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Non-inherited antibiotic resistance
Bruce R Levin1, Daniel E Rozen
1Department of Biology, Emory University, Atlanta, Georgia 30307, USA. blevin@emory.edu
Nature Reviews. Microbiology
|June 17, 2006
Summary
Bacteria can develop non-inherited resistance to antibiotics, a phenomenon overlooked compared to genetic resistance. This non-inherited resistance can prolong treatment and lead to treatment failure, potentially promoting genetic antibiotic resistance.
Area of Science:
- Microbiology
- Pharmacology
- Evolutionary Biology
Background:
- Bacteria possess genetically determined antibiotic resistance mechanisms.
- Phenotypic non-inherited resistance to antibiotics is known but understudied.
- This resistance occurs in bacteria inherently susceptible to antibiotics.
Purpose of the Study:
- To review evidence for non-inherited antibiotic resistance.
- To explore the mechanisms behind non-inherited resistance.
- To model the impact of non-inherited resistance on treatment outcomes.
Main Methods:
- Literature review of in vitro and in vivo studies.
- Analysis of different forms and mechanisms of non-inherited resistance.
- Mathematical modeling and computer simulations.
Main Results:
- Non-inherited resistance can prolong antibiotic treatment duration.
- This phenomenon can lead to treatment failure.
- It may promote the emergence of inherited antibiotic resistance.
Conclusions:
- Non-inherited resistance is a significant factor in antibiotic treatment.
- Understanding these mechanisms is crucial for effective therapeutic strategies.
- Further research is needed to address this underappreciated form of resistance.