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  • Title: Beta-lactamases in anaerobic bacteria.
    Author: Nord CE, Lindqvist L, Olsson-Liljequist B, Tunér K.
    Journal: Scand J Infect Dis Suppl; 1985; 46():57-63. PubMed ID: 3877980.
    Abstract:
    The known mechanisms of beta-lactam resistance in anaerobic bacteria involve production of beta-lactamases, alteration of penicillin-binding proteins and blocked penetration of beta-lactams through the outer membranes. The most important factor in beta-lactam resistance is production of beta-lactamase. Beta-lactamases in various Bacteroides, Fusobacterium and Clostridium species have been described. Beta-lactam resistance in Bacteroides fragilis is most commonly mediated by beta-lactamase production mainly of cephalosporinase character. Recent studies have also shown that B. fragilis can produce a penicillinase which inactivates piperacillin and carbenicillin. Enzymes inactivating cefoxitin and imipenem have also been isolated from B. fragilis. The Bacteroides non-fragilis species produce beta-lactamases of mainly penicillinase character. Recently a penicillinase from Fusobacterium nucleatum has been characterized. Among the clostridia, Clostridium butyricum, C. clostridiiformis and C. ramosum have been shown to produce penicillinases.
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