance to fluoroquinolones have been found (10−6-10−12).In vitro transfers of bacterial strains in increasing concentrations of quinolones yield parallel increases of the MIC's of most quinolones; however, the MIC's of the most active quinolones like ciprofloxacin usually remain below concentrations achievablein vivo. Exceptions are MIC's forPseudomonas aeruginosa and staphylococci. Combined resistance to quinolones and other antibiotics was observed afterin vitro transfers as well as in mutants (10−6-10−8) isolated from a high inoculum. Changes in the outer membrane proteins have been found in these mutants. Clinical resistance to fluoroquinolones is rare except inPseudomonas aeruginosa and staphylococci.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02075252
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