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ß-Lactams: chemical structure, mode of action and mechanisms of resistance

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This synopsis summarizes the key chemical and bacteriological characteristics of β-lactams, penicillins, cephalosporins, carbanpenems, monobactams and others. Particular notice is given to first-generation to fifth-generation cephalosporins. This review also summarizes the main resistance mechanism to antibiotics, focusing particular attention to those conferring resistance to broad-spectrum cephalosporins by means of production of emerging cephalosporinases (extended-spectrum β-lactamases and AmpC β-lactamases), target alteration (penicillin-binding proteins from methicillin-resistant Staphylococcus aureus) and membrane transporters that pump β-lactams out of the bacterial cell.

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Fernandes, Rúben; Amador, Paula; Prudêncio, Cristina. ß-Lactams: chemical structure, mode of action and mechanisms of resistance, Reviews in Medical Microbiology, 24, 1, 7-17, 2013.

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Wolters Kluwer Health | Lippincott Williams & Wilkins

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