Resistance to beta-lactam antibiotics in anaerobic bacteria.
The known mechanisms of beta-lactam resistance in anaerobic bacteria involve production of beta-lactamases, alteration of penicillin-binding proteins, and blocked penetration of beta-lactam antibiotics through bacterial outer membranes. The most important factor in beta-lactam resistance is production of beta-lactamases, which have been found in various Bacteroides, Fusobacterium, and Clostridium species. beta-Lactam resistance in Bacteroides fragilis is commonly mediated by beta-lactamases that are mainly cephalosporinase in character. B. fragilis strains can also produce penicillinases and enzymes inactivating cefoxitin and imipenem. The non-fragilis species of Bacteroides produce beta-lactamases that are mainly penicillinase in character. Penicillinases are also isolated from Fusobacterium nucleatum. Among the clostridia, Clostridium butyricum, Clostridium clostridioforme, and Clostridium ramosum have been shown to produce penicillinases.
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Department of Microbiology, Huddinge University Hospital, Karolinska Institute, Stockholm, Sweden.
Hedberg
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D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001421:Bacteria, Anaerobic / Q000187:drug effects* / Q000201:enzymology / Q000378:metabolism; D001426:Bacterial Proteins; D002352:Carrier Proteins / Q000378:metabolism; D004352:Drug Resistance, Microbial; D006602:Hexosyltransferases; D006801:Humans; D002267:Muramoylpentapeptide Carboxypeptidase / Q000378:metabolism; D046915:Penicillin-Binding Proteins; D010458:Peptidyl Transferases; D001618:beta-Lactamases / Q000096:biosynthesis; D047090:beta-Lactams
D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; D002352:Carrier Proteins; D046915:Penicillin-Binding Proteins; D047090:beta-Lactams; D010458:Peptidyl Transferases; D006602:Hexosyltransferases; D002267:Muramoylpentapeptide Carboxypeptidase; D001618:beta-Lactamases