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Multidrug-resistant bacteria

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17: 59:). These bacteria employ various adaptations to avoid or mitigate the damage done by antimicrobials. With increased access to modern medicine there has been a sharp increase in the amount of antibiotics consumed. Given the abundant use of antibiotics there has been a considerable increase in the evolution of 228:
penetration in cases where antibiotics are ineffective due to the increased resistance of biofilm-forming pathogens. One major drawback to phage therapy is the evolution of phage-resistant microbes which was seen in a majority of phage therapy experiments aimed to treat sepsis and intestinal
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therapy, commonly known as 'phage therapy,' uses bacteria-specific viruses to kill antibiotic resistant bacteria. Phage therapy offers considerably higher specificity as the phage can be engineered to only infect a certain bacteria species. Phage therapy also allows for the possibility of
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Antibiotic inactivation: bacteria create proteins that can prevent damage caused by antibiotics, they can do this in two ways. First, inactivating or modifying the antibiotic so that it can no longer interact with its target. Second, degrading the antibiotic
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Magiorakos, A.-P.; Srinivasan, A.; Carey, R.B.; Carmeli, Y.; Falagas, M.E.; Giske, C.G.; Harbarth, S.; Hindler, J.F.; Kahlmeter, G.; Olsson-Liljequist, B.; Paterson, D.L. (March 2012).
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MDR bacteria employ a plurality of adaptations to overcome the environmental insults caused by antibiotics. Bacteria are capable of sharing these resistance factors in a process called
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infection. Recent studies suggest that development of phage resistance comes as a trade-off for antibiotic resistance and can be used to create antibiotic-sensitive populations.
248:"Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance" 206:
Structural modifications: mutating or modifying global elements of cell to adapt to Antibiotic (Such as increased acid tolerance to an acidic antimicrobial)
289:"Antimicrobial Resistance in Haemophilus influenzae Respiratory Tract Isolates in Korea: Results of a Nationwide Acute Respiratory Infections Surveillance" 345: 568:
Du, Dijun; Wang-Kan, Xuan; Neuberger, Arthur; van Veen, Hendrik W.; Pos, Klaas M.; Piddock, Laura J. V.; Luisi, Ben F. (September 2018).
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Modification of target sites: mutating or modifying elements of the bacteria structure to prevent interaction with the antibiotic.
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Chan, Benjamin K.; Sistrom, Mark; Wertz, John E.; Kortright, Kaitlyn E.; Narayan, Deepak; Turner, Paul E. (July 2016).
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Bae, Songmee; Lee, Jaehoon; Lee, Jaehwa; Kim, Eunah; Lee, Sunhwa; Yu, Jaeyon; Kang, Yeonho (January 2010).
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where resistant bacteria share genetic information that encodes resistance to the naive population.
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drugs. MDR bacteria have seen an increase in prevalence in recent years and pose serious risks to
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Examples of MDR bacteria identified as serious threats to public health include:
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Multidrug efflux pumps: The use of transporter proteins to expel the antibiotic.
749:"Phage selection restores antibiotic sensitivity in MDR Pseudomonas aeruginosa" 468: 585: 812: 780: 715: 653: 593: 536: 476: 394: 357: 312: 220: 141: 113: 44: 40: 644: 798: 733: 671: 601: 554: 484: 412: 330: 273: 16: 346:"Calls to rein in antibiotic use after study shows 65% increase worldwide" 66: 304: 155: 108: 772: 706: 20:
A variety of different bacteria - testing for antimicrobial resistance
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Arnold, Brian J.; Huang, I-Ting; Hanage, William P. (April 2022).
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World Journal of Gastrointestinal Pharmacology and Therapeutics
379:"The antibiotic resistance crisis: part 1: causes and threats" 453:"Horizontal gene transfer and adaptive evolution in bacteria" 570:"Multidrug efflux pumps: structure, function and regulation" 567: 383:
P & T: A Peer-Reviewed Journal for Formulary Management
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factors, now outpacing the development of new antibiotics.
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Examples identified as serious threats to public health
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Lin, Derek M; Koskella, Britt; Lin, Henry C (2017).
210: 450: 810: 511:Munita, Jose M.; Arias, Cesar A. (April 2016). 625: 286: 510: 432:Centers for Disease Control and Prevention 788: 723: 705: 661: 643: 544: 428:"Antibiotic-resistant Germs: New Threats" 402: 320: 263: 687: 183: 15: 376: 811: 343: 683: 681: 513:"Mechanisms of Antibiotic Resistance" 293:Antimicrobial Agents and Chemotherapy 621: 619: 529:10.1128/microbiolspec.VMBF-0016-2015 506: 504: 502: 425: 252:Clinical Microbiology and Infection 13: 678: 14: 850: 616: 499: 211:Alternative antimicrobial methods 265:10.1111/j.1469-0691.2011.03570.x 215: 740: 688:Oechslin, Frank (2018-06-30). 561: 444: 419: 377:Ventola, C. Lee (April 2015). 370: 337: 280: 239: 1: 839:Antibiotic-resistant bacteria 232: 39:to three or more classes of 25:Multidrug-resistant bacteria 7: 574:Nature Reviews Microbiology 457:Nature Reviews Microbiology 10: 855: 469:10.1038/s41579-021-00650-4 344:Sample, Ian (2018-03-26). 177:Mycobacterium tuberculosis 103:Gram-negative MDR bacteria 75:Gram-positive MDR bacteria 586:10.1038/s41579-018-0048-6 190:horizontal gene transfer 96:Streptococcus pneumoniae 82:Clostridioides difficile 61:antimicrobial resistance 645:10.4292/wjgpt.v8.i3.162 149:Pseudomonas aeruginosa 21: 517:Microbiology Spectrum 184:Microbial adaptations 135:Neisseria gonorrhoeae 128:Klebsiella pneumoniae 89:Staphylococcus aureus 19: 305:10.1128/AAC.00966-09 765:2016NatSR...626717C 753:Scientific Reports 426:CDC (2020-10-28). 170:Other MDR bacteria 22: 773:10.1038/srep26717 707:10.3390/v10070351 846: 803: 802: 792: 744: 738: 737: 727: 709: 685: 676: 675: 665: 647: 623: 614: 613: 565: 559: 558: 548: 508: 497: 496: 448: 442: 441: 439: 438: 423: 417: 416: 406: 374: 368: 367: 365: 364: 341: 335: 334: 324: 284: 278: 277: 267: 243: 121:Escherichia coli 854: 853: 849: 848: 847: 845: 844: 843: 809: 808: 807: 806: 745: 741: 686: 679: 624: 617: 566: 562: 509: 500: 449: 445: 436: 434: 424: 420: 375: 371: 362: 360: 342: 338: 285: 281: 244: 240: 235: 218: 213: 186: 69: 12: 11: 5: 852: 842: 841: 836: 831: 826: 821: 805: 804: 739: 677: 638:(3): 162–173. 615: 580:(9): 523–539. 560: 498: 463:(4): 206–218. 443: 418: 389:(4): 277–283. 369: 336: 279: 258:(3): 268–281. 237: 236: 234: 231: 217: 214: 212: 209: 208: 207: 204: 201: 198: 185: 182: 181: 180: 172: 171: 167: 166: 159: 152: 145: 138: 131: 124: 117: 105: 104: 100: 99: 92: 85: 77: 76: 68: 65: 9: 6: 4: 3: 2: 851: 840: 837: 835: 832: 830: 827: 825: 824:Public health 822: 820: 817: 816: 814: 800: 796: 791: 786: 782: 778: 774: 770: 766: 762: 758: 754: 750: 743: 735: 731: 726: 721: 717: 713: 708: 703: 699: 695: 691: 684: 682: 673: 669: 664: 659: 655: 651: 646: 641: 637: 633: 629: 622: 620: 611: 607: 603: 599: 595: 591: 587: 583: 579: 575: 571: 564: 556: 552: 547: 542: 538: 534: 530: 526: 522: 518: 514: 507: 505: 503: 494: 490: 486: 482: 478: 474: 470: 466: 462: 458: 454: 447: 433: 429: 422: 414: 410: 405: 400: 396: 392: 388: 384: 380: 373: 359: 355: 351: 347: 340: 332: 328: 323: 318: 314: 310: 306: 302: 298: 294: 290: 283: 275: 271: 266: 261: 257: 253: 249: 242: 238: 230: 227: 222: 221:Bacteriophage 216:Phage therapy 205: 202: 199: 195: 194: 193: 191: 179: 178: 174: 173: 169: 168: 165: 164: 160: 158: 157: 153: 151: 150: 146: 144: 143: 142:Campylobacter 139: 137: 136: 132: 130: 129: 125: 123: 122: 118: 116: 115: 114:Acinetobacter 110: 107: 106: 102: 101: 98: 97: 93: 91: 90: 86: 84: 83: 79: 78: 74: 73: 72: 64: 62: 58: 55:, and other ( 54: 53:Gram-negative 50: 49:Gram-positive 46: 45:public health 42: 41:antimicrobial 38: 34: 30: 26: 18: 819:Microbiology 759:(1): 26717. 756: 752: 742: 697: 693: 635: 631: 577: 573: 563: 520: 516: 460: 456: 446: 435:. 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Index


bacteria
resistant
antimicrobial
public health
Gram-positive
Gram-negative
acid-stain
antimicrobial resistance
Clostridioides difficile
Staphylococcus aureus
Streptococcus pneumoniae
Carbapenem
Acinetobacter
Escherichia coli
Klebsiella pneumoniae
Neisseria gonorrhoeae
Campylobacter
Pseudomonas aeruginosa
Salmonella
Shigella
Mycobacterium tuberculosis
horizontal gene transfer
Bacteriophage
biofilm
"Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance"
doi
10.1111/j.1469-0691.2011.03570.x
PMID
21793988

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