S.aureus Resistance (And MRSA)

Description

Year 2 Flashcards on S.aureus Resistance (And MRSA), created by gina_evans0312 on 16/04/2014.
gina_evans0312
Flashcards by gina_evans0312, updated more than 1 year ago
gina_evans0312
Created by gina_evans0312 about 10 years ago
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Resource summary

Question Answer
Penicillin 1st drug used, now resistance in 90% of strains
Source of Penicillin Resistance Beta-Lactamases are produced that break down the B-lactam ring
Methicillin/Cloxacillin Now used on resistant strains (except MRSA, which is resistant)
Source of Methacillin/Cloxacillin Resistance Alteration of Penicillin Binding Protein
MRSA Methacillin Resistant Staph. aureus (very nasty)
SscMec Mobile genetic element present in MRSA that confers multiple antibiotic resistances
SscMec Variations Many, each conferring different combo of resistances
SscMec (MecA) MecA codes for altered Penicillin Binding Protein
SscMec (Insertion Elements) Part of SsCMec that trap and cluster resistance elements, including macrolytes and others
SscMecII Hospital MRSA
SscMecIV Community MRSA (much smaller element)
Treating MRSA- Vancomycin Targets and removes d-ala to prevent peptide links & blocks transpeptidase
Treating MRSA- Vancomycin Issues Same as Gentamycin
Treating MRSA- Daptomycin Acts on K+ channels, causing leakage and limiting DNA, RNA & protein function
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