The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria

XZ Li, P Plésiat, H Nikaido - Clinical microbiology reviews, 2015 - Am Soc Microbiol
The global emergence of multidrug-resistant Gram-negative bacteria is a growing threat to
antibiotic therapy. The chromosomally encoded drug efflux mechanisms that are ubiquitous …

Bacterial multidrug efflux pumps: much more than antibiotic resistance determinants

P Blanco, S Hernando-Amado, JA Reales-Calderon… - Microorganisms, 2016 - mdpi.com
Bacterial multidrug efflux pumps are antibiotic resistance determinants present in all
microorganisms. With few exceptions, they are chromosomally encoded and present a …

The increasing threat of Pseudomonas aeruginosa high-risk clones

A Oliver, X Mulet, C López-Causapé, C Juan - Drug Resistance Updates, 2015 - Elsevier
The increasing prevalence of chronic and hospital-acquired infections produced by
multidrug-resistant (MDR) or extensively drug-resistant (XDR) Pseudomonas aeruginosa …

Antimicrobial resistance and virulence: a successful or deleterious association in the bacterial world?

A Beceiro, M Tomás, G Bou - Clinical microbiology reviews, 2013 - Am Soc Microbiol
Hosts and bacteria have coevolved over millions of years, during which pathogenic bacteria
have modified their virulence mechanisms to adapt to host defense systems. Although the …

Environmental pollution by antibiotics and by antibiotic resistance determinants

JL Martinez - Environmental pollution, 2009 - Elsevier
Antibiotics are among the most successful drugs used for human therapy. However, since
they can challenge microbial populations, they must be considered as important pollutants …

Antibiotics and antibiotic resistance genes in natural environments

JL Martínez - Science, 2008 - science.org
The large majority of antibiotics currently used for treating infections and the antibiotic
resistance genes acquired by human pathogens each have an environmental origin. Recent …

Efflux-mediated drug resistance in bacteria: an update

XZ Li, H Nikaido - Drugs, 2009 - Springer
Drug efflux pumps play a key role in drug resistance and also serve other functions in
bacteria. There has been a growing list of multidrug and drug-specific efflux pumps …

Multidrug-resistance efflux pumps? not just for resistance

LJV Piddock - Nature Reviews Microbiology, 2006 - nature.com
It is well established that multidrug-resistance efflux pumps encoded by bacteria can confer
clinically relevant resistance to antibiotics. It is now understood that these efflux pumps also …

Characteristics and determinants of outcome of hospital-acquired bloodstream infections in intensive care units: the EUROBACT International Cohort Study

A Tabah, D Koulenti, K Laupland, B Misset… - Intensive care …, 2012 - Springer
Purpose The recent increase in drug-resistant micro-organisms complicates the
management of hospital-acquired bloodstream infections (HA-BSIs). We investigated the …

Clinically relevant chromosomally encoded multidrug resistance efflux pumps in bacteria

LJV Piddock - Clinical microbiology reviews, 2006 - Am Soc Microbiol
Efflux pump genes and proteins are present in both antibiotic-susceptible and antibiotic-
resistant bacteria. Pumps may be specific for one substrate or may transport a range of …