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Updated: Jul 6, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Abstract:
Extended-spectrum beta-lactamases (ESBLs) are an increasingly important cause of multi-drug resistant infections throughout the world.1,2 Bacteria carrying such enzymes have long been recognised as a cause of healthcare-associated infection.3 However, of concern, the incidence of such organisms also appears to be increasing in the community, typically as a cause of urinary tract infection.1,4 Infections due to ESBL-producing organisms can pose a major threat to life; are often difficult and expensive to treat; and can delay discharge from hospital.5(-)8 Here we discuss the bacteria that produce ESBLs and treatment of patients who are infected with such organisms.
Insights
Extended-spectrum beta-lactamase (ESBL) producing bacteria are a growing global threat, causing difficult-to-treat infections in hospitals and communities. This review discusses these resistant organisms and their treatment strategies.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Extended-spectrum beta-lactamases (ESBLs) are enzymes that confer multi-drug resistance in bacteria.
- ESBL-producing organisms are a significant cause of healthcare-associated infections.
- There is a concerning increase in community-acquired infections, particularly urinary tract infections, caused by ESBL-producing bacteria.
Purpose of the Study:
- To discuss bacteria that produce ESBLs.
- To review the treatment of patients infected with ESBL-producing organisms.
Main Methods:
- Literature review of studies on ESBL-producing bacteria and their treatment.
- Synthesis of current knowledge on the epidemiology and clinical management of ESBL infections.
Main Results:
- ESBL-producing bacteria are an increasing global cause of difficult-to-treat infections.
- These infections pose a major threat to life and increase healthcare costs.
- Treatment of ESBL infections can be challenging and may lead to prolonged hospital stays.
Conclusions:
- ESBL-producing bacteria represent a significant and growing challenge in infectious disease management.
- Effective treatment strategies are crucial for improving patient outcomes and reducing the burden of these infections.
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