resistance ] Flashcards
drug efflux
active removal of antibacterial agent from the cell so that it doesnt reach the required amount for effect
beta lactamases
hyrolysis of beta lactam ring opening the amide bond. can be inhibited by use of cluvanic acid
chloramphenicol acetyl transferase
acetylation of hydroxyl group on chloramphenicol reduced affinity for 50 s no longer binding
acetyl transferase adenyl transferase phosphotransferase
nh2, oh, oh
tet-e tet-g tet-k tet-l
single protein located on the inner membrqane that kicks out drug from the cell to reduce the concentration required for action EG is found on negative kl is found on postive
met e met a
macrolide efflux channels also macrolides contain an enzyme that methylates 23s rrna reducing affinity for binding of macrolide, lincosomide and streptogamine.
MEC A
staphylococcus change of target from pbp2 to pbp2a with lower affinity thus can continue building cell wall.
subsituting enzyme -modifying enzyme
d alanyl to lactate and serine reduced h bonding so poor vanco activity
sulfonamides
alterted dihydropteorate synthase plasmid
trimethoprim
plasmid new hydrofolate reductase