Blahová J, Králiková K, St Krcméry V
Ustav preventívnej a klinickej medicíny, Bratislava.
Cas Lek Cesk. 1999 May 24;138(11):343-7.
The authors present a short review of the origin and evolution of antibiotic resistance from the beginning of antibiotic use. Transferable resistance, i.e. spread of resistance genes by mechanisms of the transduction, conjugation or transposition, plays an important role in the process of the development of resistance in susceptible bacterial strains. Equally, chromosomally coded resistance is recently becoming relevant. Large selective pressure of the antibiotics lends mutations of genes coding antibiotic resistance. So, bacterial strains produce a large amount of enzymes, which destroy antibiotic or lose the power for penetration of the antibiotics become completely resistant also to new antibiotics.
作者对抗生素使用伊始以来抗生素耐药性的起源与演变进行了简要综述。可转移耐药性,即通过转导、接合或转座机制使耐药基因传播,在易感细菌菌株耐药性发展过程中发挥着重要作用。同样,染色体编码的耐药性近来也变得愈发重要。抗生素的巨大选择压力导致编码抗生素耐药性的基因突变。因此,细菌菌株产生大量酶,这些酶会破坏抗生素,或者使抗生素失去穿透能力,从而对新抗生素也完全产生耐药性。