Enterococci and staphylococci have evolved different resistance mechanisms to counteract glycopeptide antibiotics. High- and low-level resistance in enterococci results from new pathways of peptidoglycan biosynthesis together with elimination of peptidoglycan precursors with high affinity for glycopeptides. In staphylococci the main mechanism appears to involve sequestration of the antibiotic in the outer layers of the cell wall before it reaches the vital target sites.
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Detroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Wayne State Univ, Sch Med, Detroit, MI 48201 USADetroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Henson, Karl Evans R.
Levine, Miriam T.
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Detroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Wayne State Univ, Sch Med, Detroit, MI 48201 USADetroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Levine, Miriam T.
Wong, Eunice Ann H.
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Detroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Wayne State Univ, Sch Med, Detroit, MI 48201 USADetroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Wong, Eunice Ann H.
Levine, Donald P.
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Detroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA
Wayne State Univ, Sch Med, Detroit, MI 48201 USA
Detroit Receiving Hosp & Univ Hlth Ctr, Div Gen Internal Med, Dept Med, Detroit, MI USA
Univ Hlth Ctr, Detroit, MI USADetroit Med Ctr, Div Infect Dis, Dept Med, Detroit, MI 48201 USA