Bugs and MOR Flashcards
MSSA
-NSBLs
MRSA
- NSBLs
- modified PBPs
- only requires single point mutation and high mutation rate to FQs
MSSE
- 90% make NSBLs
- empirically assume it’s MRSE
MRSE
- NSBLs
- modified PBPs
PSSP
-don’t make beta-lactamases
PRSP
-don’t make beta-lactamases
-modified PBPs
functionally resistant
*very slow mutation rate to develop FQ resistance…not a lot of gyrase resistance. Main target is PAR for FQ…main resistance is efflux pumps!
Any other streptococci
- no beta-lactamases
- strep. viridans most resistant of these
Enterococcus faecalis
- no beta-lactamases
- modified PBPs
- VRE=modified PTG to become vancomycin resistant
Enterococcus faecium
- no beta-lactamases
- modified PBPs
- VRE=modified PTG to become vancomycin resistant
Listeria monoctyogenes
- no beta-lactamases
- modified PBPs
- PBPs are similar to enterococci but their ribosome is more similarto traditional G+ bugs (so macrolides work)
Corynebacterium
-modified PBPs (similar to enterococci)
Bacillus
-no beta-lactamases
Acinetobacter
-modified PBPs
-modified pores
-70-90% make BSBL
-some can make carbapenamases
only requires single point mutation and high mutation rate to FQs
Moraxella catarrhalis
- “simple G-“
- 20-50% make BSBL (up to 75%)
Neisseria gonorrhea
- 20-50% make BSBL
- some have modified PBP–>if it does, NO penicillin will work