Abstract:
:Alexander Fleming's discovery of penicillin heralded an age of antibiotic development and healthcare advances that are premised on the ability to prevent and treat bacterial infections both safely and effectively. The resultant evolution of antimicrobial resistant mechanisms and spread of bacteria bearing these genetic determinants of resistance are acknowledged to be one of the major public health challenges globally, and threatens to unravel the gains of the past decades. We describe the major mechanisms of resistance to β-lactam antibiotics - the most widely used and effective antibiotics currently - in both Gram-positive and Gram-negative bacteria, and also briefly detail the existing and emergent pharmacological strategies to overcome such resistance. The global epidemiology of the four major types of bacteria that are responsible for the bulk of antimicrobial-resistant infections in the healthcare setting - methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Enterobactericeae, and Acinetobacter baumannii - are also briefly described.
journal_name
Adv Drug Deliv Revjournal_title
Advanced drug delivery reviewsauthors
Tang SS,Apisarnthanarak A,Hsu LYdoi
10.1016/j.addr.2014.08.003subject
Has Abstractpub_date
2014-11-30 00:00:00pages
3-13eissn
0169-409Xissn
1872-8294pii
S0169-409X(14)00169-0journal_volume
78pub_type
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