Published in Drug Week, September 5th, 2003
The resistance is caused by hydrolysis of the b-lactam by a bacterial lactamase enzyme, but fortunately it can often be overcome by the use of a serine b-lactamase inhibitor in combination with the drug. This approach is successfully used already; for example clavulanic acid is used in combination with amoxycillin in Augmentin.
Unfortunately, various b-lactam drugs are also inactivated by metallo-b-lactamases, which cannot be overcome by the...
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Source: Drug Week (2003-09-05)
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