Citation: Wanda C Reygaert. An overview of the antimicrobial resistance mechanisms of bacteria[J]. AIMS Microbiology, 2018, 4(3): 482-501. doi: 10.3934/microbiol.2018.3.482
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With the discovery of antibiotics, the healthcare community thought that the battle with infectious diseases was won. However, now that so many bacteria have become resistant to multiple antimicrobial agents, the war has seemingly escalated in favor of the bacteria. Infectious diseases are currently a significant cause of morbidity and mortality worldwide. An assessment of these diseases by the World Health Organization (WHO) found that lower respiratory infection, diarrheal diseases, HIV/AIDS, and malaria are in the top ten contributors to morbidity and mortality [1]. The advent of antimicrobial resistance has added significantly to the impact of infectious diseases, in number of infections, as well as added healthcare costs. Even though we have a very large number of antimicrobial agents from which to choose for potential infection therapy, there is documented antimicrobial resistance to all of these, and this resistance occurs shortly after a new drug is okayed for use. These concerns prompted the WHO to launch a Global Action Plan on antimicrobial resistance in 2015 [2].
Antimicrobial agents can be divided into groups based on the mechanism of antimicrobial activity. The main groups are: agents that inhibit cell wall synthesis, depolarize the cell membrane, inhibit protein synthesis, inhibit nuclei acid synthesis, and inhibit metabolic pathways in bacteria. Table 1 gives examples of drugs from each of these groups. It would seem that with such a wide range of mechanisms we would have better control over the organisms. Unfortunately, improper stewardship of antimicrobial agents has helped lead to the tremendous resistance issue that we now face. Factors that have contributed to the growing resistance problem include: increased consumption of antimicrobial drugs, both by humans and animals; and improper prescribing of antimicrobial therapy. Overuse of many common antimicrobials agents by physicians may occur because the choice of drug is based on a combination of low cost and low toxicity [3]. There may also be improper prescribing of antimicrobials drugs, such as the initial prescription of a broad-spectrum drug that is unnecessary, or ultimately found to be ineffective for the organism(s) causing the infection [4]. The danger is that excessive use of antibiotics in humans leads to emergence of resistant organisms [5,6]. In addition, prior use of antimicrobial drugs puts a patient at risk for infection with a drug resistant organism, and those patients with the highest exposure to antimicrobials are most often those who are infected with resistant bacteria [3,7].
For many years antibiotics have been used for treating or preventing disease in raising food animals. The animal feed often contains antibiotics in amounts that range from below therapeutic levels to full therapeutic levels, and the antibiotics used come from most of the antimicrobial classes used in humans. There is evidence to support the idea that feeding antibiotics to animals may result in development of antimicrobial resistant organisms, and that those resistant organisms may be transferred to the humans who consume those animals [8,9]. The antimicrobial resistance patterns seen in the animals reflects the types and amounts of antibiotics given to the animals. The transmission of antimicrobial resistance from the animals to humans may occur in various ways, with the direct oral route being the most common (includes eating meat plus ingestion of feces in contaminated food or water). Another common route is from direct contact with the animals by humans [9].
Continued increases in antimicrobial resistance have led to fewer treatment options for patients, and an associated increase in morbidity and mortality. The result is that now we are facing more severe infections needing more extensive treatment, and longer courses of illness often requiring extended hospitalization. This has dramatically increased the healthcare costs associated with these infections. The CDC has reported that a conservative estimate is that over 2 million people in the U.S become ill each year with antimicrobial resistant infections, resulting in more than 23,000 deaths [10]. The costs attributed to these resistant infections ranges from nearly ＄7,000 to more than ＄29,000 per patient [11]. Studies on the healthcare costs for methicillin-resistant Staphylococcus aureus (MRSA) infections alone show that in the U.S. the costs are over ＄18,000 per case, in Germany the costs are nearly €9,000 per case, and in Switzerland there is an average added cost of over 100,000 Swiss francs per case [12,13,14]. Various methods of antimicrobial stewardship have been suggested to stem the increases in resistance. One method involves the use of diversity in antimicrobial use. This refers to various components such as not giving a single drug, but using two or more drugs, either alternatively or concurrently, preferably using drugs with different mechanisms of action [15,16].
| Mechanism of Action | Antimicrobial Groups |
| Inhibit Cell Wall Synthesis | β-Lactams |
| Carbapenems | |
| Cephalosporins | |
| Monobactams | |
| Penicillins | |
| Glycopeptides | |
| Depolarize Cell Membrane | Lipopeptides |
| Inhibit Protein Synthesis | Bind to 30S Ribosomal Subunit |
| Aminoglycosides | |
| Tetracyclines | |
| Bind to 50S Ribosomal Subunit | |
| Chloramphenicol | |
| Lincosamides | |
| Macrolides | |
| Oxazolidinones | |
| Streptogramins | |
| Inhibit Nucleic Acid Synthesis | Quinolones |
| Fluoroquinolones | |
| Inhibit Metabolic Pathways | Sulfonamides |
| Trimethoprim |
DownLoad: CSVBefore discussing the various aspects of antimicrobial resistance, it would be helpful to distinguish resistance from persistence. If a bacterium is resistant to a certain antimicrobial agent, then all of the daughter cells would also be resistant (unless additional mutations occurred in the meantime). Persistence, however, describes bacterial cells that are not susceptible to the drug, but do not possess resistance genes. The persistence is undoubtedly due to the fact that some cells in a bacterial population may be in stationary growth phase (dormant); and most antimicrobial agents have no effect on cells that are not actively growing and dividing. These persister cells occur at a rate of around 1% in a culture that is in stationary phase [17,18]. Figure 1 shows the difference between persistent and resistant bacterial cells.
Figure 1. Resistance vs. persistence. When bacterial cells are exposed to an antimicrobial agent there are two possible scenarios. There may be cells present that are resistant to the antimicrobial agent (A). The non-resistant cells are killed, leaving only the resistant cells. When the resistant cells are regrown, all of the cells in the culture will be resistant. The other possibility is that there may be persister cells (dormant, not resistant) present (B). The non-persister cells are killed, leaving only the persister cells. When the persister cells are regrown, those cells not in a dormant state will still be susceptible to the antimicrobial agent.Bacteria as a group or species are not necessarily uniformly susceptible or resistant to any particular antimicrobial agent. Levels of resistance may vary greatly within related bacterial groups. Susceptibility and resistance are usually measured as a function of minimum inhibitory concentration (MIC), the minimal concentration of drug that will inhibit growth of the bacteria. The susceptibility is actually a range of the average MICs for any given drug across the same bacterial species. If that average MIC for a species is in the resistant part of the range, the species is considered to have intrinsic resistance to that drug. Bacteria may also acquire resistance genes from other related organisms, and the level of resistance will vary depending on the species and the genes acquired [19,20].
Natural resistance may be intrinsic (always expressed in the species), or induced (the genes are naturally occurring in the bacteria, but are only expressed to resistance levels after exposure to an antibiotic). Intrinsic resistance may be defined as a trait that is shared universally within a bacterial species, is independent of previous antibiotic exposure, and not related to horizontal gene transfer [20,21]. The most common bacterial mechanisms involved in intrinsic resistance are reduced permeability of the outer membrane (most specifically the lipopolysaccharide, LPS, in gram negative bacteria) and the natural activity of efflux pumps. Multidrug-efflux pumps are also a common mechanism of induced resistance [21,22]. Table 2 shows some examples of bacteria with intrinsic antimicrobial resistance.
| Organism | Intrinsic resistance |
| Bacteroides (anaerobes) | aminoglycosides, many β-lactams, quinolones |
| All gram positives | aztreonam |
| Enterococci | aminoglycosides, cephalosporins, lincosamides |
| Listeria monocytogenes | cephalosporins |
| All gram negatives | glycopeptides, lipopeptides |
| Escherichia coli | macrolides |
| Klebsiella spp. | ampicillin |
| Serratia marcescens | macrolides |
| Pseudomonas aeruginosa | sulfonamides, ampicillin, 1st and 2nd generation cephalosporins, chloramphenicol, tetracycline |
| Stenotrophomonas maltophilia | aminoglycosides, β-lactams, carbapenems, quinolones |
| Acinetobacter spp. | ampicillin, glycopeptides |
DownLoad: CSVAcquisition of genetic material that confers resistance is possible through all of the main routes by which bacteria acquire any genetic material: transformation, transposition, and conjugation (all termed horizontal gene transfer—HGT); plus, the bacteria may experience mutations to its own chromosomal DNA. The acquisition may be temporary or permanent. Plasmid-mediated transmission of resistance genes is the most common route for acquisition of outside genetic material; bacteriophage-borne transmission is fairly rare. Certain bacteria such as Acinetobacter spp. are naturally competent, and therefore capable of acquiring genetic material directly from the outside environment. Internally, insertion sequences and integrins may move genetic material around, and stressors (starvation, UV radiation, chemicals, etc.) on the bacteria are common causes of genetic mutations (substitutions, deletions etc.). Bacteria have an average mutation rate of 1 for every 106 to 109 cell divisions, and most of these mutations will be deleterious to the cell [19,23]. Mutations that aid in antimicrobial resistance usually only occur in a few types of genes; those encoding drug targets, those encoding drug transporters, those encoding regulators that control drug transporters, and those encoding antibiotic-modifying enzymes [20]. In addition, many mutations that confer antimicrobial resistance do so at a cost to the organism. For example, in the acquisition of resistance to methicillin in Staphylococcus aureus, the growth rate of the bacteria is significantly decreased [24].
One huge conundrum of antimicrobial resistance is that the use of these drugs leads to increased resistance. Even the use of low or very low concentrations of antimicrobials (sub-inhibitory) can lead to selection of high-level resistance in successive bacterial generations, may select for bacteria that are hypermutatable strains (increase the mutation rate), may increase the ability to acquire resistance to other antimicrobial agents, and may promote the movement of mobile genetic elements [25].
Antimicrobial resistance mechanisms fall into four main categories: (1) limiting uptake of a drug; (2) modifying a drug target; (3) inactivating a drug; (4) active drug efflux. Intrinsic resistance may make use of limiting uptake, drug inactivation, and drug efflux; acquired resistance mechanisms used may be drug target modification, drug inactivation, and drug efflux. Because of differences in structure, etc., there is variation in the types of mechanisms used by gram negative bacteria versus gram positive bacteria. Gram negative bacteria make use of all four main mechanisms, whereas gram positive bacteria less commonly use limiting the uptake of a drug (don't have an LPS outer membrane), and don't have the capacity for certain types of drug efflux mechanisms (refer to the drug efflux pumps later in this manuscript) [26,27]. Figure 2 illustrates the general antimicrobial resistance mechanisms.
Figure 2. General antimicrobial resistance mechanisms.As already mentioned, there is a natural difference in the ability of bacteria to limit the uptake of antimicrobial agents. The structure and functions of the LPS layer in gram negative bacteria provides a barrier to certain types of molecules. This gives those bacteria innate resistance to certain groups of large antimicrobial agents [28]. The mycobacteria have an outer membrane that has a high lipid content, and so hydrophobic drugs such as rifampicin and the fluoroquinolones have an easier access to the cell, but hydrophilic drugs have limited access [29,30].
Bacteria that lack a cell wall, such as Mycoplasma and related species, are therefore intrinsically resistant to all drugs that target the cell wall including β-lactams and glycopeptides [31]. Gram positive bacteria do not possess an outer membrane, and restricting drug access is not as prevalent. In the enterococci, the fact that polar molecules have difficulty penetrating the cell wall gives intrinsic resistance to aminoglycosides. Another gram positive bacteria, Staphylococcus aureus, recently has developed resistance to vancomycin. Of the two mechanisms that S. aureus uses against vancomycin, a yet unexplained mechanism allows the bacteria to produce a thickened cell wall which makes it difficult for the drug to enter the cell, and provides an intermediate resistance to vancomycin. These strains are designated as VISA strains [30,32].
In those bacteria with large outer membranes, substances often enter the cell through porin channels. The porin channels in gram negative bacteria generally allow access to hydrophilic molecules [28,33]. There are two main ways in which porin changes can limit drug uptake: a decrease in the number of porins present, and mutations that change the selectivity of the porin channel [29]. Members of the Enterobacteriaceae are known to become resistant due to reducing the number of porins (and sometime stopping production entirely of certain porins). As a group, these bacteria reduce porin number as a mechanism for resistance to carbapenems [34,35]. Mutations that cause changes within the porin channel have been seen in E. aerogenes which then become resistant to imipenem and certain cephalosporins, and in Neisseria gonorrhoeae which then become resistant to β-lactams and tetracycline [33,36].
Another widely seen phenomenon in bacterial colonization is the formation of a biofilm by a bacterial community. These biofilms may contain a predominant organism (such as by Pseudomonas aeruginosa in the lung), or may consist of a wide variety of organisms, as seen in the biofilm community of normal flora in the gut. For pathogenic organisms, formation of a biofilm protects the bacteria from attack by the host immune system, plus provides protection from antimicrobial agents. The thick, sticky consistency of the biofilm matrix which contains polysaccharides, and proteins and DNA from the resident bacteria, makes it difficult for antimicrobial agents to reach the bacteria. Thus, to be effective, much higher concentrations of the drugs are necessary. In addition the bacterial cells in the biofilm tend to be sessile (slow metabolism rate, slow cell division), so antimicrobials that target growing, dividing bacterial cells have little effect. An important observation about biofilms is that it is likely that horizontal transfer of genes is facilitated by the proximity of the bacterial cells. That means that sharing of antimicrobial resistance genes is potentially easier for these bacterial communities [37,38,39].
There are multiple components in the bacterial cell that may be targets of antimicrobial agents; and there are just as many targets that may be modified by the bacteria to enable resistance to those drugs. One mechanism of resistance to the β-lactam drugs used almost exclusively by gram positive bacteria is via alterations in the structure and/or number of PBPs (penicillin-binding proteins). PBPs are transpeptidases involved in the construction of peptidoglycan in the cell wall. A change in the number (increase in PBPs that have a decrease in drug binding ability, or decrease in PBPs with normal drug binding) of PBPs impacts the amount of drug that can bind to that target. A change in structure (e.g. PBP2a in S. aureus by acquisition of the mecA gene) may decrease the ability of the drug to bind, or totally inhibit drug binding [24,40].
The glycopeptides (e.g. vancomycin) also work by inhibiting cell wall synthesis, and lipopeptides (e.g. daptomycin) work by depolarizing the cell membrane. Gram negative bacteria (thick LPS layer) have intrinsic resistance to these drugs [41]. Resistance to vancomycin has become a major issue in the enterococci (VRE—vancomycin-resistant enterococci) and in Staphylococcus aureus (MRSA). Resistance is mediated through acquisition of van genes which results in changes in the structure of peptidoglycan precursors that cause a decrease in the binding ability of vancomycin [21,40]. Daptomycin requires the presence of calcium for binding. Mutations in genes (e.g. mprF) change the charge of the cell membrane surface to positive, inhibiting the binding of calcium, and therefore, daptomycin [42,43,44].
Resistance to drugs that target the ribosomal subunits may occur via ribosomal mutation (aminoglycosides, oxazolidinones), ribosomal subunit methylation (aminoglycosides, macrolides—gram positive bacteria, oxazolidinones, streptogramins) most commonly involving erm genes, or ribosomal protection (tetracyclines). These mechanisms interfere with the ability of the drug to bind to the ribosome. The level of drug interference varies greatly among these mechanisms [45,46,47].
For drugs that target nucleic acid synthesis (fluoroquinolones), resistance is via modifications in DNA gyrase (gram negative bacteria—e.g. gyrA) or topoisomerase IV (gram positive bacteria—e.g. grlA). These mutations cause changes in the structure of gyrase and topoisomerase which decrease or eliminate the ability of the drug to bind to these components [48,49].
For the drugs that inhibit metabolic pathways, resistance is via mutations in enzymes (DHPS—dihydropteroate synthase, DHFR—dihydrofolate reductase) involved in the folate biosynthesis pathway and/or overproduction of resistant DHPS and DHFR enzymes (sulfonamides—DHPS, trimethoprim—DHFR). The sulfonamides and trimethoprim bind to their respective enzymes due to their being structural analogs of the natural substrates (sulfonamides—p-amino-benzoic acid, trimethoprim—dihydrofolate). The action of these drugs is through competitive inhibition by binding in the active site of the enzymes. Mutations in these enzymes are most often located in or near the active site, and resulting structural changes in the enzyme interfere with drug binding while still allowing the natural substrate to bind [50,51].
There are two main ways in which bacteria inactivate drugs; by actual degradation of the drug, or by transfer of a chemical group to the drug. The β-lactamases are a very large group of drug hydrolyzing enzymes. Another drug that can be inactivated by hydrolyzation is tetracycline, via the tetX gene [45,52].
Drug inactivation by transfer of a chemical group to the drug most commonly uses transfer of acetyl, phosphoryl, and adenyl groups. There are a large number of transferases that have been identified. Acetylation is the most diversely used mechanism, and is known to be used against the aminoglycosides, chloramphenicol, the streptogramins, and the fluoroquinolones. Phosphorylation and adenylation are known to be used primarily against the aminoglycosides [52,53,54,55].
The most widely used group of antimicrobial agents are the β-lactam drugs. The members of this drug group all share a specific core structure which consists of a four-sided β-lactam ring. Resistance to the β-lactam drugs occurs through three general mechanisms: (1) preventing the interaction between the target PBP and the drug, usually by modifying the ability of the drug to bind to the PBP (this is mediated by alterations to existing PBPs or acquisition of other PBPs; (2) the presence of efflux pumps that can extrude β-lactam drugs; (3) hydrolysis of the drug by β-lactamase enzymes [56,57].
The β-lactamases (originally called penicillinases and cephalosporinases) inactivate β-lactam drugs by hydrolyzing a specific site in the β-lactam ring structure, causing the ring to open. The open-ring drugs are not able to bind to their target PBP proteins. The known β-lactamases are wide-spread, and the group contains enzymes that are able to inactivate any of the current β-lactam drugs. The production of β-lactamases is the most common resistance mechanism used by gram negative bacteria against β-lactam drugs, and the most important resistance mechanism against penicillin and cephalosporin drugs [45,58].
The β-lactamase enzymes are classified based on their molecular structure and/or functional characteristics. Structurally they are placed into four main categories (A, B, C, or D). There are three functional groupings based on the substrate specificity: the cephalosporinases, the serine β-lactamases, and the metallo (zinc-dependent) β-lactamases. These enzymes may also be commonly known by their enzyme family; for example: the TEM (named after the first patient) family, the SHV (sulphydryl variable) family, and the CTX (preferentially hydrolyze cefotaxime) family. Gram negative bacteria may produce β-lactamases from all four structural groups. The β-lactamases found in gram positive bacteria are mainly from group A, with some from group B [59,60,61,62].
These enzymes may be innately found on the bacterial chromosome or may be acquired via a plasmid. Many members of the Enterobacteriaceae family of gram negative bacteria possess chromosomal β-lactamase genes. Other gram negative bacteria that possess these include Aeromonas spp., Acinetobacter spp., and Pseudomonas spp. Plasmid-carried β-lactamase genes are most commonly found in the Enterobacteriaceae, but may also be found in some species of gram positive bacteria such as Staphylococcus aureus, Enterococcus faecalis, and Enterococcus faecium [26,59].
The first β-lactamase to be characterized was from E. coli and is chromosomally encoded by the ampC gene (so named for ampicillin resistance). This gene is constitutively expressed at a low level, but mutations may result in overexpression of the gene. The AmpC β-lactamases are most effective against the penicillins and some first generation cephalosporins. There are also many plasmid-borne β-lactamases which carry a variety of bla genes (β-lactamase genes). If these β-lactamases confer resistance to later generation cephalosporins, they were designated as ESBLs, and include members of the TEM, SHV, CTX-M, and OXA enzyme families. The largest group is the CTX-Ms, which are most commonly found in E. coli, especially UTI isolates. The ESBL producers may also be resistant to multiple drug classes, but are generally sensitive to β-lactamase inhibitors. The β-lactamase inhibitors are structurally similar to β-lactamases, have weak antimicrobial ability alone, but work synergistically in combination with a β-lactam drug. Commonly used β-lactamase inhibitor/drug pairings include amoxicillin/clavulanic acid, ampicillin/sulbactam, and piperacillin/tazobactam [56,59,60,63,64,65,66].
Recently there has been an emergence of β-lactamases that are active against the carbapenems (carbapenemases), and are found primarily in the Enterobacteriaceae. There are two types of carbapenemases; the Klebsiella pneumoniae carbapenemases (KPCs), and those designated as Carbapenem-Resistant Enterobacteriaceae (CRE) enzymes. The KPCs belong to the serine Class A (functional group 2f) β-lactamases, are resistant to all β-lactam drugs, but may still be affected by β-lactamase inhibitors. In bacteria that are CRE strains the carbapenemases are all metallo-β-lactamases (MBLs) in Class B, functional group 3a, and are capable of hydrolyzing all β-lactam drugs, but are not inactivated by β-lactamase inhibitors. The most widely distributed CREs are the IMP-1 (for imipenem resistance) and VIM-1 (Verona integron encoded MBL) types. A new MBL has recently been identified, mainly in strains of E. coli. It has been designated as NDM-1 (New Delhi MBL). Infections caused by CRE strains have been associated with in-hospital mortality of up to 71% [56,57,58,67,68].
There is a lot of emphasis on the development of more effective β-lactamase inhibitor drug combinations, especially in an effort to combat the CRE strains. One newer β-lactamase/drug combination is ceftolozane/tazobactam, which is mainly used against P. aeruginosa, and shows promise against gram negative ESBL producing strains. There are also newer β-lactamase inhibitors which do not have a structure similar to the β-lactam drugs. The first one of these to be approved for use is avibactam, and it has been approved for use with ceftazidime against gram negative bacteria. In addition, avibactam is being tested for use with aztreonam against CREs. Another β-lactamase inhibitor which in non β-lactam structured is vaborbactam. It was approved for use with meropenem in 2017 against gram negative bacteria causing complicated urinary tract infections (cUTIs). Unfortunately, so far none of the newer combination drugs is designed to combat the CREs directly. The metallo-β-lactamases are proving difficult to defeat as these enzymes comprise 3 groups that vary greatly in structure and mechanisms [69,70,71].
Bacteria possess chromosomally encoded genes for efflux pumps. Some are expressed constitutively, and others are induced or overexpressed (high-level resistance is usually via a mutation that modifies the transport channel) under certain environmental stimuli or when a suitable substrate is present. The efflux pumps function primarily to rid the bacterial cell of toxic substances, and many of these pumps will transport a large variety of compounds (multi-drug [MDR] efflux pumps). The resistance capability of many of these pumps is influenced by what carbon source is available [28,72].
Most bacteria possess many different types of efflux pumps. There are five main families of efflux pumps in bacteria classified based on structure and energy source: the ATP-binding cassette (ABC) family, the multidrug and toxic compound extrusion (MATE) family, the small multidrug resistance (SMR) family, the major facilitator superfamily (MFS), and the resistance-nodulation-cell division (RND) family. Most of these efflux pump families are single-component pumps which transport substrates across the cytoplasmic membrane. The RND family are multi-component pumps (found almost exclusively in gram negative bacteria) that function in association with a periplasmic membrane fusion protein (MFP) and an outer membrane protein (OMP-porin) to efflux substrate across the entire cell envelope [28,29,73,74]. There are instances where other efflux family members act with other cellular components as multicomponent pumps in gram negative bacteria. One member of the ABC family, MacB, works as a tripartite pump (MacAB-TolC) to extrude macrolide drugs. A member of the MFS, EmrB, works as a tripartite pump (EmrAB-TolC) to extrude nalidixic acid in E. coli [75,76]. Figure 3 shows the basic structure of the various efflux pump families.
Efflux pumps found in gram positive bacteria may confer intrinsic resistance because of being encoded on the chromosome. These pumps include members of the MATE and MFS families and efflux fluoroquinolones. There are also gram positive efflux pumps known to be carried on plasmids. Currently, the characterized pumps in gram positive bacteria are from the MFS family [77,78,79,80]. Efflux pumps found in gram negative bacteria are widely distributed and may come from all five of the families, with the most clinically significant pumps belonging to the RND family [28,79].
Figure 3. General structure of main efflux pump families.The ABC efflux family contains both uptake and efflux transport systems. The members of this family are unique in that they use energy derived from ATP hydrolysis. These pumps transport amino acids, drugs, ions, polysaccharides, proteins, and sugars. Bacterial ABC transporters usually are made up of six transmembrane segments (TMS) consisting of α-helices, function in the membrane in pairs, either as homodimers or heterodimers, and work in conjunction with cytoplasmic ATPases. These pumps have fairly specific substrates, and there are very few found in clinically significant bacteria. One notable ABC pump is found in Vibrio cholerae (VcaM), and is capable of transporting fluoroquinolones and tetracycline [29,81,82].
The MATE efflux family use a Na+ gradient as the energy source, and efflux cationic dyes, and most efflux fluoroquinolone drugs. Some MATE pumps have also been shown to efflux some aminoglycosides. Other substrates for these pumps may have unrelated chemical structures. These pumps are made up of twelve TMS. Very few of these have been characterized in bacteria, and most are found in gram negative organisms. The first to be characterized was the NorM pump from chromosomal DNA in Vibrio parahaemolyticus. Other clinically significant bacteria that have NorM pumps include Neisseria gonorrhoeae and Neisseria meningitidis [73,83,84].
The SMR efflux family are energized by the proton-motive force (H+), are hydrophobic, and efflux mainly lipophilic cations, so may have a very narrow substrate range. The genes for these pumps have been found in chromosomal DNA and on plasmids and transposable elements. These pumps are made up of four TMS and function as asymmetrical homotetramers. Drug efflux has only been seen in a few of these pumps, and these most commonly confer resistance to β-lactams and some aminoglycosides. Examples of SMR pumps are seen in Staphylococcus epidermidis (the SMR pump which transports ampicillin, erythromycin and tetracycline) and Escherichia coli (the EmeR pump which transports vancomycin, erythromycin, and tetracycline) [28,29,85,86].
The MFS efflux family catalyze transport via solute/cation (H+ or Na+) symport or solute/H+ antiport. They are involved in the transport of anions, drugs (e.g. macrolides and tetracycline), metabolites (e.g. bile salts), and sugars. The MFS pumps have the greatest substrate diversity as a group, yet individually tend to be substrate specific. Examples of this substrate specificity include Acinetobacter baumannii having separate MFS pumps for erythromycin (SmvA) and chloramphenicol (CraA and CmlA), and Escherichia coli having separate MFS pumps for macrolides (MefB), fluoroquinolones (QepA), and trimethoprim (Fsr). There are rare examples of MFS pumps with a slightly broader substrate specificity, such as in the NorA pump in Staphylococcus aureus which transports fluoroquinolones and chloramphenicol (these antimicrobials are the most commonly transported by MFS pumps), or the S. aureus LmrS pump which transports linezolid, erythromycin, chloramphenicol, and trimethoprim. These pumps are made up of twelve or fourteen TMS, and over 1,000 have been sequenced in bacteria. Most MFS pumps have been found on bacterial chromosomes, and nearly 50% of the efflux pumps in E. coli are MFS pumps [28,29,45,87].
The RND efflux family members catalyze substrate efflux via a substrate/H+ antiport mechanism, and are found in numerous gram negative bacteria. They are involved in the efflux of antibiotics (all are multi-drug transporters), detergents, dyes, heavy metals, solvents, and many other substrates. Some of these pumps may be drug or drug class specific (Tet pump—tetracycline; Mef pump—macrolides). Many other RND pumps are capable of transporting a wide range of drugs, such as the MexAB-OprM pump in Pseudomonas aeruginosa that confers intrinsic resistance to β-lactams, chloramphenicol, tetracycline, trimethoprim, sulfamethoxazole, and some fluoroquinolones. These pumps are complex multi-component pumps generally made up of twelve TMS and contain two large periplasmic loops between TMS 1 and 2, and TMS 7 and 8. In order to function, these pumps will connect to an OMP and that connection is stabilized by MFPs. Interestingly, these pumps share a high degree of homology among the RND members. The genes for the RND pumps are generally organized as an operon. In many, the gene organization is as follows: the gene for the regulator (which may be transcribed in the opposite direction to the other genes) is adjacent to the MFP gene, which is adjacent to the main pump gene, and then the OMP gene. Probably the most widely studied RND pump is the AcrAB-TolC pump in Escherichia coli, which confers resistance to penicillins, chloramphenicol, macrolides, fluoroquinolones, and tetracycline. The AcrB pump protein contains two binding pockets which allow the binding of substrates of varying size and chemical properties [28,29,52,73,74,79,82,88].
Table 3 shows a summary of the antimicrobial resistance mechanisms that are used against the various drugs.
| Drug | Drug Uptake Limitation | Drug Target Modification | Drug Inactivation | Efflux Pumps |
| β-Lactams | Decreased numbers of porins, no outer cell wall | Gram pos—alterations in PBPs | Gram pos, gram neg—β-lactamases | RND |
| Carbapenems | Changed selectivity of porin | |||
| Cephalosporins | Changed selectivity of porin | |||
| Monobactams | ||||
| Penicillins | ||||
| Glycopeptides | Thickened cell wall, no outer cell wall | Modified peptidoglycan | ||
| Lipopeptides | Modified net cell surface charge | |||
| Aminoglycosides | Cell wall polarity | Ribosomal mutation, methylation | Aminoglycoside modifying enzymes, acetylation, phosphorylation, adenylation | RND |
| Tetracyclines | Decreased numbers of porins | Ribosomal protection | Antibiotic modification, oxidation | MFS, RND |
| Chloramphenicol | Ribosomal methylation | Acetylation of drug | MFS, RND | |
| Lincosamides | Gram pos—ribosomal methylation | ABC, RND | ||
| Macrolides | Ribosomal mutation, methylation | ABC, MFS, RND | ||
| Oxazolidinones | Ribosomal methylation | RND | ||
| Streptogramins | ABC | |||
| Fluoroquinolones | Gram neg—DNA gyrase modification | Acetylation of drug | MATE, MFS, RND | |
| Gram pos—topoisomerase IV | ||||
| Sulfonamides | DHPS reduced binding, overproduction of resistant DHPS | RND | ||
| Trimethoprim | DHFR reduced binding, overproduction of DHFR | RND | ||
| ABC—ATP binding cassette family, DHFR—dihydrofolate reductase, DHPS—dihydropteroate synthase, MATE—multidrug and toxic compound extrusion family, MFS—major facilitator superfamily, PBP—penicillin-binding protein, RND—resistance-nodulation-cell division family. | ||||
DownLoad: CSVIt is vitally important that we have a clear picture of how many of these resistance mechanisms individual bacteria may have in their arsenals. An excellent and important example of this is MRSA. The increase in costs for MRSA infections was mentioned previously [12,13,14]. These increased costs are affected by excess length of hospital stay, increases in number of tests needed, and increased medical and rehabilitation services provided. We also need to think about the impact on morbidity and mortality caused by MRSA, including significant increases in disease complications. The methicillin susceptible Staphylococcus aureus (MSSA) and MRSA strains possess the same large number of virulence factors including surface molecules that promote colonization, and secreted molecules that allow invasion of and damage to host cells. These virulence factors assist the bacteria in causing multiple types of infections. Since MRSA is well known for infections of skin and related tissues, it is easier to spread the infection from person-to-person, especially in hospital settings. It has been estimated that the mortality rate for MRSA infections is 2-3 times higher than that for MSSA strains. In addition, MRSA strains are frequently multidrug resistant, which limits the impact of available antimicrobial therapy [24,61]. Table 4 is a summary of the types of resistance mechanisms that S. aureus has in place [61]. There are of course, many pathogens that have similarly diverse arsenals (e.g. Escherichia coli and Klebsiella pneumoniae) and are becoming resistant to most of the antimicrobial agents available.
| Resistance Mechanism | Antimicrobial Agents |
| Limiting Drug Uptake | Glycopeptides |
| Modification of Drug Target | β-lactams |
| Glycopeptides | |
| Lipopeptides | |
| Aminoglycosides | |
| Tetracyclines | |
| Macrolides | |
| Lincosamides | |
| Oxazolidinones | |
| Streptogramins | |
| Fluoroquinolones | |
| Metabolic Pathway Inhibitors | |
| Inactivation of Drug | β-lactams |
| Chloramphenicol | |
| Active Drug Efflux | Tetracyclines |
| Fluoroquinolones |
DownLoad: CSVThe reality is that bacterial are very versatile and adaptive. In order to survive they need to be capable of dealing with toxic substances. Free living bacteria need to be able to survive toxic attacks and waste products from other organisms. It should come as no surprise that the bacteria that infect humans are able to defend themselves against antimicrobial agents. With the alarming increase in antimicrobial resistance, it is imperative that we find ways to combat these pathogens. Unfortunately, there is no easy (or cheap, probably) answer to this dilemma. Perhaps we need to rethink how we design new antimicrobial agents; or maybe start looking to natural substances for clues on what could be used in this fight.
The mechanisms described here are as varied as are the bacteria themselves. These bacterial weapons pretty much cover all of the antimicrobial agents that we have, and there are probably more resistance mechanisms out there that we have not yet characterized. The outlook for fighting microorganisms might seem to be a little bleak. In 2010 the Infectious Diseases Society of America (ISDA) requested that by 2020 there would be FDA approval of 10 novel antibiotics. As of 2016, 8 new drugs had been approved, but only one of these is a novel antibiotic. The median time in the approval pipeline for these drugs was 6.2 years, and the cost per dose of these drugs ranges from nearly ＄2,000 to nearly ＄4,200 [89]. So we will need to work hard, and work quickly to find remedies for this pressing problem.
The author declares that there are no conflicts of interest in this paper.
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| 20. | Taja Železnik Ramuta, Larisa Tratnjek, Aleksandar Janev, Katja Seme, Marjanca Starčič Erjavec, Mateja Erdani Kreft, The Antibacterial Activity of Human Amniotic Membrane against Multidrug-Resistant Bacteria Associated with Urinary Tract Infections: New Insights from Normal and Cancerous Urothelial Models, 2021, 9, 2227-9059, 218, 10.3390/biomedicines9020218 | |
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| 666. | Tannishtha Biswas, Mehnaz Ahmed, Susmita Mondal, 2024, Chapter 4, 978-981-99-7260-9, 85, 10.1007/978-981-99-7261-6_4 | |
| 667. | Adrianna Aleksandrowicz, Rafał Kolenda, Karolina Baraniewicz, Teresa L. M. Thurston, Jarosław Suchański, Krzysztof Grzymajlo, Membrane properties modulation by SanA: implications for xenobiotic resistance in Salmonella Typhimurium, 2024, 14, 1664-302X, 10.3389/fmicb.2023.1340143 | |
| 668. | Evans Thompson, Akua Tutuwaa Badu, Emmanuella Abban, Evelyn Baawa Eyeson, Leslie Larry Afutu, Bless Amankwaah, Suzzana Dickson Buabeng, Abigail Agyen Frimpong, Alberta Serwah Anning, George Ghartey-Kwansah, Bacterial contamination on clinical surfaces and oxygen device accessories in the emergency unit of a tertiary health facility in Ghana, 2024, 24, 1471-2334, 10.1186/s12879-023-08894-6 | |
| 669. | Jianwei Yu, Yan Jia, Qichao Yu, Lan Lin, Chao Li, Bowang Chen, Pingyu Zhong, Xueqing Lin, Huilan Li, Yinping Sun, Xuejing Zhong, Yuqi He, Xiaoyun Huang, Shuangming Lin, Yuanming Pan, Deciphering complex antibiotic resistance patterns in Helicobacter pylori through whole genome sequencing and machine learning, 2024, 13, 2235-2988, 10.3389/fcimb.2023.1306368 | |
| 670. | Israa El Hajjar, Maryam Al Bitar, Rayan Zahr, Sarah Zahr, Mahmoud Khalil, R Awad, Fabrication, characterization, and antibacterial activity of ferrite, chromite, and aluminate nanoparticles, 2024, 11, 2053-1591, 015003, 10.1088/2053-1591/ad1774 | |
| 671. | Saliy Olena, Popova Mariia, Tarasenko Hanna, Getalo Olga, Development strategy of novel drug formulations for the delivery of doxycycline in the treatment of wounds of various etiologies, 2024, 09280987, 106636, 10.1016/j.ejps.2023.106636 | |
| 672. | Satoru Kusaka, Azusa Haruta, Miki Kawada‐Matsuo, Mi Nguyen‐Tra Le, Mineka Yoshikawa, Toshiki Kajihara, Koji Yahara, Junzo Hisatsune, Ryota Nomura, Kazuhiro Tsuga, Hiroki Ohge, Motoyuki Sugai, Hitoshi Komatsuzawa, Oral and rectal colonization of methicillin‐resistant Staphylococcus aureus in long‐term care facility residents and their association with clinical status, 2024, 0385-5600, 10.1111/1348-0421.13111 | |
| 673. | Madara Jayanetti, Charitha Thambiliyagodage, Heshan Liyanaarachchi, Geethma Ekanayake, Amavin Mendis, Leshan Usgodaarachchi, In vitro influence of PEG functionalized ZnO–CuO nanocomposites on bacterial growth, 2024, 14, 2045-2322, 10.1038/s41598-024-52014-6 | |
| 674. | Mayara Santana dos Santos, Jonathan Medeiros Silva, Mariana Brito Barbieri, Sérgio Antunes Filho, Bianca Pizzorno Backx, Bionanotechnology and its applications: The plurality of science is fundamental for the search for solutions, 2024, 27731111, 100060, 10.1016/j.plana.2024.100060 | |
| 675. | Ali Mohammed Al-Rawe, Yousif Ibrahem Yousif, Ousama Khalaf Ghareeb Al-Jomaily, Semaa A. Shaban, Ahmed AbdulJabbar Suleiman, Identification of Antimicrobial Resistance Genes and Drug Targets in Antibiotic-Resistant Clostridioides difficile Clinical Isolates, 2023, 38, 0891-4168, 197, 10.3103/S0891416823030023 | |
| 676. | Sasadhar Majhi, Sivakumar Manickam, 2024, 9780443152696, 25, 10.1016/B978-0-443-15269-6.00007-9 | |
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| 678. | Spencer Mark Mondol, Israt Islam, Md. Rafiul Islam, Shahriar Kabir Shakil, Nadira Naznin Rakhi, Jannatul Ferdous Mustary, Donald James Gomes, Hussain Md. Shahjalal, Md. Mizanur Rahaman, Genomic landscape of NDM-1 producing multidrug-resistant Providencia stuartii causing burn wound infections in Bangladesh, 2024, 14, 2045-2322, 10.1038/s41598-024-51819-9 | |
| 679. | Chawalit Chatupheeraphat, Jiratchaya Peamchai, Noramon Kaewsai, Nuttapat Anuwongcharoen, Warawan Eiamphungporn, Farah Al-Marzooq, Enhancing the activity of β-lactamase inhibitory protein-II with cell-penetrating peptide against KPC-2-carrying Klebsiella pneumoniae, 2024, 19, 1932-6203, e0296727, 10.1371/journal.pone.0296727 | |
| 680. | Kumbirai Musiyiwa, Tinoziva T. Simbanegavi, Jerikias Marumure, Zakio Makuvara, Nhamo Chaukura, Willis Gwenzi, The soil-microbe-plant resistome: A focus on the source-pathway-receptor continuum, 2024, 1614-7499, 10.1007/s11356-023-31788-8 | |
| 681. | Connie A. Rojas, Zhandra Entrolezo, Jessica K. Jarett, Guillaume Jospin, Alex Martin, Holly H. Ganz, Microbiome Responses to Oral Fecal Microbiota Transplantation in a Cohort of Domestic Dogs, 2024, 11, 2306-7381, 42, 10.3390/vetsci11010042 | |
| 682. | Derya Ozhava, Petras Winkler, Yong Mao, Enhancing antimicrobial activity and reducing cytotoxicity of silver nanoparticles through gelatin nanoparticles, 2024, 1743-5889, 10.2217/nnm-2023-0246 | |
| 683. | Liangyu Zhou, Yi Deng, Yujie Ren, Hiu Ling Poon, Wang Yee Chu, Hua Wang, Yau Kei Chan, Antibiotics-free nanomaterials against bacterial keratitis: Eliminating infections with reactive oxygen species (ROS), 2024, 13858947, 148978, 10.1016/j.cej.2024.148978 | |
| 684. | Tamaraukepreye Catherine Odubo, Adams Ovie Iyiola, Bukola Omotomilola Adetola, Ayotunde Samuel Kolawole, Sylvester Chibueze Izah, Morufu Olalekan Raimi, Matthew Chidozie Ogwu, 2023, Chapter 3-1, 978-3-031-21973-3, 1, 10.1007/978-3-031-21973-3_3-1 | |
| 685. | Xiaomeng Liang, Aimin Cheng, Chengying Ma, Ning Gao, 2024, 9780128186190, 257, 10.1016/B978-0-12-818619-0.00134-9 | |
| 686. | Hend Khalifa, Sari Rasheed, Jörg Haupenthal, Jennifer Herrmann, Yasmine M. Mandour, Ashraf H. Abadi, Matthias Engel, Rolf Müller, Anna K. H. Hirsch, Mohammad Abdel‐Halim, Mostafa M. Hamed, Development and evaluation of 2,4‐disubstituted‐5‐aryl pyrimidine derivatives as antibacterial agents, 2024, 0365-6233, 10.1002/ardp.202300656 | |
| 687. | Abdelbagi Elfadil, Karem Ibrahem, Hani Abdullah, Jawahir Mokhtar, Mohammed Al-Rabia, Hafsa Mohammed, Synergistic Activity of 3-Hydrazinoquinoxaline-2-Thiol in Combination with Penicillin Against MRSA, 2024, Volume 17, 1178-6973, 355, 10.2147/IDR.S448843 | |
| 688. | Brooke L. Smith, Sandun Fernando, Maria D. King, Escherichia coli resistance mechanism AcrAB-TolC efflux pump interactions with commonly used antibiotics: a molecular dynamics study, 2024, 14, 2045-2322, 10.1038/s41598-024-52536-z | |
| 689. | Temitope Oyedemi, Tolulope Fadeyi, Kolapo Fasina, 2024, 0, 3033-3318, 10.5772/intechopen.112848 | |
| 690. | Mamoon Ur Rashid, Syed Jehangir Shah, Safira Attacha, Luqman Khan, Jawad Saeed, Syed Tanveer Shah, Heba I. Mohamed, Green Synthesis and Characterization of Zinc Oxide Nanoparticles Using Citrus limetta Peels Extract and Their Antibacterial Activity Against Brown and Soft Rot Pathogens and Antioxidant Potential, 2024, 1877-2641, 10.1007/s12649-023-02389-w | |
| 691. | Andrea Visca, Luciana Di Gregorio, Elisa Clagnan, Annamaria Bevivino, Sustainable strategies: Nature-based solutions to tackle antibiotic resistance gene proliferation and improve agricultural productivity and soil quality, 2024, 00139351, 118395, 10.1016/j.envres.2024.118395 | |
| 692. | Farah Adiba, Bima Rajendra Naufal Prakosa, Ananda Rabiatul Awaliyah, Nindya Vidiasty Heruputri, Ikuro Kasuga, Cindy Rianti Priadi, Iftita Rahmatika, M.S. Abfertiawan, H.D. Ariesyady, I.R.S. Salami, M. Firdayati, Occurrence of extended-spectrum beta-lactamase producing escherichia coli in groundwater, 2024, 485, 2267-1242, 04007, 10.1051/e3sconf/202448504007 | |
| 693. | Ayaz Ahmed, Moatter Zehra, Sidrah Asghar, Rabia Ilyas, Jazib Shafiq, Afshan Shams, Zulfiqar Ali Mirani, Syed Abid Ali, 2024, 9780323955133, 235, 10.1016/B978-0-323-95513-3.00018-6 | |
| 694. | Mohanraj Gopikrishnan, Sree Haryini, George Priya Doss C, Emerging strategies and therapeutic innovations for combating drug resistance in Staphylococcus aureus strains: A comprehensive review, 2024, 0233-111X, 10.1002/jobm.202300579 | |
| 695. | Marharyta Hancharova, Kinga Halicka-Stępień, Aleksandra Dupla, Anna Lesiak, Jadwiga Sołoducho, Joanna Cabaj, Antimicrobial activity of metal-based nanoparticles: a mini-review, 2024, 0966-0844, 10.1007/s10534-023-00573-y | |
| 696. | Misganu Yadesa Tesema, Alemayehu Godana Birhanu, One health initiative to mitigate the challenge of antimicrobial resistance in the perspectives of developing countries, 2024, 48, 2522-8307, 10.1186/s42269-024-01176-4 | |
| 697. | Greta D. Cook, Nikolas M. Stasulli, Employing Synthetic Biology to Expand Antibiotic Discovery, 2024, 24726303, 100120, 10.1016/j.slast.2024.100120 | |
| 698. | Ranieli Paiva Lopes, Fernanda Lopes Ferreira, Grasiely Faria de Sousa, Waleska Stephanie da Cruz Nizer, Cintia Lopes de Brito Magalhães, Jaqueline Maria Siqueira Ferreira, Antônio Helvécio Tótola, Lucienir Pains Duarte, José Carlos de Magalhães, Activity of extracts and terpenoids from Tontelea micrantha (Mart. ex Schult.) A.C.Sm. (Celastraceae) against pathogenic bacteria , 2024, 1478-6419, 1, 10.1080/14786419.2024.2309554 | |
| 699. | Samuel Ariyo Okaiyeto, Parag Prakash Sutar, Chang Chen, Jia-Bao Ni, Jun Wang, Arun S. Mujumdar, Jing-Shou Zhang, Ming-Qiang Xu, Xiao-Ming Fang, Chunjiang Zhang, Hong-Wei Xiao, Antibiotic Resistant Bacteria in Food Systems: Current Status, Resistance Mechanisms, and Mitigation Strategies, 2024, 29497981, 100027, 10.1016/j.agrcom.2024.100027 | |
| 700. | Valentina Straniero, Finding Ways to Fight Antimicrobial Resistance: Present, Future, and Perspectives, 2024, 13, 2079-6382, 171, 10.3390/antibiotics13020171 | |
| 701. | Ghazal Shineh, Mohammadmahdi Mobaraki, Elham Afzali, Femi Alakija, Zeinab Jabbari Velisdeh, David K. Mills, Antimicrobial Metal and Metal Oxide Nanoparticles in Bone Tissue Repair, 2024, 2731-4812, 10.1007/s44174-024-00159-3 | |
| 702. | Rui Zhang, Zhiling Chen, Yi Li, Delun Chen, Tao Wang, Bingrong Wang, Qionglin Zhou, Shaowen Cheng, Dan Xu, Xiaohong Wang, Lina Niu, Jinchun Tu, Qiang Wu, Enhanced photodynamic therapy efficacy of Ni-doped/oxygen vacancy double-defect Ni-ZnO@C photosensitizer in bacteria-infected wounds based on ROS damage and ATP synthesis inhibition, 2024, 10050302, 10.1016/j.jmst.2024.01.018 | |
| 703. | Elda A. Flores-Contreras, Reyna Berenice González-González, José Juan Pablo Pizaña-Aranda, Lizeth Parra-Arroyo, Arath A. Rodríguez-Aguayo, Maricarmen Iñiguez-Moreno, Georgia María González-Meza, Rafael G. Araújo, Diana Ramírez-Gamboa, Roberto Parra-Saldívar, Elda M. Melchor-Martínez, Agricultural waste as a sustainable source for nanoparticle synthesis and their antimicrobial properties for food preservation, 2024, 6, 2673-3013, 10.3389/fnano.2024.1346069 | |
| 704. | Asif Naeem, Zahid Naeem Qaisrani, Aziza Noor, Imran Hussain, Asif Raheem, ROUTE OF ADMINISTRATION OF NANOPARTICLES COMBATING A RESISTANT BACTERIUM., 2024, 21, 2312-7791, 01, 10.34016/pjbt.2024.21.01.861 | |
| 705. | Asfa Rizvi, Bilal Ahmed, Shahid Umar, Mohd. Saghir Khan, Comprehensive Insights into Sorghum (Sorghum bicolor) Defense Mechanisms Unveiled: Plant Growth-Promoting Rhizobacteria in Combating Burkholderia-Induced Bacterial Leaf Stripe Disease, 2024, 2667064X, 100397, 10.1016/j.stress.2024.100397 | |
| 706. | Aya M. Soliman, Ahmed M. K. El‐sagheir, Momen M. Thabet, Ahmed Faried Abdel Hakiem, Ahmed S. Aboraia, Synthesis, characterization, molecular modeling studies, and biological evaluation of metal piroxicam complexes (M = Ni(II), Pt(IV), Pd(II), Ag(I)) as antibacterial and anticancer agents, 2024, 85, 0272-4391, 10.1002/ddr.22156 | |
| 707. | Nazia Tabassum, Fazlurrahman Khan, Geum-Jae Jeong, Dokyung Oh, Young-Mog Kim, Antibiofilm and antivirulence activities of laminarin-gold nanoparticles in standard and host-mimicking media, 2024, 108, 0175-7598, 10.1007/s00253-024-13050-4 | |
| 708. | Abdelaziz Elgaml, Rami Elshazli, Shin-ichi Miyoshi, Editorial: The role of regulatory networks in virulence and antimicrobial resistance of microbial pathogens, 2024, 15, 1664-302X, 10.3389/fmicb.2024.1370093 | |
| 709. | Vincent Ngunjiri Mwangi, Edwin Shigwenya Madivoli, Mourine Kangogo, Sammy Indire Wanakai, Walyambillah Waudo, Dennis Mwanza Nzilu, Antimicrobial surface coating as a pathway to curb resistance: preparation, mode of action and future perspective, 2024, 1547-0091, 10.1007/s11998-023-00879-z | |
| 710. | Aditya K. Padhi, Shweata Maurya, 2024, 18761623, 10.1016/bs.apcsb.2023.11.004 | |
| 711. | Letao Bo, Haidong Sun, Yi-Dong Li, Jonathan Zhu, John N. D. Wurpel, Hanli Lin, Zhe-Sheng Chen, Combating antimicrobial resistance: the silent war, 2024, 15, 1663-9812, 10.3389/fphar.2024.1347750 | |
| 712. | Jiaming Zhang, Qinqin Liu, Haoxia Zhao, Guiyu Li, Yunpeng Yi, Ruofeng Shang, Design and Synthesis of Pleuromutilin Derivatives as Antibacterial Agents Using Quantitative Structure–Activity Relationship Model, 2024, 25, 1422-0067, 2256, 10.3390/ijms25042256 | |
| 713. | Eman A. Mazyed, Galal Magdy, Engy Elekhnawy, Marie Yammine, Christian Rolando, Mai H. ElNaggar, Formulation and characterization of quercetin-loaded Prunus armeniaca gum nanoparticles with enhanced anti-bacterial effect, 2024, 17732247, 105485, 10.1016/j.jddst.2024.105485 | |
| 714. | Hayley C. Parkin, Steven T. G. Street, Brent Gowen, Luiz H. Da-Silva-Correa, Rebecca Hof, Heather L. Buckley, Ian Manners, Mechanism of Action and Design of Potent Antibacterial Block Copolymer Nanoparticles, 2024, 0002-7863, 10.1021/jacs.3c09033 | |
| 715. | Anila Ashraf, Muhammad Altaf, Fozia Abasi, Muhammad Shahbaz, Tanveer Hussain, Md. Arshad Ali, Jaya Seelan Sathiya Seelan, Baber Ali, Maged Mostafa Mahmoud, Steve Harakeh, Muhammad Hamzah Saleem, Exploring the antimicrobial potential of biogenically synthesized graphene oxide nanoparticles against targeted bacterial and fungal pathogens, 2024, 13, 2191-9550, 10.1515/gps-2023-0130 | |
| 716. | Sophie Hedges, Ludovic Pelligand, Liwei Chen, Kelyn Seow, Thuy Thi Hoang, Huong Quynh Luu, Son Thi Thanh Dang, Ngoc Thi Pham, Hoa Thi Thanh Pham, Yeong Cheng Cheah, Yulan Wang, Dominique Hurtaud-Pessel, Anne Conan, Guillaume Fournié, Damer Blake, Fiona Tomley, Patricia L. Conway, Antimicrobial residues in meat from chickens in Northeast Vietnam: analytical validation and pilot study for sampling optimisation, 2024, 1661-5751, 10.1007/s00003-024-01478-9 | |
| 717. | Piotr Rzymski, Willis Gwenzi, Barbara Poniedziałek, Serghei Mangul, Andrzej Fal, Climate warming, environmental degradation and pollution as drivers of antibiotic resistance, 2024, 02697491, 123649, 10.1016/j.envpol.2024.123649 | |
| 718. | Kubrat A. Oyinlola, Gbemisola E. Ogunleye, Augustina I. Balogun, Oluwarotimi Joseph, Comparative study: Garlic, ginger and turmeric as natural antimicrobials and bioactives, 2024, 120, 1996-7489, 10.17159/sajs.2024/14170 | |
| 719. | Sudaarsan Aruna Senthil Kumar, Dhesiga Krishnan, Sowndarya Jothipandiyan, Ramyadevi Durai, B. Narayanan Vedha Hari, Paramasivam Nithyanand, Cell-free supernatants of probiotic consortia impede hyphal formation and disperse biofilms of vulvovaginal candidiasis causing Candida in an ex-vivo model, 2024, 117, 0003-6072, 10.1007/s10482-024-01929-1 | |
| 720. | Jyoti Soni, Sristi Sinha, Rajesh Pandey, Understanding bacterial pathogenicity: a closer look at the journey of harmful microbes, 2024, 15, 1664-302X, 10.3389/fmicb.2024.1370818 | |
| 721. | Umadevi Kizhakke Purakkel, Ganji Praveena, Valli Y. Madabhushi, Surender Singh Jadav, Reddy Shetty Prakasham, Saiprasad Goud Dasugari Varakala, Dharmarajan Sriram, Ewan W. Blanch, Subashani Maniam, Thiazolotriazoles As Anti-infectives: Design, Synthesis, Biological Evaluation and In Silico Studies, 2024, 2470-1343, 10.1021/acsomega.3c06324 | |
| 722. | Evan B. Harris, Kenneth K. K. Ewool, Lucy C. Bowden, Jonatan Fierro, Daniel Johnson, McKay Meinzer, Sadie Tayler, Julianne H. Grose, Genomic and Proteomic Analysis of Six Vi01-like Phages Reveals Wide Host Range and Multiple Tail Spike Proteins, 2024, 16, 1999-4915, 289, 10.3390/v16020289 | |
| 723. | Mohankumar Narayanan, Suganthi Srinivasan, Chackaravarthi Gnanasekaran, Govindan Ramachandran, Chenthis Kanisha Chelliah, Rajivgandhi Govindhan, Muthuchamy Maruthupandy, Franck Quero, Wen-Jun Li, Gasim Hayder, Jamal M. Khaled, Arulraj Arunachalam, Natesan Manoharan, Synthesis and characterization of marine seagrass (Cymodocea serrulata) mediated titanium dioxide nanoparticles for antibacterial, antibiofilm and antioxidant properties, 2024, 08824010, 106595, 10.1016/j.micpath.2024.106595 | |
| 724. | Franciszek Bydalek, Gordon Webster, Ruth Barden, Andrew J. Weightman, Barbara Kasprzyk-Hordern, Jannis Wenk, Microbial Community and Antimicrobial Resistance Niche Differentiation in a Multistage, Surface Flow Constructed Wetland, 2024, 00431354, 121408, 10.1016/j.watres.2024.121408 | |
| 725. | RuAngelie Edrada-Ebel, Amenay Michael, Fatemah Alsaleh, Hannah Binti Zaharuddin, 2024, Chapter 6, 978-981-99-5695-1, 161, 10.1007/978-981-99-5696-8_6 | |
| 726. | Khanyisile Sheer Dhlamini, Cyril Tlou Selepe, Bathabile Ramalapa, Lesego Tshweu, Suprakas Sinha Ray, Reimagining Chitosan‐Based Antimicrobial Biomaterials to Mitigate Antibiotic Resistance and Alleviate Antibiotic Overuse: A Review, 2024, 1438-7492, 10.1002/mame.202400018 | |
| 727. | Jennifer Halleran, Hannah Sylvester, Megan Jacob, Benjamin Callahan, Ronald Baynes, Derek Foster, Impact of florfenicol dosing regimen on the phenotypic and genotypic resistance of enteric bacteria in steers, 2024, 14, 2045-2322, 10.1038/s41598-024-55591-8 | |
| 728. | Aditya Velidandi, N. Jayarambabu, P. Geetha, Varaprasad Kokkarachedu, 2024, Chapter 14, 978-3-031-50092-3, 305, 10.1007/978-3-031-50093-0_14 | |
| 729. | G Chavez-Esquivel, H Cervantes-Cuevas, D E Cortes-Cordova, P Estrada de los Santos, L Huerta Arcos, Silver-doped graphite oxide composites used as antimicrobial agents against Staphylococcus aureus, Escherichia coli and Tatumella terrea evaluated by direct TLC bioautography, 2024, 5, 2632-959X, 015013, 10.1088/2632-959X/ad2998 | |
| 730. | Serena Tuytschaevers, Leila Aden, Zacchaeus Greene, Chanei Nixon, Wade Shaw, Dillan Hatch, Girish Kumar, Renata Rezende Miranda, André O. Hudson, Feng Gao, Isolation, whole-genome sequencing, and annotation of two antibiotic-producing and antibiotic-resistant bacteria, Pantoea rodasii RIT 836 and Pseudomonas endophytica RIT 838, collected from the environment, 2024, 19, 1932-6203, e0293943, 10.1371/journal.pone.0293943 | |
| 731. | Francisco Javier Álvarez-Martínez, Rocío Díaz-Puertas, Enrique Barrajón-Catalán, Vicente Micol, 2024, Chapter 706, 0171-2004, 10.1007/164_2024_706 | |
| 732. | Aydın YEŞİLYURT, Seda BİRYOL, Ali SOYDİNÇ, Sevda İŞIK, Mehtap USTA, Determination of Antimicrobial Effects of Secondary Metabolites of Different Bacteria Belonging to the Genus Bacillus, 2024, 24, 2149-3367, 1, 10.35414/akufemubid.1348983 | |
| 733. | Ernessto Mahizhchi, Diveyaa Sivakumar, Megala Jayaraman, Antimicrobial Resistance: Techniques to Fight AMR in Bacteria – A Review, 2024, 18, 09737510, 16, 10.22207/JPAM.18.1.53 | |
| 734. | Thomas J. Walsh, Antonella Mencacci, Riccardo Paggi, Evangelia Douka, Charikleia Vrettou, Roger Smith, Oscar Guzman, Daniel D. Rhoads, Prospective observational pilot study of the T2Resistance panel in the T2Dx system for detection of resistance genes in bacterial bloodstream infections, 2024, 0095-1137, 10.1128/jcm.01296-23 | |
| 735. | Ahmed Hagiga, Baljit Dheansa, Multi-resistant organisms in burn patients: Is this the end or a new beginning?, 2024, 03054179, 10.1016/j.burns.2024.02.024 | |
| 736. | Naim Asyraf Rosli, Anis Rageh Al-Maleki, Mun Fai Loke, Sun Tee Tay, Mohd Salleh Rofiee, Lay Kek Teh, Mohd Zaki Salleh, Jamuna Vadivelu, Bashir Sajo Mienda, Exposure of Helicobacter pylori to clarithromycin in vitro resulting in the development of resistance and triggers metabolic reprogramming associated with virulence and pathogenicity, 2024, 19, 1932-6203, e0298434, 10.1371/journal.pone.0298434 | |
| 737. | Martina Penati, Laura Musa, Laura Filippone Pavesi, Alessandro Guaraglia, Fernando Ulloa, Paolo Moroni, Renata Piccinini, Maria Filippa Addis, Multidrug-Resistant Extended-Spectrum Beta-Lactamase (ESBL)-Producing Escherichia coli in a Dairy Herd: Distribution and Antimicrobial Resistance Profiles, 2024, 13, 2079-6382, 241, 10.3390/antibiotics13030241 | |
| 738. | Sibongile Mtimka, Priyen Pillay, Lusisizwe Kwezi, Ofentse Jacob Pooe, Tsepo Lebiletsa Tsekoa, An Exploratory Review of the Potential of Lytic Proteins and Bacteriophages for the Treatment of Tuberculosis, 2024, 12, 2076-2607, 570, 10.3390/microorganisms12030570 | |
| 739. | Kusmiati Kusmiati, Asrul Fanani, Arif Nurkanto, Ismu Purnaningsih, Jendri Mamangkey, Indriati Ramadhani, Dian Alfian Nurcahyanto, Partomuan Simanjuntak, Fifi Afiati, Herman Irawan, Ade Lia Puteri, Muhammad Farrel Ewaldo, Ario Betha Juanssilfero, Profile and in silico analysis of metabolite compounds of the endophytic fungus Alternaria alternata K-10 from Drymoglossum piloselloides as antioxidants and antibacterials, 2024, 10, 24058440, e27978, 10.1016/j.heliyon.2024.e27978 | |
| 740. | Lucia Maestre-Carballa, Vicente Navarro-López, Manuel Martinez-Garcia, City-scale monitoring of antibiotic resistance genes by digital PCR and metagenomics, 2024, 19, 2524-6372, 10.1186/s40793-024-00557-6 | |
| 741. | Bona Yun, Xinyu Liao, Jinsong Feng, Tian Ding, Machine learning-enabled prediction of antimicrobial resistance in foodborne pathogens, 2024, 22, 1947-6337, 10.1080/19476337.2024.2324024 | |
| 742. | Ahmed Mshari Thari, Khairallah A. S. Mohammed, Najwa M. J. Abu-Mejdad, Antimicrobial susceptibility of bacterial clinical specimens isolated from Al-Sader Teaching Hospital in Basra-Iraq, 2024, 2672-7277, 76, 10.35118/apjmbb.2024.032.1.08 | |
| 743. | John Adewole Alara, Oluwaseun Ruth Alara, An Overview of the Global Alarming Increase of Multiple Drug Resistant: A Major Challenge in Clinical Diagnosis, 2024, 24, 18715265, 10.2174/1871526523666230725103902 | |
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| 745. | Md Monir Hossain, Amir Hamza, Shakil Ahmed Polash, Mehedi Hasan Tushar, Masato Takikawa, Anuj Bhowmik Piash, Chaitali Dekiwadia, Tanushree Saha, Shinji Takeoka, Satya Ranjan Sarker, Green synthesis of silver nanoparticles using Phyllanthus emblica extract: investigation of antibacterial activity and biocompatibility in vivo, 2024, 2976-8713, 10.1039/D3PM00077J | |
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| 775. | Daniela Araújo, Ana Rita Silva, Rúben Fernandes, Patrícia Serra, Maria Margarida Barros, Ana Maria Campos, Ricardo Oliveira, Sónia Silva, Carina Almeida, Joana Castro, Emerging Approaches for Mitigating Biofilm-Formation-Associated Infections in Farm, Wild, and Companion Animals, 2024, 13, 2076-0817, 320, 10.3390/pathogens13040320 | |
| 776. | Haleema Khanzada, Eglė Kumpikaitė, Anti-bacterial nanofibers and their biomedical applications – a review, 2024, 0040-5000, 1, 10.1080/00405000.2024.2332851 | |
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| 781. | Huilong Xin, Yuanyuan Liu, Yinan Xiao, Min Wen, Liyuan Sheng, Zhaojun Jia, Design and Nanoengineering of Photoactive Antimicrobials for Bioapplications: from Fundamentals to Advanced Strategies, 2024, 1616-301X, 10.1002/adfm.202402607 | |
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| 784. | Umesh C. Halder, In Silico Drug Repurposing Endorse Amprenavir, Darunavir and Saquinavir to Target Enzymes of Multidrug Resistant Uropathogenic E. Coli, 2024, 0046-8991, 10.1007/s12088-024-01282-x | |
| 785. | Feiyang Chen, Jordan D. Skelly, Shing-Yun Chang, Jie Song, Triggered Release of Ampicillin from Metallic Implant Coatings for Combating Periprosthetic Infections, 2024, 1944-8244, 10.1021/acsami.4c06002 | |
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| 789. | Isabela Santos Lopes, Jullio Kennedy Castro Soares, Lívia Soman de Medeiros, Lilia Coronato Courrol, Evaluation of ALA-Capped Silver, Cooper, and Silver-Copper Nanoparticles for Controlling Fungal Plant Pathogens, 2024, 08824010, 106672, 10.1016/j.micpath.2024.106672 | |
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| 795. | Liza Laquian, Philip A. Efron, Antibiotic Use in the Surgical Intensive Care Unit, 2024, 00653411, 10.1016/j.yasu.2024.04.012 | |
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| 806. | Maria Laura Tummino, Iriczalli Cruz-Maya, Alessio Varesano, Claudia Vineis, Vincenzo Guarino, Keratin/Copper Complex Electrospun Nanofibers for Antibacterial Treatments: Property Investigation and In Vitro Response, 2024, 17, 1996-1944, 2435, 10.3390/ma17102435 | |
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| 811. | Yixuan Wang, G. Balakrishnan, Microstructural, antifungal and photocatalytic activity of NiO–ZnO nanocomposite, 2024, 42, 2083-134X, 107, 10.2478/msp-2024-0006 | |
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| 818. | Maria Anton, THE PERSPECTIVES OF WHOLE GENOME SEQUENCING IN STRENGTHENING THE OUTBREAK INVESTIGATIONS AND PUBLIC HEALTH SURVEILLANCE, 2023, 82, 12223891, 25, 10.54044/RAMI.2023.01.04 | |
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| 831. | Edward H. Bertram, F. Edward Dudek, Addressing the problems of treatment failure in epilepsy: You cannot fix what you do not understand, 2024, 0013-9580, 10.1111/epi.18044 | |
| 832. | Petros Ioannou, Alexandra Vorria, George Samonis, Cellulosimicrobium Infections in Humans—A Narrative Review, 2024, 13, 2079-6382, 562, 10.3390/antibiotics13060562 | |
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| 835. | Bienvenu Tsakem, Gang Li, Rémy Bertrand Teponno, Structures, biosynthesis and biological activities of benastatins, anthrabenzoxocinones and fredericamycins, 2024, 150, 00452068, 107572, 10.1016/j.bioorg.2024.107572 | |
| 836. | Orlando Flores-Maldonado, Jorge Dávila-Aviña, Gloria M. González, Miguel A. Becerril-García, Ana L. Ríos-López, Antibacterial activity of gallic acid and methyl gallate against emerging non-fermenting bacilli, 2024, 0015-5632, 10.1007/s12223-024-01182-z | |
| 837. | Lori M. Estes Bright, Manjyot Kaur Chug, Stephen Thompson, Megan Brooks, Elizabeth J. Brisbois, Hitesh Handa, Analysis of the broad‐spectrum potential of nitric oxide for antibacterial activity against clinically isolated drug‐resistant bacteria, 2024, 112, 1552-4973, 10.1002/jbm.b.35442 | |
| 838. | Andrea-Sarahí Balderrama-González, Hilda-Amelia Piñón-Castillo, Claudia-Adriana Ramírez-Valdespino, Reyna Reyes-Martínez, Hilda-Esperanza Esparza-Ponce, Effect of the AuNPs@amox system on antibiotic-resistant bacteria, 2024, 26, 1388-0764, 10.1007/s11051-024-06048-6 | |
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| 841. | Amani H. Al-Fadhli, Wafaa Yousef Jamal, Recent advances in gene-editing approaches for tackling antibiotic resistance threats: a review, 2024, 14, 2235-2988, 10.3389/fcimb.2024.1410115 | |
| 842. | Roberto Arrigoni, Andrea Ballini, Emilio Jirillo, Luigi Santacroce, Current View on Major Natural Compounds Endowed with Antibacterial and Antiviral Effects, 2024, 13, 2079-6382, 603, 10.3390/antibiotics13070603 | |
| 843. | Tuba Unver, Harun Uslu, Ismet Gurhan, Bunyamin Goktas, Screening of phenolic components and antimicrobial properties of Iris persica L. subsp. persica extracts by in vitro and in silico methods, 2024, 2048-7177, 10.1002/fsn3.4251 | |
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| 846. | Lucia Maestre‐Carballa, Vicente Navarro‐López, Manuel Martinez‐Garcia, Metagenomic airborne resistome from urban hot spots through the One Health lens, 2024, 16, 1758-2229, 10.1111/1758-2229.13306 | |
| 847. | Cezara Bucataru, Corina Ciobanasu, Antimicrobial Peptides: Opportunities and Challenges in Overcoming Resistance, 2024, 09445013, 127822, 10.1016/j.micres.2024.127822 | |
| 848. | Asma Aktar, Shimul Bhuia, Raihan Chowdhury, Rubel Hasan, Asraful Islam Rakib, Sakib Al Hasan, Fatema Akter Sonia, Muhammad Torequl Islam, Therapeutic Promises of Bioactive Rosavin: A Comprehensive Review with Mechanistic Insight, 2024, 1612-1872, 10.1002/cbdv.202400286 | |
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| 850. | Ismaila Olatunji Sule, Insight into the Antibiotic Susceptibility Algorithm Procedures for Detecting Carbapenem-Resistant Enterobacter Cloacae, 2024, 2, 2786-8524, 230, 10.59324/ejmhr.2024.2(3).26 | |
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| 853. | Long He, Wenji Wang, Liman Ma, Dongguo Wang, Shanshan Long, Emergence of a clinical Klebsiella pneumoniae harboring an acrAB-tolC in chromosome and carrying the two repetitive tandem core structures for blaKPC-2 and blaCTX-M-65 in a plasmid, 2024, 14, 2235-2988, 10.3389/fcimb.2024.1410921 | |
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| 855. | Alok Sharma, Jasleen Kaur, Anuradha Kesharwani, Vipan Kumar Parihar, Antimicrobial Potential of Polyphenols: An Update on Alternative for Combating Antimicrobial Resistance, 2024, 20, 15734064, 576, 10.2174/0115734064277579240328142639 | |
| 856. | Sirine Jaber, Yana Evstatieva, Veronica Nemska, Dilyana Nikolova, Emilia Naydenova, Nelly Georgieva, Dancho Danalev, Antimicrobial activity of (KLAKLAK)–NH2 analogs against pathogenic microbial strains, 2024, 8, 25902628, 100236, 10.1016/j.crbiot.2024.100236 | |
| 857. | Suvendu Ghosh, Partha Sarathi Singha, Lakshmi Kanta Das, Debosree Ghosh, Systematic Review on Major Antiviral Phytocompounds from Common Medicinal Plants against SARS-CoV-2, 2024, 20, 15734064, 613, 10.2174/0115734064262843231120051452 | |
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| 859. | Riya Gajendranath Upadhyay, Pradeep Kumar Singh, Strategies to Combat Drug Resistance: Innovations and Challenges: A Review, 2024, 21, 24562602, 537, 10.13005/bbra/3245 | |
| 860. | Gyeong Gyu Song, Hyeonwoo Cho, Yeona Kim, Beomsoon Jang, Miru Lee, Kun Taek Park, Whole-Genome Sequencing-based Antimicrobial Resistance and Genetic Profile Analysis of Vibrio parahaemolyticus Isolated from Seafood in Korea, 2024, 39, 1229-1153, 231, 10.13103/JFHS.2024.39.3.231 | |
| 861. | Shivangee Solanki, Hemanga Kumar Das, Antimicrobial resistance: Molecular drivers and underlying mechanisms, 2024, 3, 2949916X, 100122, 10.1016/j.glmedi.2024.100122 | |
| 862. | Nur Fazlin Zafirah Zaine, Ainaa Nadiah Abd Halim, Rosmawati Saat, Vivien Jong Yi Mian, Nor Hisam Zamakshshari, Antibacterial activity of Garcinia spp. by molecular docking simulations: an overview, 2024, 1568-7767, 10.1007/s11101-024-09997-x | |
| 863. | Giulia Von Tönnemann Pilati, Gleidson Biasi Carvalho Salles, Beatriz Pereira Savi, Mariane Dahmer, Eduardo Correa Muniz, Vilmar Benetti Filho, Mariana Alves Elois, Doris Sobral Marques Souza, Gislaine Fongaro, Isolation and Characterization of Escherichia coli from Brazilian Broilers, 2024, 12, 2076-2607, 1463, 10.3390/microorganisms12071463 | |
| 864. | Wenwen Li, Zhen Tao, Motan Zhou, Huilin Jiang, Liudi Wang, Bingjie Ji, Yongshan Zhao, Antibiotic adjuvants against multidrug-resistant Gram-negative bacteria: important component of future antimicrobial therapy, 2024, 287, 09445013, 127842, 10.1016/j.micres.2024.127842 | |
| 865. | Rafaela Dias Oliveira, Carina Araújo, Cristina Almeida-Aguiar, In Vitro Antimicrobial Potential of Portuguese Propolis Extracts from Gerês against Pathogenic Microorganisms, 2024, 13, 2079-6382, 655, 10.3390/antibiotics13070655 | |
| 866. | Sylvie E. Kandel, Brian C. Tooker, Jed N. Lampe, Drug metabolism of ciprofloxacin, ivacaftor, and raloxifene by Pseudomonas aeruginosa cytochrome P450 CYP107S1, 2024, 00219258, 107594, 10.1016/j.jbc.2024.107594 | |
| 867. | Biplab Singha, Vinayak Singh, Vijay Soni, Alternative therapeutics to control antimicrobial resistance: a general perspective, 2024, 4, 2674-0338, 10.3389/fddsv.2024.1385460 | |
| 868. | Bernhard Nagler, Thomas Staudinger, Peter Schellongowski, Paul Knoebl, Roman Brock, Andrea Kornfehl, Michael Schwameis, Harald Herkner, Jerrold H. Levy, Nina Buchtele, Incidence of heparin resistance and heparin failure in patients receiving extracorporeal membrane oxygenation: an exploratory retrospective analysis, 2024, 15387836, 10.1016/j.jtha.2024.06.008 | |
| 869. | Lazar Chisavu, Flavia Chisavu, Luciana Marc, Adelina Mihaescu, Flaviu Bob, Monica Licker, Viviana Ivan, Adalbert Schiller, Bacterial Resistances and Sensibilities in a Tertiary Care Hospital in Romania—A Retrospective Analysis, 2024, 12, 2076-2607, 1517, 10.3390/microorganisms12081517 | |
| 870. | E. Larcombe, M. E. Alexander, D. Snellgrove, F. L. Henriquez, K. A. Sloman, Current disease treatments for the ornamental pet fish trade and their associated problems, 2024, 1753-5123, 10.1111/raq.12948 | |
| 871. | Nathalie E. Fakhoury, Samar Mansour, Mohammad Abdel-Halim, Mostafa M. Hamed, Martin Empting, Annette Boese, Brigitta Loretz, Claus-Michael Lehr, Salma N. Tammam, Nanoparticles in liposomes: a platform for increased antibiotic selectivity in multidrug resistant bacteria in respiratory tract infections, 2024, 2190-393X, 10.1007/s13346-024-01662-2 | |
| 872. | Pankaj Kumar Giri, Shahil Alam, Madhav Dhakal, A comprehensive review on epigenetic and epitranscriptomic-mediated regulation of antibiotic resistance, 2024, 13, 2046-1402, 828, 10.12688/f1000research.148400.1 | |
| 873. | Carolina dos Anjos, Yin Wang, Que Chi Truong‐Bolduc, Paul K. Bolduc, Matthew Liu, David C. Hooper, R. Rox Anderson, Tianhong Dai, Leon G. Leanse, Blue Light Compromises Bacterial β‐Lactamases Activity to Overcome β‐Lactam Resistance, 2024, 0196-8092, 10.1002/lsm.23819 | |
| 874. | Rute G. Matos, Katie J. Simmons, Colin W. G. Fishwick, Kenneth J. McDowall, Cecília M. Arraiano, Identification of Ribonuclease Inhibitors for the Control of Pathogenic Bacteria, 2024, 25, 1422-0067, 8048, 10.3390/ijms25158048 | |
| 875. | Mohammad Ahmad Wadaan, Almohannad Baabbad, Mamuye Busier Yesuf, Perumal Asaithambi, Kinetics analysis of PAHs degradation using SiO2–ZnO nanoparticles and evaluating their antibacterial and antibiofilm efficacy, 2024, 260, 00139351, 119669, 10.1016/j.envres.2024.119669 | |
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| 878. | Irene Berger, Zvi G. Loewy, Antimicrobial Resistance and Novel Alternative Approaches to Conventional Antibiotics, 2024, 3, 2674-1334, 171, 10.3390/bacteria3030012 | |
| 879. | Sanjeev Sharma, Ashok Kumar, Antimicrobial Resistance: A Global Health Challenge, 2024, 18, 2321-0435, 87, 10.4103/joa.joa_118_24 | |
| 880. | Cut Soraya, Fitri Yunita Batubara, Saskia L. Nasroen, Subhaini Jakfar, Basri A. Gani, Role of Moringa oleifera irrigation solution on the cell metabolism change of Streptococcus mutans, 2024, 15, 2231-4040, 200, 10.4103/JAPTR.JAPTR_442_23 | |
| 881. | Kishan Nandi Shoudho, Shihab Uddin, Md Mahamudul Hasan Rumon, Md Salman Shakil, Influence of Physicochemical Properties of Iron Oxide Nanoparticles on Their Antibacterial Activity, 2024, 2470-1343, 10.1021/acsomega.4c02822 | |
| 882. | Olukayode Olugbenga Orole, Taiwo Adewumi, Adedotun Adefolalu, Biological assessment and radiological impact in Keana, North Central Nigeria: environmental implication and metabolites production, 2024, 196, 0167-6369, 10.1007/s10661-024-12919-1 | |
| 883. | Emanuele Esposito, Antonino Pace, Andrea Affuso, Maria Oliviero, Doriana Iaccarino, Gianluigi Paduano, Fulvio Maffucci, Giovanna Fusco, Esterina De Carlo, Sandra Hochscheid, Fabio Di Nocera, Antibiotic Resistance of Bacteria Isolated from Clinical Samples and Organs of Rescued Loggerhead Sea Turtles (Caretta caretta) in Southern Italy, 2024, 14, 2076-2615, 2103, 10.3390/ani14142103 | |
| 884. | Ajran Kabir, Bibek Lamichhane, Tasmia Habib, Alexis Adams, Hossam El-Sheikh Ali, Nathan M. Slovis, Mats H. T. Troedsson, Yosra A. Helmy, Antimicrobial Resistance in Equines: A Growing Threat to Horse Health and Beyond—A Comprehensive Review, 2024, 13, 2079-6382, 713, 10.3390/antibiotics13080713 | |
| 885. | Elena Ponzo, Silvia De Gaetano, Angelina Midiri, Giuseppe Mancuso, Presti Giovanna, Danna Giuliana, Sebastiana Zummo, Carmelo Biondo, The Antimicrobial Resistance Pandemic Is Here: Implementation Challenges and the Need for the One Health Approach, 2024, 4, 2673-947X, 297, 10.3390/hygiene4030024 | |
| 886. | Rauf Shiraliyev, Mehmet A Orman, Metabolic disruption impairs ribosomal protein levels, resulting in enhanced aminoglycoside tolerance, 2024, 13, 2050-084X, 10.7554/eLife.94903.3 | |
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| 888. | Ravi Kant, Naveen Kumar, Yashpal Singh Malik, Dean Everett, Daman Saluja, Thomas Launey, Rahul Kaushik, Critical Insights from Recent Outbreaks of Mycoplasma pneumoniae: Decoding the Challenges and Effective Interventions Strategies, 2024, 12019712, 107200, 10.1016/j.ijid.2024.107200 | |
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| 890. | Marko Malićanin, Ivana Karabegović, Natalija Đorđević, Stojan Mančić, Sandra Stamenković Stojanović, Duško Brković, Bojana Danilović, Influence of the Extraction Method on the Biological Potential of Solidago virgaurea L. Essential Oil and Hydrolates, 2024, 13, 2223-7747, 2187, 10.3390/plants13162187 | |
| 891. | Andréa Lima Alves Ruislan, Marcela França Dias, Aline Daniela Lopes Júlio, Ubiana de Cássia Mourão Silva, Sergio Pagnin, Andrea Azevedo Veiga, Débora Godinho Zanetti, Vera Lúcia dos Santos, Effects of antimicrobials over sessile and planktonic microbiota associated with an industrial cooling water system, 2024, 0892-7014, 1, 10.1080/08927014.2024.2384436 | |
| 892. | Shengwei Sun, Xueyingzi Chen, Mechanism-guided strategies for combating antibiotic resistance, 2024, 40, 0959-3993, 10.1007/s11274-024-04106-8 | |
| 893. | Aniba Rafik, Dihmane Asmaa, Raqraq Habiba, Ressmi Amina, Nayme Kaotar, Timinouni Mohammed, Barguigua Abouddihaj, Molecular and phenotypic characterization of biofilm formation and antimicrobial resistance patterns of uropathogenic Staphylococcus haemolyticus isolates in Casablanca, Morocco., 2024, 07328893, 116483, 10.1016/j.diagmicrobio.2024.116483 | |
| 894. | Divya Mehta, Sanjay Singh, Nanozymes and their biomolecular conjugates as next-generation antibacterial agents: A comprehensive review, 2024, 01418130, 134582, 10.1016/j.ijbiomac.2024.134582 | |
| 895. | Milan Milijasevic, Slavica Veskovic-Moracanin, Jelena Babic Milijasevic, Jelena Petrovic, Ivan Nastasijevic, Antimicrobial Resistance in Aquaculture: Risk Mitigation within the One Health Context, 2024, 13, 2304-8158, 2448, 10.3390/foods13152448 | |
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| 899. | Abubakar Mannir Rawayau, Aliyu Sani Yandoma, F Lawal Muhammad, Nasir Rufa'i, Ahmed Sani, A Halliru, Assessment of Proximate, Vitamins, In Vitro Antioxidant, and Functional Properties of Some Polyherbal Formulations as Prospective Botanical Candidates for Pharmaceutical Applications, 2024, 9, 2814-1822, 464, 10.47430/ujmr.2493.054 | |
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| 901. | Avani Panickar, Anand Manoharan, Anand Anbarasu, Sudha Ramaiah, Respiratory tract infections: an update on the complexity of bacterial diversity, therapeutic interventions and breakthroughs, 2024, 206, 0302-8933, 10.1007/s00203-024-04107-z | |
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| 903. | Essam M. Hussein, Ziad Moussa, Rami J. Obaid, Ahmad Abd‐El‐Aziz, Hatem M. Altass, Khaled Elbanna, Hussein H. Abulreesh, Meshal Almalki, Amrita Banerjee, Arpita Chattopadhyay, Samir Kumar Pal, Saleh A. Ahmed, Deep Eutectic Solvent (DES)‐Mediated Green Approach for Synthesis of Benzothiazole Tethered Pyrazoles: Antimicrobial Properties and Molecular Docking Insights, 2024, 9, 2365-6549, 10.1002/slct.202401009 | |
| 904. | Soroush Heydari, Niloofar Masoumi, Erfan Esmaeeli, SeyedMohammad Ayyoubzadeh, Fatemeh Ghorbani-Bidkorpeh, Mahnaz Ahmadi, Artificial Intelligence in nanotechnology for treatment of diseases, 2024, 1061-186X, 1, 10.1080/1061186X.2024.2393417 | |
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| 909. | Nagarjuna Prakash Dalbanjan, Arihant Jayawant Kadapure, Praveen Kumar S.K, A comprehensive review on latent role of stress proteins in antibiotic resistance, 2024, 4, 29501946, 100151, 10.1016/j.microb.2024.100151 | |
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| 917. | Marwan M. Sa'ed, Raphael D. Ayivi, Jianjun Wei, Sherine O. Obare, Gold nanoparticles antibacterial activity: Does the surface matter?, 2024, 62, 22150382, 100804, 10.1016/j.colcom.2024.100804 | |
| 918. | Manya Aggarwal, Anushree Patra, Ishita Awasthi, Annu George, Simran Gagneja, Varsha Gupta, Neena Capalash, Prince Sharma, Drug repurposing against antibiotic resistant bacterial pathogens, 2024, 279, 02235234, 116833, 10.1016/j.ejmech.2024.116833 | |
| 919. | Tugba Cebeci, Elif Seren Tanrıverdi, Barış Otlu, A first study of meat-borne enterococci from butcher shops: prevalence, virulence characteristics, antibiotic resistance and clonal relationship, 2024, 0165-7380, 10.1007/s11259-024-10516-8 | |
| 920. | Vaishali Halwai, Rambir Singh, Sona Singh, Neha Jain, Sosan Xess, Poonam Sharma, Identification and Antimicrobial Susceptibility Patterns of Neisseria gonorrhoeae, Ureaplasma spp. and Mycoplasma spp. Isolated from Tribal Women, 2024, 18, 09737510, 1580, 10.22207/JPAM.18.3.07 | |
| 921. | Kunle Okaiyeto, Maria Rosa Gigliobianco, Piera Di Martino, Biogenic Zinc Oxide Nanoparticles as a Promising Antibacterial Agent: Synthesis and Characterization, 2024, 25, 1422-0067, 9500, 10.3390/ijms25179500 | |
| 922. | Anamika Singh, Mansi Tanwar, T.P. Singh, Sujata Sharma, Pradeep Sharma, An escape from ESKAPE pathogens: A comprehensive review on current and emerging therapeutics against antibiotic resistance, 2024, 01418130, 135253, 10.1016/j.ijbiomac.2024.135253 | |
| 923. | Xi-Le Hu, Hui-Qi Gan, Wen-Zhen Gui, Kai-Cheng Yan, Jonathan L. Sessler, Dong Yi, He Tian, Xiao-Peng He, Superresolution imaging of antibiotic-induced structural disruption of bacteria enabled by photochromic glycomicelles, 2024, 121, 0027-8424, 10.1073/pnas.2408716121 | |
| 924. | Priyanka Dash, Biswakanth Kar, Monalisa Gochhi, Goutam Ghosh, Vineet Kumar Rai, Chandan Das, Deepak Pradhan, Tushar Kanti Rajwar, Jitu Halder, Debasmita Dubey, Salim Manoharadas, Goutam Rath, Antimicrobial Properties of the Edible Pink Oyster Mushroom, Pleurotus eous: In-Vivo and In-Vitro Studies, 2024, 08824010, 106915, 10.1016/j.micpath.2024.106915 | |
| 925. | Adriana Canedo Miranda, Cristiano Valim Bizarro, 2024, Chapter 4, 978-3-031-65985-0, 117, 10.1007/978-3-031-65986-7_4 | |
| 926. | Amir Khorasani, Sharareh Moghim, Jeroen Wagemans, Rob Lavigne, Arezoo Mirzaei, Antibiotic profile classification of Proteus mirabilis using machine learning: An investigation into multidimensional radiomics features, 2024, 182, 00104825, 109131, 10.1016/j.compbiomed.2024.109131 | |
| 927. | Dilfuza Aniyozova, Habibulla Akilov, Munirakhon Kasimova, Caterina Favaretti, Muborak Sadyrova, Zarina Egamberdieva, Laylo Botirova, Andreas Deckert, Antimicrobial resistance related knowledge, attitude and practice of general practitioners, patients and farmers: a cross-sectional study in Uzbekistan, 2024, 24058440, e37566, 10.1016/j.heliyon.2024.e37566 | |
| 928. | Nana Gao, Jing Zhou, Ge Li, Runde Liu, Guoping Lu, Jilu Shen, Methodological Evaluation of Carbapenemase Detection by Different Methods, 2024, 73, 2544-4646, 383, 10.33073/pjm-2024-034 | |
| 929. | Vandana Jhalora, Renu Bist, A Comprehensive Review of Molecular Mechanisms Leading to the Emergence of Multidrug Resistance in Bacteria, 2024, 0046-8991, 10.1007/s12088-024-01384-6 | |
| 930. | Chandrima Bhattacharya, Mehmed Taha Dinc, Srijani Basu, Riddhi Chaudhuri, Chenlian Fu, Gresia Cervantes, Upasana Das Adhikari, Rupobrata Panja, Jake Qiu, Anusha Aditya, Christopher E. Mason, 2024, Chapter 6, 978-3-031-65985-0, 179, 10.1007/978-3-031-65986-7_6 | |
| 931. | Themba Titus Sigudu, James Wabwire Oguttu, Daniel Nenene Qekwana, Antimicrobial Resistance of Staphylococcus spp. from Human Specimens Submitted to Diagnostic Laboratories in South Africa, 2012–2017, 2024, 12, 2076-2607, 1862, 10.3390/microorganisms12091862 | |
| 932. | S. Suvetha, Arun Kumar Mani, Metallic nanocomposites − A prevailing tool to decipher the bacterial crosstalk, 2024, 1226086X, 10.1016/j.jiec.2024.09.044 | |
| 933. | Agus Yulianto, Extraction of Active Compounds from Mangrove Snail Meat (Terebralia sulcata) as an Antibacterial Agent Against Escherichia coli, 2024, 1, 3063-5543, 8, 10.58920/aqlis0101229 | |
| 934. | Manuela Oliveira, Wilson Antunes, Salete Mota, Áurea Madureira-Carvalho, Ricardo Jorge Dinis-Oliveira, Diana Dias da Silva, An Overview of the Recent Advances in Antimicrobial Resistance, 2024, 12, 2076-2607, 1920, 10.3390/microorganisms12091920 | |
| 935. | Geetanjali Raikwar, Dharmender Kumar, Sumedha Mohan, Praveen Dahiya, Synergistic potential of essential oils with antibiotics for antimicrobial resistance with emphasis on mechanism of action: A review, 2024, 61, 18788181, 103384, 10.1016/j.bcab.2024.103384 | |
| 936. | Min-Ju Kang, Do-Kyun Kim, Mechanisms of Escherichia coli inactivation by combined chlorogenic acid and ultraviolet-A (365 nm) treatment and its effects on DNA integrity, 2024, 09639969, 115132, 10.1016/j.foodres.2024.115132 | |
| 937. | Anuradha Jeewantha Punchihewage-Don, Priyanka Nilmini Ranaweera, Salina Parveen, Defense mechanisms of Salmonella against antibiotics: a review, 2024, 3, 2813-2467, 10.3389/frabi.2024.1448796 | |
| 938. | Katarina Grabrijan, Nika Strašek Benedik, Alen Krajnc, Krištof Bozovičar, Damijan Knez, Matic Proj, Irena Zdovc, Izidor Sosič, Carlos Contreras-Martel, Andréa Dessen, Martina Hrast Rambaher, Stanislav Gobec, Synthesis and biochemical evaluation of new 3-amido-4-substituted monocyclic ß-lactams as inhibitors of penicillin-binding protein(s), 2024, 74, 1846-9558, 423, 10.2478/acph-2024-0024 | |
| 939. | Shagufta Roohi, Anjum Ara Mir, Tufail Ahmed, Fakhri-Zehra Khaja, Tabish Qayoom, Nargis Bali, A Four-Year Retrospective Study on Epidemiology, Bacteriology, and Antimicrobial Resistance of Bacterial Isolates from Burn Wounds in a Tertiary Care Hospital, 2024, 12, 2538-4430, 150, 10.61186/JoMMID.12.2.150 | |
| 940. | Hannah Delp, Gabrielle A. Gibson, Sara A. Buckman, Aztreonam-avibactam for the treatment of intra-abdominal infections, 2024, 1465-6566, 10.1080/14656566.2024.2409950 | |
| 941. | Kristanti Lestari, Febriansyah Nur Utomo, Mahendra Tri Arif Sampurna, Quantitative and qualitative analysis of antibiotic use among neonatal patients in teaching hospitals in Indonesia, 2024, 71, 2603-557X, 1, 10.3897/pharmacia.71.e130253 | |
| 942. | M. A. Samad, A COMPREHENSIVE REVIEW OF ANTIMICROBIAL RESISTANCE BEGINNING FROM THE DISCOVERY OF THE FIRST ANTIBIOTIC UNTIL THE PRESENT-DAY SITUATION WITH ONE HEALTH APPROACH WITH SPECIAL EMPHASIS ON BANGLADESH, 2024, 5, 2664-2360, 1, 10.36111/jvmohr.2023.5(1-2).0035 | |
| 943. | Arka Moitra, Abhinaba Chakraborty, Bomba Dam, CRISPR-Cas9 system: a potent tool to fight antibiotic resistance in bacteria, 2024, 29501946, 100184, 10.1016/j.microb.2024.100184 | |
| 944. | R. Rajalakshmi, N. Mukesh Babu, A. Doss, R.P. Praveen Pole, T.P. Kumari Pushpa Rani, V. Mary Kensa, Eco-friendly synthesis and characterization of silver nanoparticles from an endemic plant and their antibacterial potency - A sustainable approach, 2024, 4, 29497469, 100070, 10.1016/j.cinorg.2024.100070 | |
| 945. | Karthick Harini, Koyeli Girigoswami, Anbazhagan Thirumalai, Agnishwar Girigoswami, Polymer-Based Antimicrobial Peptide Mimetics for Treating Multi-drug Resistant Infections: Therapy and Toxicity Evaluation, 2024, 30, 1573-3904, 10.1007/s10989-024-10648-0 | |
| 946. | Kaixiang Jia, Song Xue, Yangyang Du, Lianci Peng, Weifeng Chen, Xiaoying Yu, Xuefeng Cao, Rendong Fang, Zhiwei Li, Antimicrobial and Antioxidant Properties of Hawthorn Vinegar, 2024, 15, 2036-7481, 2048, 10.3390/microbiolres15040137 | |
| 947. | Rabiya Tabbassum Khan, Vanshika Sharma, Sofia Sharief Khan, Shafaq Rasool, Prevention and potential remedies for antibiotic resistance: current research and future prospects, 2024, 15, 1664-302X, 10.3389/fmicb.2024.1455759 | |
| 948. | Ranjit Kumar Nadella, Satyen Kumar Panda, Devananda Uchoi, Pankaj Kishore, Balakrishna Chintada, Madhu V.R., Minimol V.A., Madhusudana Rao Badireddy, Pani Prasad Kuricheti, Ram Prakash Raman, Mukteswar Prasad Mothadaka, Categorization of antibiotic resistant bacterial populations from Shrimp and its culture environment of Andhra Pradesh, India, 2025, 595, 00448486, 741702, 10.1016/j.aquaculture.2024.741702 | |
| 949. | Eman A. Alwaleed, Nahaa M. Alotaibi, Abdallah Tegeldein Mansour, Mashaill A. Alghamdi, Asmaa S. Abdelgaliel, Assessment of the conceivable inhibitory activity of pathogenic microorganisms extracted from seaweed using phytochemicals, antioxidants, and in-silico molecular dynamic simulation, 2024, 14, 2045-2322, 10.1038/s41598-024-70620-2 | |
| 950. | Taiwo Scholes Adewole, Oladiran Boniface Oladokun, Adenike Kuku, Host Defense Peptides: Exploiting an Innate Immune Component Against Infectious Diseases and Cancer, 2024, 30, 1573-3904, 10.1007/s10989-024-10655-1 | |
| 951. | Vatsa Kapadia, Ashish Wadhwani, Rihana Begum, Sivasankaran Ponnusankar, Praveen Mohadeb, Medha Gujadhur, Piyush Kumar, A Step Towards Combating Antimicrobial Resistance: Global Prescriptive and Programmes – A Review, 2024, 21, 24562602, 877, 10.13005/bbra/3271 | |
| 952. | Esa Karalliu, Kai Yeung Chung, Brett MacKinnon, Belete Haile, Pawel M. Beczkowski, Vanessa R. Barrs, Ibrahim Elsohaby, Omid Nekouei, Risk factors for antimicrobial-resistant Enterobacterales in dogs: a systematic review, 2024, 11, 2297-1769, 10.3389/fvets.2024.1447707 | |
| 953. | Freshinta Jellia Wibisono, Dyah Ayu Widiasih, Hung Nguyen-Viet, Multidrug Resistance of Escherichia coli in cats and the Level of Understanding of Cat Owners on Antimicrobial Resistance, 2024, 0974-360X, 3855, 10.52711/0974-360X.2024.00598 | |
| 954. | Roshan Sah, Manish Pal Singh, Kashmira J. Gohil, A Comprehensive Study of Allium Sativum Linn, 2024, 2, 26668629, 10.2174/0126668629259652231108112909 | |
| 955. | Vishwani Jamwal, Tashi Palmo, Kuljit Singh, Understanding the mechanisms of antimicrobial resistance and potential therapeutic approaches against the Gram-negative pathogen Acinetobacter baumannii, 2024, 2632-8682, 10.1039/D4MD00449C | |
| 956. | K. E. Borovkova, Antimicrobial Resistance Development in vitro: Adaptive Laboratory Evolution Method (Review), 2024, 3034-3453, 10.30895/1991-2919-2024-656 | |
| 957. | Zaakirah Delair, Michaela Schoeman, Brandon Reyneke, Atheesha Singh, Tobias George Barnard, Assessing the impact of Escherichia coli on recreational water safety using quantitative microbial risk assessment, 2024, 1477-8920, 10.2166/wh.2024.081 | |
| 958. | Sujata Saha, Rishav Kar, Kunal Sikder, Dipak Manna, Ritesh Ranjan Pal, Soumyananda Chakraborti, Ali Hossain Khan, Sourav Barman, Amit Ranjan Maity, Arnab Basu, Deciphering the inhibitory mechanism of antimicrobial peptide pexiganan conjugated with sodium-alginate chitosan-cholesterol nanoparticle against the opportunistic pathogen Acinetobacter baumannii, 2024, 17732247, 106305, 10.1016/j.jddst.2024.106305 | |
| 959. | Yolla Rona Mustika, Mustofa Helmi Effendi, Yulianna Puspitasari, Hani Plumeriastuti, Aswin Rafif Khairullah, Kurnia Nisa Kinasih, Identification of Escherichia coli Multidrug Resistance in Cattle in Abattoirs, 2024, 7, 2581-012X, 19, 10.20473/jmv.vol7.iss1.2024.19-32 | |
| 960. | Hannah G Braun, Sumudu R Perera, Yannick DN Tremblay, Jenny-Lee Thomassin, Antimicrobial resistance in Klebsiella pneumoniae: an overview of common mechanisms and a current Canadian perspective, 2024, 0008-4166, 10.1139/cjm-2024-0032 | |
| 961. | Giedrė Valdonė Sakalauskienė, Aurelija Radzevičienė, Antimicrobial Resistance: What Lies Beneath This Complex Phenomenon?, 2024, 14, 2075-4418, 2319, 10.3390/diagnostics14202319 | |
| 962. | Subhojeet Biswas, Madhusmita Bal, Sanghamitra Pati, Ramakanta Rana, Sujata Dixit, Manoranjan Ranjit, Antibiotic resistance in toxigenic E. coli: a severe threat to global health, 2024, 1, 3004-8885, 10.1007/s44337-024-00102-x | |
| 963. | Naomi Oyenuga, José Francisco Cobo-Díaz, Avelino Alvarez-Ordóñez, Elena-Alexandra Alexa, Overview of Antimicrobial Resistant ESKAPEE Pathogens in Food Sources and Their Implications from a One Health Perspective, 2024, 12, 2076-2607, 2084, 10.3390/microorganisms12102084 | |
| 964. | Kia Barry, Aubrey Mendonça, Gregory J. Phillips, Terri Boylston, Paulo Fortes-Da-Silva, Byron Brehm-Stecher, Vijay Juneja, Zifan Wan, Long-term-survival phase cells of Salmonella enteritidis ATCC 13076 exhibit significantly greater tolerance to atmospheric cold plasma treatment of shell eggs, 2024, 4, 2674-1121, 10.3389/frfst.2024.1442761 | |
| 965. | Eveline Yulia Darmadi, Diana Soesilo, Antimicrobial activity of calcium hydroxide, calcium oxide, and mineral trioxide aggregate paste against α-Hemolytic Streptococcus, 2024, 14, 2722-8045, 24, 10.20473/cdj.v14i1.2024.24-28 | |
| 966. | Dahye Noh, Hokyung Lee, Sangmin Lee, In-Cheol Sun, Hong Yeol Yoon, Copper-Based Nanomedicines for Cuproptosis-Mediated Effective Cancer Treatment, 2024, 28, 2055-7124, 10.34133/bmr.0094 | |
| 967. | Sameer Ahmad, Kulsum Jan, Jatindra K. Sahu, Mehvish Habib, Shumaila Jan, Khalid Bashir, A Comprehensive Review on Recent Trends and Utilization of Algal β-Glucan for the Development of Nutraceuticals and Functional Foods, 2024, 8755-9129, 1, 10.1080/87559129.2024.2404222 | |
| 968. | Sudhangshu Kumar Biswas, Md. Mehedi Hasan Sumon, Sabbir Ahmed, Rumana Akter Ruma, Anzana Parvin, Dipak Kumar Paul, Apurba Kumar Roy, Swee-Seong Tang, Beyond Antibiotics: Exploring the Potential of Bacteriophages and Phage Therapy, 2024, 2641-6530, 10.1089/phage.2024.0005 | |
| 969. | Hafij Al Mahmud, Catherine A. Wakeman, Navigating collateral sensitivity: insights into the mechanisms and applications of antibiotic resistance trade-offs, 2024, 15, 1664-302X, 10.3389/fmicb.2024.1478789 | |
| 970. | Cecilia Cagnotta, Alessia Zinzi, Francesca Gargano, Valerio Liguori, Maria Rosaria Campitiello, Alessandro Perrella, Annalisa Capuano, Concetta Rafaniello, Ugo Trama, Can Pharmacovigilance Data Represent a Potential Tool for Early Detection of the Antibiotic Resistance Phenomenon?, 2024, 3, 2813-0618, 350, 10.3390/pharma3040024 | |
| 971. | Rania Itani, Hani M. J. Khojah, Rahaf Kibrit, Hamza Raychouni, Patricia Shuhaiber, Carole Dib, Mariam Hassan, Tareq L. Mukattash, Abdalla El-Lakany, Risk factors associated with multidrug-resistant Klebsiella pneumoniae infections: a multicenter observational study in Lebanese hospitals, 2024, 24, 1471-2458, 10.1186/s12889-024-20474-0 | |
| 972. | Pansee Gamaleldin, Mustafa Alseqely, Benjamin A. Evans, Hoda Omar, Alaa Abouelfetouh, Comparison of genotypic features between two groups of antibiotic resistant Klebsiella pneumoniae clinical isolates obtained before and after the COVID-19 pandemic from Egypt, 2024, 25, 1471-2164, 10.1186/s12864-024-10661-z | |
| 973. | Sonia Mokni-Tlili, Anna Markowicz, Sławomir Sułowicz, Helmi Hamdi, Culture-based and molecular investigation of antibiotic and metal resistance in a semi-arid agricultural soil repeatedly amended with urban sewage sludge, 2024, 263, 00139351, 120182, 10.1016/j.envres.2024.120182 | |
| 974. | D.I. Boyarintsev, I.V. Kuzminov, M.V. Orlova, New Aspects in the Mechanism of Action of 3-hydroxy-3-methylglutaryl- COA Reductase (HMG-CoA reductase): Cyclic Lactones - Potential Inhibitors of the Enzyme (Review), 2024, 20, 15734080, 164, 10.2174/0115734080298814240528092106 | |
| 975. | Ray Silva de Almeida, Priscilla Ramos Freitas, Ana Carolina Justino de Araujo, Saulo Relison Tintino, Jaime Ribeiro-Filho, Gustavo Marinho Miranda, Gustavo Miguel Sigueira, Sheila Alves Gonçalves, Diogo Teixeira Carvalho, Thiago Belarmino de Souza, Laís Regina dos Santos Folquitto, Danielle Ferreira Dias, António Raposo, Ariana Saraiva, Heesup Han, Henrique Douglas Melo Coutinho, Liposomal formulation with thiazolic compounds against bacterial efflux pumps, 2024, 180, 07533322, 117600, 10.1016/j.biopha.2024.117600 | |
| 976. | David A Jernigan, Induced Native Phage Cocktails for Multi-microbial Activation Syndrome in Treatment-Resistant Illnesses, 2024, 2168-8184, 10.7759/cureus.72587 | |
| 977. | Wei Wang, Bichun Zhao, Hanyu Zhang, Zhaowei Jie, Can Hu, Hongling Guo, Ping Wang, Yajun Li, Jun Zhu, Hongcheng Mei, Jian Ye, Research progress and application of bacterial traceability technology, 2024, 365, 03790738, 112275, 10.1016/j.forsciint.2024.112275 | |
| 978. | Lyndon N. A. Sackey, Augustine Okobeng, Priscilla Yawa Obidieh, Flora-Marie Mpaka Ngala, Emmanuel Bentum Otoo, Jeremiah Quartey, Joseph A. Bentil, David Azanu, Balaji Etikala, Risk Assessment of Pharmaceutical Contaminants in Pharmaceutical Wastewater, 2024, 2024, 2356-6140, 10.1155/2024/5538398 | |
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| 980. | Harihara Sujit Nair, Combating Antimicrobial Resistance by Resensitising Bacteria to Antibiotics Using CRISPR: A Narrative Review, 2024, 0976-0016, 10.1177/09760016241290651 | |
| 981. | Tasnime Abdo Ahmad, Samar El Houjeiry, Souha S Kanj, Ghassan M Matar, Esber S Saba, From Forgotten Cure to Modern Medicine: The Resurgence of Bacteriophage Therapy, 2024, 22137165, 10.1016/j.jgar.2024.10.259 | |
| 982. | Rinku Choubey, Moumita Chatterjee, Pramina Kumari Pandey, Abhijit Mishra, Bhaskar Datta, Coassembly of Cell-Penetrating Peptide Octaarginine with Acetazolamide: Emergent Interactions with E. coli, 2024, 2470-1343, 10.1021/acsomega.4c06800 | |
| 983. | Shubham Barik, Shalini Kannoth, Mottakunja Deepthi, Mareena Jose, Devachandana C. Prabhu, Shemmy Sadanandan, Tony Grace, 2025, 9780323916318, 301, 10.1016/B978-0-323-91631-8.00016-0 | |
| 984. | Akhtar Rasool, Thamaraiselvi Kanagaraj, Fransiska Sri Herwahyu Krismastuti, Green approach of cobalt sulfide nanoparticles from novel red stigma of Crocus sativus and multifaceted biomedical advancement, 2024, 13877003, 113417, 10.1016/j.inoche.2024.113417 | |
| 985. | Deepansh Mody, Priyanka Joshi, Monika Antil, Rakesh K. Gupta, Vibha Gupta, Insights into Kinases of ESKAPE Pathogens for Therapeutic Interventions, 2024, 22, 18715257, 276, 10.2174/0118715257267497231128093529 | |
| 986. | Raja Amir Hassan Kuchay, Novel and emerging therapeutics for antimicrobial resistance: A brief review, 2024, 1881-7831, 10.5582/ddt.2024.01063 | |
| 987. | Gil Sander Próspero Gama, Alexandre Santos Pimenta, Francisco Marlon Carneiro Feijó, Caio Augusto Martins Aires, Rafael Rodolfo de Melo, Caio Sérgio dos Santos, Lúcio César Dantas de Medeiros, Thays Vieira da Costa Monteiro, Maíra Fasciotti, Priscila Lira de Medeiros, Maria Rita Macêdo de Morais, Tatiane Kelly Barbosa de Azevedo, Antimicrobial Impact of Wood Vinegar Produced Through Co-Pyrolysis of Eucalyptus Wood and Aromatic Herbs, 2024, 13, 2079-6382, 1056, 10.3390/antibiotics13111056 | |
| 988. | Kalinga Pavan T. Silva, Anupama Khare, Antibiotic resistance mediated by gene amplifications, 2024, 2, 2731-8745, 10.1038/s44259-024-00052-5 | |
| 989. | Cícera D. de Morais Oliveira‐Tintino, Francisco E. F. da Silva, Gilvandete M. P. Santiago, Francisco das C. L. Pinto, Otília D. L. Pessoa, Aluísio M. da Fonseca, Cícera L. R. Paulo, Hélcio S. dos Santos, Marcia M. Marinho, Jaqueline L. dos Santos, Talysson F. Moura, Priscilla R. Freitas, Ana C. J. de Araújo, Ray S. de Almeida, Saulo R. Tintino, Henrique D. M. Coutinho, Molecular Docking and Antibacterial Activity of Campesterol Derivatives Against Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa Multiresistant Strains, 2024, 1612-1872, 10.1002/cbdv.202401073 | |
| 990. | Janki V. Rojmala, Anjali B. Thakkar, Dhruti Joshi, Bhargav N. Waghela, Parth Thakor, Screening and identification of phytochemicals from Acorus calamus L. to overcome NDM-1 mediated resistance in Klebsiella pneumoniae using in silico approach, 2024, 10, 24058440, e40211, 10.1016/j.heliyon.2024.e40211 | |
| 991. | Sheetal Negi, Sarika Sharma, Ready to Eat Food: A Reason for Enhancement in Multidrug Resistance in Humans, 2024, 14, 2228-5881, 504, 10.34172/apb.2024.023 | |
| 992. | Gerben Marsman, Xuhui Zheng, Dora Čerina, Keenan A. Lacey, Menghan Liu, Daniel Humme, Christian Goosmann, Volker Brinkmann, C.J. Harbort, Victor J. Torres, Arturo Zychlinsky, Histone H1 kills MRSA, 2024, 43, 22111247, 114969, 10.1016/j.celrep.2024.114969 | |
| 993. | Yungui Sun, Ying Hao, Zicheng Wang, Hui Wang, Yingli Gao, Isolation, characterization, and whole genome sequencing analysis of Aeromonas veronii from Channa argus in China, 2025, 49, 0165-7380, 10.1007/s11259-024-10594-8 | |
| 994. | Islam I. Teiba, Emad H. El-Bilawy, Ibrahim A. Abouelsaad, Akram Ismael Shehata, Mayada Alhoshy, Yusuf Jibril Habib, Nermeen M. Abu-Elala, Nagwa EL-Khateeb, Elsayed B. Belal, Warda A. M. Hussain, The role of marine bacteria in modulating the environmental impact of heavy metals, microplastics, and pesticides: a comprehensive review, 2024, 1614-7499, 10.1007/s11356-024-35520-y | |
| 995. | Maša Zorman, Maja Kokot, Irena Zdovc, Lidija Senerovic, Mina Mandic, Nace Zidar, Andrej Emanuel Cotman, Martina Durcik, Lucija Peterlin Mašič, Nikola Minovski, Marko Anderluh, Martina Hrast Rambaher, Enhancing Antibacterial Efficacy: Combining Novel Bacterial Topoisomerase Inhibitors with Efflux Pump Inhibitors and Other Agents Against Gram-Negative Bacteria, 2024, 13, 2079-6382, 1081, 10.3390/antibiotics13111081 | |
| 996. | I. A. Karpov, M. A. Lengina, A. M. Korkmazov, N. V. Kornova, V. I. Popadyuk, On the local treatment of exacerbation of tonsillopharyngitis, 2024, 2658-5790, 56, 10.21518/ms2024-485 | |
| 997. | Mosisa Dejene, Kero Jemal, Getachew Tegegn, Muhdin Aliye, Lemma Teshome, Aman Dekebo, Antimicrobial Activity, Docking and ADMET Profiling of Salvia rosmarinus compounds on a Targeting Enzymes in Cervical Cancer, 2020, 0, 2769-2094, 1, 10.48130/opr-0024-0026 | |
| 998. | Isabela Francisca de Jesus Borges Costa, João Vitor Rocha Reis, Tatiana Ungaretti Paleo Konno, Luzineide Wanderley Tinoco, Shaft Correa Pinto, Ivana Correa Ramos Leal, Michelle Frazão Muzitano, Antibacterial Activity of Glycosylated Flavonoids Isolated from Ocotea notata Leaves, 2024, 1612-1872, 10.1002/cbdv.202400677 | |
| 999. | Ashapurna Sinha, Anupama Rani, Vaishali Mishra, Shiwa Chaubey, Farina Mujeeb, 2024, Chapter 30, 978-981-97-5271-3, 641, 10.1007/978-981-97-5272-0_30 | |
| 1000. | Amit Lather, 2024, Chapter 4, 978-981-97-5271-3, 53, 10.1007/978-981-97-5272-0_4 | |
| 1001. | Edson D. Hernández‐Velázquez, Angelica J. Granados‐López, Jesús Adrián López, César R. Solorio‐Alvarado, Multidrug Resistance Reversed by Maleimide Interactions. A Biological and Synthetic Overview for an Emerging Field, 2024, 1439-4227, 10.1002/cbic.202400640 | |
| 1002. | Qipeng Cheng, Yanchu Cheung, Chen Xu, Edward Wai Chi Chan, Kin Fai Chan, Sheng Chen, Overall mutational scanning unveils the essential active residues for the mechanistic action of MCR-1, 2024, 09445013, 127982, 10.1016/j.micres.2024.127982 | |
| 1003. | Rajendra Singh, Keugtae Kim, Environmental occurrence of antibiotic resistance, control measures and challenges in finding therapeutic management, 2024, 24056650, 100440, 10.1016/j.emcon.2024.100440 | |
| 1004. | Sindhuprava Rana, Vibhor Joshi, Ganesh Chandra Sahoo, Maneesh Kumar, Krishna Pandey, 2024, Chapter 2, 978-981-97-5271-3, 25, 10.1007/978-981-97-5272-0_2 | |
| 1005. | Adeleke Kazeem Atunnise, Ibukun Temitope Sossou, Peace Sekani Peters, Solomon Damilare Ajayi, Dumebi Anthony Elechukwu, TiOluwani Bamdele Salau, Olusegun Lateef Adebayo, Bamidele Adewale Salau, Bioactive compounds from fermented Vernonia amygdalina leaf: Potent antibiotics against multidrug-resistant Escherichia coli and Salmonella typhi, 2024, 12, 2193-9616, 10.1007/s40203-024-00277-2 | |
| 1006. | Vishal Bhojyawal, Mansi Kesarwani, Sweety Gupta, 2024, Chapter 12, 978-981-97-5271-3, 261, 10.1007/978-981-97-5272-0_12 | |
| 1007. | Masoomeh Naseri, Ali Niazi, Kowsar Bagherzadeh, Atisa Yazdanipour, Simultaneous Voltammetric Determination of Kanamycin and Ampicillin Using an Ultrasensitive Electrochemical Nanosensor with Partial Least Squares (PLS) and Orthogonal Signal Correction (OSC-PLS), 2024, 0003-2719, 1, 10.1080/00032719.2024.2430482 | |
| 1008. | Jin Wook Oh, Min Kyoung Shin, Hye-Ran Park, Sejun Kim, Byungjo Lee, Jung Sun Yoo, Won-Jae Chi, Jung-Suk Sung, PA-Win2: In Silico-Based Discovery of a Novel Peptide with Dual Antibacterial and Anti-Biofilm Activity, 2024, 13, 2079-6382, 1113, 10.3390/antibiotics13121113 | |
| 1009. | Aditya Kumar Pal, Dipankar Ghorai, Xueliang Ge, Biplab Sarkar, Amit Kumar Sahu, Vikas Chaudhary, Ruchi Jhawar, Suparna Sanyal, Mahavir Singh, Anirban Ghosh, Second messenger c-di-AMP regulates multiple antibiotic sensitivity pathways in Mycobacterium smegmatis by discrete mechanisms, 2024, 371, 1574-6968, 10.1093/femsle/fnae084 | |
| 1010. | Sathish Kumar Konidala, Podila Naresh, Risy Namratha Jamullamudi, Kamma Harsha Sri, Richie Rashmin Bhandare, Afzal Basha Shaik, 2025, 9781394249169, 403, 10.1002/9781394249190.ch18 | |
| 1011. | Mohammad Kashif, Mirza Sarwar Baig, Naidu Subbarao, 2025, 9780443222221, 21, 10.1016/B978-0-443-22222-1.00004-0 | |
| 1012. | Chabula M. Stephen, Nwamaka H. Igbokwe, Abel O. Idowu, Chijioke E. Ezeobiora, Bioactivity of the ethanol extracts of Flabellaria paniculata, Rhapiostylis beninensis roots and Khaya ivorensis Bark Against Multidrug-Resistance Bacteria, 2024, 58, 0331-670X, 268, 10.51412/psnnjp.2024.25 | |
| 1013. | Arti Kapil, Priyanka Sharma, Punit Kaur, 2025, 9780443222221, 3, 10.1016/B978-0-443-22222-1.00006-4 | |
| 1014. | Joanna Ciol Harrison, Grace V. Morgan, Aditya Kuppravalli, Nicole Novak, Michael Farrell, Sienna Bircher, Emily Garner, Nicholas J. Ashbolt, Amy Pruden, Rebecca L. Muenich, Treavor H. Boyer, Clinton Williams, Warish Ahmed, Rasha Maal-Bared, Kerry A. Hamilton, Determinants of antimicrobial resistance in biosolids: A systematic review, database, and meta-analysis, 2024, 957, 00489697, 177455, 10.1016/j.scitotenv.2024.177455 | |
| 1015. | Ishani Mishra, Shubham Aggarwal, Pravindra Kumar, 2025, 9780443222221, 429, 10.1016/B978-0-443-22222-1.00003-9 | |
| 1016. | Sahithya Selvakumar, Shubhi Singh, Priya Swaminathan, Resensitization of Multi Drug-Resistant Aeromonas caviae with Exogenous Hydrogen Sulfide Potentiated Antibiotics, 2025, 82, 0343-8651, 10.1007/s00284-024-03985-2 | |
| 1017. | Chia-Chen Pi, Yu-Chieh Cheng, Chun-Chia Chen, Jai-Wei Lee, Chao-Nan Lin, Ming-Tang Chiou, Hui-Wen Chen, Chiu-Hsia Chiu, Synergistic fermentation of Cordyceps militaris and herbal substrates boosts grower pig antioxidant and immune function, 2024, 20, 1746-6148, 10.1186/s12917-024-04338-8 | |
| 1018. | Praveen Kumar Gaur, Shobhit Kumar, Nanocarrier-Mediated Dermal Drug Delivery System of Antimicrobial Agents for Targeting Skin and Soft Tissue Infections, 2024, 1540-658X, 10.1089/adt.2024.060 | |
| 1019. | Harith K. Buniya, Nuha A. Mohammed, Dhyauldeen Aftan Al-Hayani, Antibiotic Resistance Genes Detection in Several Local Cyanobacteria Isolates, 2024, 24, 2300-7575, 568, 10.3390/limnolrev24040033 | |
| 1020. | Yifei Wang, John T. Kalyvas, Jack D. Evans, Luis Toronjo-Urquiza, John R. Horsley, Andrew D. Abell, Expanding the therapeutic window of gramicidin S towards a safe and effective systemic treatment of methicillin-resistant S. aureus infections, 2025, 283, 02235234, 117128, 10.1016/j.ejmech.2024.117128 | |
| 1021. | Youcef Bagdad, Maria Miteva, Recent Applications of Artificial Intelligence in Discovery of New Antibacterial Agents, 2024, Volume 17, 1178-6949, 139, 10.2147/AABC.S484321 | |
| 1022. | Karem Ibrahem, Wafaa Alhazmi, Hanouf A. Niyazi, Hatoon A. Niyazi, Bandar Saleh, Tariq Ekhmimi, Jawahir A. Mokhtar, Dalya Attallah, Mohammed Bazuhair, Khalil Alkuwaity, Ahmad Sait, Mohammed Mufrrih, Mazen Ismail, Yousef Almoghrabi, Hussam Daghistani, Ohood Alharbi, Hisham Altayb, Abdelbagi Alfadil, An In vitro Investigation of the Potential Synergistic Effect of 3-Hydrazinoquinoxaline-2-Thiol and Thymoquinone’s against Methicillin Resistant Staphylococcus aureus (MRSA), 2024, 18, 09737510, 2837, 10.22207/JPAM.18.4.55 | |
| 1023. | Kruthika Perumal, Priyamvadha Ramadorai, Priyadarshini Shanmugam, Lavanya Mohanam, Prevalence of Class I Integrons among Multidrug-resistant Gram-negative Bacterial Isolates from Tertiary Care Hospital, South India, 2024, 18, 09737510, 2758, 10.22207/JPAM.18.4.48 | |
| 1024. | Hanan Raheem Hassooni, Raghad Ibrahim Ahmed, Zainab M. Alzubaidy, Adil Hassan Alhusseiny, Isolation and Molecular Identification of Acinetobacter baumannii From Urinary Tract Infection in Diyala Province, Iraq, 2024, 18, 1735-8612, 200, 10.30699/ijmm.18.3.200 | |
| 1025. | Eberechi Phoebe Nnah, Jonathan Asante, Daniel Gyamfi Amoako, Akebe Luther King Abia, Sabiha Y. Essack, Antibiotic-resistant Escherichia coli (E. coli) at one health interfaces in Africa: A scoping review, 2025, 958, 00489697, 177580, 10.1016/j.scitotenv.2024.177580 | |
| 1026. | Bridget A.B. Henson, Fucong Li, José Ausencio Álvarez-Huerta, Poornima G. Wedamulla, Arianna Valdes Palacios, Max R.M. Scott, David Thiam En Lim, W.M. Hayden Scott, Monica T.L. Villanueva, Emily Ye, Suzana K. Straus, Novel active Trp- and Arg-rich antimicrobial peptides with high solubility and low red blood cell toxicity designed using machine learning tools, 2024, 09248579, 107399, 10.1016/j.ijantimicag.2024.107399 | |
| 1027. | Fábio M.S. Costa, M. Lúcia M.F.S. Saraiva, Marieta L.C. Passos, Novel fluoroquinolone-based organic salts: Pioneering solutions in targeting bacterial DNA gyrase, 2025, 417, 01677322, 126654, 10.1016/j.molliq.2024.126654 | |
| 1028. | Lucinéia Gainski Danielski, Tanya Richards, Victoria Zhang, Jaqueline S. Generoso, Felipe Dal-Pizzol, Tatiana Barichello, Rodrigo Hasbun, 2025, 9780443191305, 115, 10.1016/B978-0-443-19130-5.00007-1 | |
| 1029. | Anindita Behera, 2025, 9780443158971, 557, 10.1016/B978-0-443-15897-1.00031-5 | |
| 1030. | Ruchi Yadav, Ekta Thakor, Bhumika Patel, 2024, 9780128096338, 10.1016/B978-0-323-95502-7.00271-2 | |
| 1031. | Bofan Jia, Yang Zhao, Sirong Zhang, Jianchao Deng, Shengjun Chen, Chunsheng Li, Hui Huang, Yiqin Deng, Liwen Xu, Bo Qi, Xiao Hu, Yongqiang Zhao, Laihao Li, Sofia Priyadarsani Das, In Vitro Antibacterial and Postantibiotic Effects of Enrofloxacin Combined With Sulfamonomethoxine Against Pathogenic Bacteria of Yellow Catfish (Pelteobagrus fulvidraco), 2024, 2024, 1355-557X, 10.1155/are/9955725 | |
| 1032. | Pratiksing Rajput, Kazi S. Nahar, Khondaker Miraz Rahman, Evaluation of Antibiotic Resistance Mechanisms in Gram-Positive Bacteria, 2024, 13, 2079-6382, 1197, 10.3390/antibiotics13121197 | |
| 1033. | Diptikanta Acharya, Sagarika Satapathy, Sandhyarani Patra, Goutam Jha, Somanath Sahoo, T. Gayatri, 2024, Chapter 10, 978-981-97-9633-5, 235, 10.1007/978-981-97-9634-2_10 | |
| 1034. | Job Mwale, Edwin O. Magomere, Brian Maina, Leon Otieno, Frank G. Onyambu, Ali Kassim, Lucy Muchiri, Phenotypic and genetic extended spectrum beta lactamase profiles of bacterial isolates from ICU in tertiary level hospital in Kenya, 2024, 12, 2046-1402, 469, 10.12688/f1000research.133298.2 | |
| 1035. | Asmaa Abd Elhaleem, Sawsan A. Fouad, Sadia A. Hessein, Nadia A. M. Shmiess, Ghada E. Ahmed, Synthesis and antimicrobial evaluation of some novel heterocyclic compounds based on azo chromene moiety, 2024, 1735-207X, 10.1007/s13738-024-03138-z | |
| 1036. | Zina Alfahl, Alexandra Chueiri, Shaunagh Carolan, Gabriel Darcy, Nadia Hussain, Niamh Cahill, Louise O’Connor, Antimicrobial resistance detection methods in water environments: a scoping review, 2024, 1, 2755-1970, 10.1093/sumbio/qvae034 | |
| 1037. | Mohamed M. Elsebaei, Hany G. Ezzat, Ahmed M. Helal, Mohamed H. El-Shershaby, Mohammed S. Abdulrahman, Moaz Alsedawy., Ahmed K. B. Aljohani, Mohammed Almaghrabi, Marwa Alsulaimany, Basmah Almohaywi, Read Alghamdi, Samar F. Miski, Arafa Musa, Hany E. A. Ahmed, Rational design and synthesis of novel phenyltriazole derivatives targeting MRSA cell wall biosynthesis, 2024, 14, 2046-2069, 39977, 10.1039/D4RA07367C | |
| 1038. | Annalisa Buonanno, Maria Michela Salvatore, Antonia Feola, Antonietta Siciliano, Rosa Bellavita, Lorenzo Emiliano Imbò, Marco Guida, Anna Andolfi, Rosario Nicoletti, Angela Maione, Annarita Falanga, Emilia Galdiero, Sphaeropsidin A Loaded in Liposomes to Reduce Its Cytotoxicity and Preserve Antifungal Activity Against Candida auris, 2024, 29, 1420-3049, 5949, 10.3390/molecules29245949 | |
| 1039. | Priscilla Ramos Freitas, Ana Carolina Justino de Araújo, Isaac Moura Araújo, Ray Silva Almeida, João Arthur de Oliveira Borges, Clara Mariana Gonçalves Lima, Cícera Datiane Morais Oliveira-Tintino, Cícera Laura Roque Paulo, Gustavo Marinho Miranda, José Bezerra de Araújo-Neto, José Weverton Almeida-Bezerra, Igor José dos Santos Nascimento, João Xavier de Araújo-Júnior, Edeildo Ferreira da Silva-Júnior, Thiago Mendonça de Aquino, Francisco Jaime Bezerra Mendonca Junior, Emmanuel Silva Marinho, Hélcio Silva dos Santos, Irwin Rose Alencar de Menezes, Saulo Relison Tintino, Henrique Douglas Melo Coutinho, Evaluating Efflux Pump Inhibition in Staphylococcus aureus 1199B Strain Using Thiadiazine-Derived Compounds: In Vitro and In Silico Approaches, 2024, 03009084, 10.1016/j.biochi.2024.12.009 | |
| 1040. | Jessica Master, Shekiel Sydney, Harsha Rajapaske, Malek Saffiddine, Vikiana Reyes, Richard W. Denton, A Facile Synthesis of Some Bioactive Isoxazoline Dicarboxylic Acids via Microwave-Assisted 1,3-Dipolar Cycloaddition Reaction, 2024, 5, 2624-781X, 1080, 10.3390/reactions5040057 | |
| 1041. | Ioannis Baltas, Timothy Miles Rawson, Hamish Houston, Louis Grandjean, Gabriele Pollara, Antimicrobial resistance–attributable mortality: a patient-level analysis, 2024, 6, 2632-1823, 10.1093/jacamr/dlae202 | |
| 1042. | Gallus P. Haule, Juma M. Hussein, Fulgence N. Mpenda, Occurrence and antimicrobial susceptibility of Enterobacteriaceae from public transport in Dar es Salaam, Tanzania., 2024, 5, 2706-9915, 36, 10.47419/bjbabs.v5i01.265 | |
| 1043. | Ruwani K. Suraweera, Kirsten M. Spann, Timothy J. Wells, Nazrul Islam, Inhaled combined antibacterials against biofilm-forming antibiotic-resistant bacteria for the management of pulmonary bacterial infections, 2024, 17732247, 106555, 10.1016/j.jddst.2024.106555 | |
| 1044. | Daniel Geleta, Gemeda Abebe, Tsion Tilahun, Alemseged Abdissa, Adane Mihret, Raffaele Joseph Cataldo, Netsanet Workneh, Abel Abera Negash, Getenet Beyene, Molecular and clinical insights into extended-spectrum β-lactamase genes of Klebsiella pneumoniae isolated from neonatal sepsis in Ethiopia, 2024, 24, 1471-2334, 10.1186/s12879-024-10344-w | |
| 1045. | Samta Manori, Avinash Gangal, Aakanksha Jain Kaushik, Vishwajeet Bachhar, Vibha Joshi, Manisha Duseja, Ramesh Chandra, Ravi Kumar Shukla, Radical-mediated photocatalytic dye degradation and antimicrobial properties of La2NiMnO6 nanoparticles, 2025, 1144-0546, 10.1039/D4NJ04437A | |
| 1046. | Jhoana P. Romero-Leiton, Alissen Peterson, Pablo Aguirre, Kamal Acharya, Bouchra Nasri, Assessing the impact of mutations and horizontal gene transfer on the antimicrobial resistance and its control: a mathematical model, 2025, 44, 2238-3603, 10.1007/s40314-024-03043-4 | |
| 1047. | Sara García-Vela, Aurore Cournoyer, Zain Sánchez-Reinoso, Laurent Bazinet, Antimicrobial Peptides from Porcine Blood Cruor Hydrolysates as a Promising Source of Antifungal Activity, 2024, 14, 2304-8158, 8, 10.3390/foods14010008 | |
| 1048. | Deepali Desai, Rabindra Nath Misra, Nageswari R Gandham, Nikunja Kumar Das, Sahjid Mukhida, Shahzad Mirza, First Report of Virulence Factors in Carbapenem-resistant Klebsiella pneumoniae from Maharashtra, India, 2024, 19, 0974-3901, 729, 10.4103/jdmimsu.jdmimsu_374_24 | |
| 1049. | O. M. Aladejana, A. O. Ogunlade, O. A. Thonda, G. Obi, Plasmid Profile and Curing of Multiple Antibiotic Resistant Escherichia coli Isolated from Straw Colored Fruit Bats (Eidolon helvum ), 2024, 2756-4045, 5038, 10.48198/NJPAS/24.A10 | |
| 1050. | Vaida Damulienė, Vilma Kaškonienė, Paulius Kaškonas, Rūta Mickienė, Audrius Maruška, Improved Antibacterial Properties of Fermented and Enzymatically Hydrolyzed Bee Pollen and Its Combined Effect with Antibiotics, 2024, 18, 1424-8247, 15, 10.3390/ph18010015 | |
| 1051. | Linh Doan, Nam N. Lam, Khoa Tran, Khanh G. Huynh, Fruit derived silver nanoparticles synthesis for beginners – a review, 2025, 11, 2055-0324, 20, 10.1080/20550324.2024.2442270 | |
| 1052. | Salwa A. Elsharabasy, Mariam T. Sayed, Anhar Abdel-Aziem, Novel coumarin linked pyrazoles, thiazoles, and thiadiazoles: synthetic strategies and in vitro antimicrobial investigation, 2024, 1756-8919, 1, 10.1080/17568919.2024.2444867 | |
| 1053. | Vimarishi Koul, Akshi Sharma, Diksha Kumari, Vishwani Jamwal, Tashi Palmo, Kuljit Singh, Breaking the resistance: integrative approaches with novel therapeutics against Klebsiella pneumoniae, 2025, 207, 0302-8933, 10.1007/s00203-024-04205-y | |
| 1054. | Daohong Zhang, Deepak Kukkar, Poornima Bhatt, Ki-Hyun Kim, Kamalpreet Kaur, Jianlong Wang, Novel nanomaterials-based combating strategies against drug-resistant bacteria, 2024, 09277765, 114478, 10.1016/j.colsurfb.2024.114478 | |
| 1055. | Eman Abdelsalam, Amal Mosad Ibrahim, Ahmed A. El-Rashedy, Mohamed S. Abdel-Aziz, Omnia Kutkat, Faten K. Abd EL-Hady, Combating COVID-19 and its co-infection by Aspergillus tamarii SP73-EGY using in vitro and in silico Studies, 2025, 15, 2045-2322, 10.1038/s41598-024-77854-0 | |
| 1056. | Janki Ruparelia, Aniruddh Rabari, Chaitanya Kumar Jha, R. Z. Sayyed, 2024, Chapter 12, 978-3-031-75844-7, 273, 10.1007/978-3-031-75845-4_12 | |
| 1057. | S. Amrutha, Paramita Das, Anjali Nayak, Supratip Laha, Sharmina Begum, Sakshi Bhardwaj, Synthesis and anti-microbial evaluation with in silico studies of novel 2-aminothiazole benzohydrazide derivatives, 2025, 11, 2314-7253, 10.1186/s43094-024-00759-2 | |
| 1058. | Thiago Hideo Endo, Mariana Homem de Mello Santos, Sara Scandorieiro, Bruna Carolina Gonçalves, Eliana Carolina Vespero, Márcia Regina Eches Perugini, Wander Rogério Pavanelli, Gerson Nakazato, Renata Katsuko Takayama Kobayashi, Selective Serotonin Reuptake Inhibitors: Antimicrobial Activity Against ESKAPEE Bacteria and Mechanisms of Action, 2025, 14, 2079-6382, 51, 10.3390/antibiotics14010051 | |
| 1059. | Urvashi Kesarwani, Ashutosh Kumar Dubey, Antibacterial efficacy of bone mimicking-hydroxyapatite nanoplates with varying morphology, 2025, 13877003, 113918, 10.1016/j.inoche.2025.113918 | |
| 1060. | Hamed Tahmasebi, Neda Arjmand, Marzieh Monemi, Ali Babaeizad, Farnaz Alibabaei, Negar Alibabaei, Aisa Bahar, Valentyn Oksenych, Majid Eslami, From Cure to Crisis: Understanding the Evolution of Antibiotic-Resistant Bacteria in Human Microbiota, 2025, 15, 2218-273X, 93, 10.3390/biom15010093 | |
| 1061. | Monica-Cornelia Sardaru, Irina Rosca, Simona Morariu, Elena-Laura Ursu, Alexandru Rotaru, Synergistic Antibacterial Action of Norfloxacin-Encapsulated G4 Hydrogels: The Role of Boronic Acid and Cyclodextrin, 2025, 11, 2310-2861, 35, 10.3390/gels11010035 | |
| 1062. | Paula Cortés, Ekaterina Pokrant, Karina Yévenes, Aldo Maddaleno, Andrés Flores, María Belén Vargas, Lina Trincado, Matías Maturana, Lisette Lapierre, Javiera Cornejo, Antimicrobial Residues in Poultry Litter: Assessing the Association of Antimicrobial Persistence with Resistant Escherichia coli Strains, 2025, 14, 2079-6382, 89, 10.3390/antibiotics14010089 | |
| 1063. | Akash Mishra, Anupam Jyoti, Krishna Aayush, Juhi Saxena, Kanika Sharma, Harnessing Nanoparticles to Overcome Antimicrobial Resistance: Promises and Challenges, 2025, 31, 13816128, 292, 10.2174/0113816128326718240809091654 | |
| 1064. | Sharifa Ezat WP, M Norhidayah, Muhammad Nur Amir AR, Factors associated with multidrug-resistant organism (MDRO) mortality: an analysis from the national surveillance of multidrug-resistant organism, 2018-2022, 2025, 25, 1471-2334, 10.1186/s12879-024-10338-8 | |
| 1065. | Seomin Kang, Jeong-Eun Han, Young-Sik Choi, In-Chul Jeong, Jin-Woo Bae, Isolation and characterization of a novel lytic phage K14-2 infecting diverse species of the genus Klebsiella and Raoultella, 2025, 15, 1664-302X, 10.3389/fmicb.2024.1491516 | |
| 1066. | Emira D’Amico, Gitana Maria Aceto, Morena Petrini, Chiara Cinquini, Simonetta D’Ercole, Giovanna Iezzi, Tania Vanessa Pierfelice, How Will Nanomedicine Revolutionize Future Dentistry and Periodontal Therapy?, 2025, 26, 1422-0067, 592, 10.3390/ijms26020592 | |
| 1067. | Claire Julie Akwongo, Luca Borrelli, Kurt Houf, Alessandro Fioretti, Maria Francesca Peruzy, Nicoletta Murru, Antimicrobial resistance in wild game mammals: a glimpse into the contamination of wild habitats in a systematic review and meta-analysis, 2025, 21, 1746-6148, 10.1186/s12917-024-04462-5 | |
| 1068. | Arunima Singh, Yogesh Kumar Vishwakarma, Neelmani Bhardwaj, R. S. Singh, 2024, Chapter 15, 978-981-97-8738-8, 293, 10.1007/978-981-97-8739-5_15 | |
| 1069. | Caglar Ersanli, Ioannis Skoufos, Konstantina Fotou, Athina Tzora, Yves Bayon, Despoina Mari, Eleftheria Sarafi, Konstantina Nikolaou, Dimitrios I. Zeugolis, Release Profile and Antibacterial Activity of Thymus sibthorpii Essential Oil-Incorporated, Optimally Stabilized Type I Collagen Hydrogels, 2025, 12, 2306-5354, 89, 10.3390/bioengineering12010089 | |
| 1070. | Medarametla Venkatesh, Chappidi Hazarathaiah Yadav, Mavallur Varalakshmi, Substituted-1,3,4-oxadiazole Indole Derivatives: Design, Synthesis, Characterization, and Evaluation of the Antimicrobial and Anti-Inflammatory Activities, 2024, 60, 1070-4280, 2276, 10.1134/S1070428024110162 | |
| 1071. | Esteban Zavaleta-Monestel, Carolina Rojas-Chinchilla, Jeimy Campos-Hernández, Ernesto Martínez-Vargas, Utility of Artificial Intelligence in Antibiotic Development: Accelerating Discovery in the Age of Resistance, 2025, 2168-8184, 10.7759/cureus.78296 | |
| 1072. | Renata Morales-Márquez, Lucía Delgadillo-Ruiz, Alfredo Esparza-Orozco, Eladio Delgadillo-Ruiz, Rómulo Bañuelos-Valenzuela, Benjamín Valladares-Carranza, María Isabel Chávez-Ruvalcaba, Francisca Chávez-Ruvalcaba, Héctor Emmanuel Valtierra-Marín, Norma Angélica Gaytán-Saldaña, Marisa Mercado-Reyes, Luz Adriana Arias-Hernández, Evaluation of Larrea tridentata Extracts and Their Antimicrobial Effects on Strains of Clinical Interest, 2025, 26, 1422-0067, 1032, 10.3390/ijms26031032 | |
| 1073. | Yingpeng Li, Gongshi Lin, Theerakamol Pengsakul, Qingpi Yan, Lixing Huang, Antibiotic Resistance in Vibrio parahaemolyticus: Mechanisms, Dissemination, and Global Public Health Challenges—A Comprehensive Review, 2025, 17, 1753-5123, 10.1111/raq.13010 | |
| 1074. | Aiswarya M. Rajesh, Shraddha Subhash Pawar, Kruthi Doriya, Rambabu Dandela, Combating antibiotic resistance: mechanisms, challenges, and innovative approaches in antibacterial drug development, 2025, 10.37349/eds.2025.100887 | |
| 1075. | 2022, 10.12794/metadc1985530 | |
| 1076. | M. Sooraj, E. Manoj, Structural, spectral and theoretical features of mono and di-substituted novel hydrazones: In vitro antibacterial and anticancer implications, 2025, 00222860, 141664, 10.1016/j.molstruc.2025.141664 | |
| 1077. | Artemijs Sceglovs, Ingus Skadins, Marco Chitto, Juta Kroica, Kristine Salma-Ancane, Failure or future? Exploring alternative antibacterials: a comparative analysis of antibiotics and naturally derived biopolymers, 2025, 16, 1664-302X, 10.3389/fmicb.2025.1526250 | |
| 1078. | Bowon Jung, Eun Jin Heo, Dieu Linh Nguyen, Ui Joung Youn, Ki Hyun Kim, Boram Son, Seulah Lee, Antimicrobial Steroids from Poisonous Mushroom Gymnopilus orientispectabilis and Their Molecular Docking Studies, 2025, 12, 2297-8739, 23, 10.3390/separations12020023 | |
| 1079. | Neha Yadav, Santosh K. Misra, Nitroaromatic Compounds Dictate Electrochemical Properties of Escherichia coli by Manipulating the Cellular Membrane, 2025, 1543-8384, 10.1021/acs.molpharmaceut.4c01537 | |
| 1080. | Sabine Berteina-Raboin, Comprehensive Overview of Antibacterial Drugs and Natural Antibacterial Compounds Found in Food Plants, 2025, 14, 2079-6382, 185, 10.3390/antibiotics14020185 | |
| 1081. | Frank V. Pellegrini, Emily A. Caflisch, Nicole A. Aulik, Verification of the Efficacy of the GTLS Antibiotic Cocktail on Frozen Bovine Semen, 2025, 00220302, 10.3168/jds.2024-25535 | |
| 1082. | Lee Xianhao Song, Mechanisms of antimicrobial resistance, 2024, 123, 2791-0210, 734, 10.54097/a5hezm47 | |
| 1083. | Subash Chandra Nayak, P. Bhagya Latha, Bharath Kandanattu, Unni Pympallil, Ankit Kumar, Harish Kumar Banga, The Oral Microbiome and Systemic Health: Bridging the Gap Between Dentistry and Medicine, 2025, 2168-8184, 10.7759/cureus.78918 | |
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Figures(3) / Tables(4)
Wanda C Reygaert. An overview of the antimicrobial resistance mechanisms of bacteria[J]. AIMS Microbiology, 2018, 4(3): 482-501. doi: 10.3934/microbiol.2018.3.482
| Mechanism of Action | Antimicrobial Groups |
| Inhibit Cell Wall Synthesis | β-Lactams |
| Carbapenems | |
| Cephalosporins | |
| Monobactams | |
| Penicillins | |
| Glycopeptides | |
| Depolarize Cell Membrane | Lipopeptides |
| Inhibit Protein Synthesis | Bind to 30S Ribosomal Subunit |
| Aminoglycosides | |
| Tetracyclines | |
| Bind to 50S Ribosomal Subunit | |
| Chloramphenicol | |
| Lincosamides | |
| Macrolides | |
| Oxazolidinones | |
| Streptogramins | |
| Inhibit Nucleic Acid Synthesis | Quinolones |
| Fluoroquinolones | |
| Inhibit Metabolic Pathways | Sulfonamides |
| Trimethoprim |
DownLoad: CSV| Organism | Intrinsic resistance |
| Bacteroides (anaerobes) | aminoglycosides, many β-lactams, quinolones |
| All gram positives | aztreonam |
| Enterococci | aminoglycosides, cephalosporins, lincosamides |
| Listeria monocytogenes | cephalosporins |
| All gram negatives | glycopeptides, lipopeptides |
| Escherichia coli | macrolides |
| Klebsiella spp. | ampicillin |
| Serratia marcescens | macrolides |
| Pseudomonas aeruginosa | sulfonamides, ampicillin, 1st and 2nd generation cephalosporins, chloramphenicol, tetracycline |
| Stenotrophomonas maltophilia | aminoglycosides, β-lactams, carbapenems, quinolones |
| Acinetobacter spp. | ampicillin, glycopeptides |
DownLoad: CSV| Drug | Drug Uptake Limitation | Drug Target Modification | Drug Inactivation | Efflux Pumps |
| β-Lactams | Decreased numbers of porins, no outer cell wall | Gram pos—alterations in PBPs | Gram pos, gram neg—β-lactamases | RND |
| Carbapenems | Changed selectivity of porin | |||
| Cephalosporins | Changed selectivity of porin | |||
| Monobactams | ||||
| Penicillins | ||||
| Glycopeptides | Thickened cell wall, no outer cell wall | Modified peptidoglycan | ||
| Lipopeptides | Modified net cell surface charge | |||
| Aminoglycosides | Cell wall polarity | Ribosomal mutation, methylation | Aminoglycoside modifying enzymes, acetylation, phosphorylation, adenylation | RND |
| Tetracyclines | Decreased numbers of porins | Ribosomal protection | Antibiotic modification, oxidation | MFS, RND |
| Chloramphenicol | Ribosomal methylation | Acetylation of drug | MFS, RND | |
| Lincosamides | Gram pos—ribosomal methylation | ABC, RND | ||
| Macrolides | Ribosomal mutation, methylation | ABC, MFS, RND | ||
| Oxazolidinones | Ribosomal methylation | RND | ||
| Streptogramins | ABC | |||
| Fluoroquinolones | Gram neg—DNA gyrase modification | Acetylation of drug | MATE, MFS, RND | |
| Gram pos—topoisomerase IV | ||||
| Sulfonamides | DHPS reduced binding, overproduction of resistant DHPS | RND | ||
| Trimethoprim | DHFR reduced binding, overproduction of DHFR | RND | ||
| ABC—ATP binding cassette family, DHFR—dihydrofolate reductase, DHPS—dihydropteroate synthase, MATE—multidrug and toxic compound extrusion family, MFS—major facilitator superfamily, PBP—penicillin-binding protein, RND—resistance-nodulation-cell division family. | ||||
DownLoad: CSV| Resistance Mechanism | Antimicrobial Agents |
| Limiting Drug Uptake | Glycopeptides |
| Modification of Drug Target | β-lactams |
| Glycopeptides | |
| Lipopeptides | |
| Aminoglycosides | |
| Tetracyclines | |
| Macrolides | |
| Lincosamides | |
| Oxazolidinones | |
| Streptogramins | |
| Fluoroquinolones | |
| Metabolic Pathway Inhibitors | |
| Inactivation of Drug | β-lactams |
| Chloramphenicol | |
| Active Drug Efflux | Tetracyclines |
| Fluoroquinolones |
DownLoad: CSV| Mechanism of Action | Antimicrobial Groups |
| Inhibit Cell Wall Synthesis | β-Lactams |
| Carbapenems | |
| Cephalosporins | |
| Monobactams | |
| Penicillins | |
| Glycopeptides | |
| Depolarize Cell Membrane | Lipopeptides |
| Inhibit Protein Synthesis | Bind to 30S Ribosomal Subunit |
| Aminoglycosides | |
| Tetracyclines | |
| Bind to 50S Ribosomal Subunit | |
| Chloramphenicol | |
| Lincosamides | |
| Macrolides | |
| Oxazolidinones | |
| Streptogramins | |
| Inhibit Nucleic Acid Synthesis | Quinolones |
| Fluoroquinolones | |
| Inhibit Metabolic Pathways | Sulfonamides |
| Trimethoprim |
| Organism | Intrinsic resistance |
| Bacteroides (anaerobes) | aminoglycosides, many β-lactams, quinolones |
| All gram positives | aztreonam |
| Enterococci | aminoglycosides, cephalosporins, lincosamides |
| Listeria monocytogenes | cephalosporins |
| All gram negatives | glycopeptides, lipopeptides |
| Escherichia coli | macrolides |
| Klebsiella spp. | ampicillin |
| Serratia marcescens | macrolides |
| Pseudomonas aeruginosa | sulfonamides, ampicillin, 1st and 2nd generation cephalosporins, chloramphenicol, tetracycline |
| Stenotrophomonas maltophilia | aminoglycosides, β-lactams, carbapenems, quinolones |
| Acinetobacter spp. | ampicillin, glycopeptides |
| Drug | Drug Uptake Limitation | Drug Target Modification | Drug Inactivation | Efflux Pumps |
| β-Lactams | Decreased numbers of porins, no outer cell wall | Gram pos—alterations in PBPs | Gram pos, gram neg—β-lactamases | RND |
| Carbapenems | Changed selectivity of porin | |||
| Cephalosporins | Changed selectivity of porin | |||
| Monobactams | ||||
| Penicillins | ||||
| Glycopeptides | Thickened cell wall, no outer cell wall | Modified peptidoglycan | ||
| Lipopeptides | Modified net cell surface charge | |||
| Aminoglycosides | Cell wall polarity | Ribosomal mutation, methylation | Aminoglycoside modifying enzymes, acetylation, phosphorylation, adenylation | RND |
| Tetracyclines | Decreased numbers of porins | Ribosomal protection | Antibiotic modification, oxidation | MFS, RND |
| Chloramphenicol | Ribosomal methylation | Acetylation of drug | MFS, RND | |
| Lincosamides | Gram pos—ribosomal methylation | ABC, RND | ||
| Macrolides | Ribosomal mutation, methylation | ABC, MFS, RND | ||
| Oxazolidinones | Ribosomal methylation | RND | ||
| Streptogramins | ABC | |||
| Fluoroquinolones | Gram neg—DNA gyrase modification | Acetylation of drug | MATE, MFS, RND | |
| Gram pos—topoisomerase IV | ||||
| Sulfonamides | DHPS reduced binding, overproduction of resistant DHPS | RND | ||
| Trimethoprim | DHFR reduced binding, overproduction of DHFR | RND | ||
| ABC—ATP binding cassette family, DHFR—dihydrofolate reductase, DHPS—dihydropteroate synthase, MATE—multidrug and toxic compound extrusion family, MFS—major facilitator superfamily, PBP—penicillin-binding protein, RND—resistance-nodulation-cell division family. | ||||
| Resistance Mechanism | Antimicrobial Agents |
| Limiting Drug Uptake | Glycopeptides |
| Modification of Drug Target | β-lactams |
| Glycopeptides | |
| Lipopeptides | |
| Aminoglycosides | |
| Tetracyclines | |
| Macrolides | |
| Lincosamides | |
| Oxazolidinones | |
| Streptogramins | |
| Fluoroquinolones | |
| Metabolic Pathway Inhibitors | |
| Inactivation of Drug | β-lactams |
| Chloramphenicol | |
| Active Drug Efflux | Tetracyclines |
| Fluoroquinolones |
