[Mechanisms of carbapenems resistance in acinetobacter and progress of treatment]
1Intensive Care Unit, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Abstract:
Acinetobacter has been the major pathogen of nosocomial infection. With the wide use of carbapenems, the emergence of multi-resistant isolates especially those resistant to carbapenem, brings a great problem to clinical treatment. The production of inactive enzymes is the main mechanism for antibiotic resistance, particularly the production of carbapenemases mediated by chromosome or plasmid. Combinations of β-lactam antibiotics and sulbactam may show synergism or partial synergism for acinetobacter isolates.
Insights
Acinetobacter causes major hospital infections. Carbapenem resistance in these bacteria is a growing clinical problem, but combinations of beta-lactam antibiotics and sulbactam may help overcome this resistance.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Context:
- Acinetobacter species are significant causes of nosocomial infections.
- The increasing prevalence of carbapenem-resistant Acinetobacter poses a major clinical challenge.
- Antibiotic resistance mechanisms, particularly carbapenemase production, are key concerns.
Purpose:
- To investigate the efficacy of beta-lactam antibiotics combined with sulbactam against Acinetobacter isolates.
- To understand the role of carbapenemase production in Acinetobacter resistance.
Summary:
- Acinetobacter is a primary pathogen in hospital-acquired infections.
- Carbapenem resistance in Acinetobacter, often due to carbapenemase enzymes, complicates treatment.
- Combinations of beta-lactam antibiotics and sulbactam show potential synergistic effects against Acinetobacter.
Impact:
- This research provides insights into combating multi-drug resistant Acinetobacter infections.
- Findings may guide the development of new therapeutic strategies for nosocomial infections.
- Highlights the potential of antibiotic combinations in overcoming bacterial resistance mechanisms.
Related Concept Videos
Mechanism of Antibiotic Resistance in MRSA
Development of Antibiotic Resistance
Clinical Significance of Antibiotic Resistance
Acute Pyelonephritis II: Diagnostic Studies and Management
Inhibitors of Gram-positive Cell Wall Synthesis
Inhibitors of Bacterial Protein Synthesis

