2011, Number 1
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Rev Med MD 2011; 2.3 (1)
Acinetobacter baumannii multidrug and pandrug resistant: perspective, resistance mechanisms and treatment
Orozco-Rico M
Language: Spanish
References: 21
Page: 44-49
PDF size: 520.19 Kb.
ABSTRACT
Acinetobacter species are Gram negative, strictly aerobic -fermenting cells and negative to oxidase coccobacilus. These species
are found in nature mainly in soil, water, animals and human beings; especially
A. baumannii is found in human skin, throat and
rectus. It is an acquired colonizer in health care personnel. According to the CDC
A. baumannii is the specie responsible for 80%
of general infections for the general population in the United States. Also, reports have shown
A. baumannii, A. calcoaceticus y
A.
liwoffii as other pathogen species. Since sometimes is hard to phenotypically differentiate the mentioned species, the term
“Micrococcus calco-aceticus complex” is utilized when these three species cannot be differentiated. These microorganisms
have the capacity to generate multiple resistance mechanisms to antibiotics, such as: modification and deactivation of antibiotic
by hydrolysis mediated by enzymes (β-lactamases); the expression of porins on its membrane reduces the antibiotics
permeability in outer membrane; expulsion of antibiotics by an efflux pump and modification of antibiotic´s target.
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