Contemporary resistance trends and mechanisms for the old antibiotics colistin, temocillin, fosfomycin, mecillinam and nitrofurantoin  C.G. Giske  Clinical.

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Contemporary resistance trends and mechanisms for the old antibiotics colistin, temocillin, fosfomycin, mecillinam and nitrofurantoin  C.G. Giske  Clinical Microbiology and Infection  Volume 21, Issue 10, Pages 899-905 (October 2015) DOI: 10.1016/j.cmi.2015.05.022 Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 1 Two-component regulatory system for modification of charge in LPS of Gram-negative bacilli. Membrane-bound kinases affecting transcription of arn complex through intermediate PmrD are shown. Circled P denotes phosphorylation; circled minus sign denotes negative regulation of transcription; encircled plus sign denotes positive regulation. The two most common sites of mutation are shown in bold. Clinical Microbiology and Infection 2015 21, 899-905DOI: (10.1016/j.cmi.2015.05.022) Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 2 E. coli resistance levels to mecillinam and nitrofurantoin in a Swedish university hospital, 2011–2013. Range of tested E. coli per year: 22 142 to 23 951. Number of ESBL-producing E. coli: range 637–830. Clinical Microbiology and Infection 2015 21, 899-905DOI: (10.1016/j.cmi.2015.05.022) Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 3 Mechanism of action for nitrofurantoin and genes affected by mutations in resistant isolates. Clinical Microbiology and Infection 2015 21, 899-905DOI: (10.1016/j.cmi.2015.05.022) Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions