TY - JOUR
T1 - Aminoglycoside Resistance
T2 - Updates with a Focus on Acquired 16S Ribosomal RNA Methyltransferases
AU - Wachino, Jun Ichi
AU - Doi, Yohei
AU - Arakawa, Yoshichika
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/12
Y1 - 2020/12
N2 - The clinical usefulness of aminoglycosides has been revisited as an effective choice against β-lactam–resistant and fluoroquinolone-resistant gram-negative bacterial infections. Plazomicin, a next-generation aminoglycoside, was introduced for the treatment of complicated urinary tract infections and acute pyelonephritis. In contrast, bacteria have resisted aminoglycosides, including plazomicin, by producing 16S ribosomal RNA (rRNA) methyltransferases (MTases) that confer high-level and broad-range aminoglycoside resistance. Aminoglycoside-resistant 16S rRNA MTase-producing gram-negative pathogens are widespread in various settings and are becoming a grave concern. This article provides up-to-date information with a focus on aminoglycoside-resistant 16S rRNA MTases.
AB - The clinical usefulness of aminoglycosides has been revisited as an effective choice against β-lactam–resistant and fluoroquinolone-resistant gram-negative bacterial infections. Plazomicin, a next-generation aminoglycoside, was introduced for the treatment of complicated urinary tract infections and acute pyelonephritis. In contrast, bacteria have resisted aminoglycosides, including plazomicin, by producing 16S ribosomal RNA (rRNA) methyltransferases (MTases) that confer high-level and broad-range aminoglycoside resistance. Aminoglycoside-resistant 16S rRNA MTase-producing gram-negative pathogens are widespread in various settings and are becoming a grave concern. This article provides up-to-date information with a focus on aminoglycoside-resistant 16S rRNA MTases.
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U2 - 10.1016/j.idc.2020.06.002
DO - 10.1016/j.idc.2020.06.002
M3 - Review article
C2 - 33011054
AN - SCOPUS:85091873144
SN - 0891-5520
VL - 34
SP - 887
EP - 902
JO - Infectious Disease Clinics of North America
JF - Infectious Disease Clinics of North America
IS - 4
ER -