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Pharmaceutisch Weekblad

, Volume 9, Supplement 1, pp S11–S15 | Cite as

Resistance to quinolones

  • R. P. Mouton
Article

Abstract

Resistance to quinolones is only due to mutations. The mechanism and the range of quinolones involved, depend on the locus of the chromosomal mutation e.g. a mutation in the gyr A locus is associated with resistance due to changes in the gyrase. Using high inoculain vitro, varying, but relatively low mutation rates of resistance to fluoroquinolones have been found (10−6-10−12).In vitro transfers of bacterial strains in increasing concentrations of quinolones yield parallel increases of the MIC's of most quinolones; however, the MIC's of the most active quinolones like ciprofloxacin usually remain below concentrations achievablein vivo. Exceptions are MIC's forPseudomonas aeruginosa and staphylococci. Combined resistance to quinolones and other antibiotics was observed afterin vitro transfers as well as in mutants (10−6-10−8) isolated from a high inoculum. Changes in the outer membrane proteins have been found in these mutants. Clinical resistance to fluoroquinolones is rare except inPseudomonas aeruginosa and staphylococci.

Key words

Combined resistance Drug resistance Mechanisms of resistance Quinolones 

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Copyright information

© Bohn, Scheltema & Holkema 1987

Authors and Affiliations

  • R. P. Mouton
    • 1
  1. 1.Department of Medical MicrobiologyUniversity HospitalRC LeidenThe Netherlands

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