Mechanisms of the resistance and tolerance to beta-lactam and glycopeptide antibiotics in pathogenic gram-positive cocci

Mini Rev Med Chem. 2009 Nov 1;9(13):1527-37. doi: 10.2174/138955709790361557.

Abstract

Beta-lactams are the most frequently used antimicrobials in combating infections. In the case of gram-positive bacteria resistant to beta-lactams, glycopeptides are the first choice. The occurrence, mechanisms and genetic background of the resistance of pathogenic staphylococci, streptococci and enterococci to beta-lactam and glycopeptide antibiotics were discussed. The resistances to well-established antimicrobials, as well as new agents (ceftobiprole, oritavancin, telavancin, dalbavancin) were taken into consideration in the text.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Drug Resistance, Microbial
  • Glycopeptides / pharmacology*
  • Gram-Positive Cocci / drug effects*
  • beta-Lactams / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Glycopeptides
  • beta-Lactams