4. ~Gram –ve chloramphinicol acetyl transferase against chloramphinicol . b)Microorganism alters its permeability to the drug eg tetracyclin and polymyxin . Streptococci have natural barrier to aminoglycosides . acer:
5. c)Microorganism develops an altered structural target eg:chromosomal resistance to aminoglycosides “30s ribosomal subunit’’ Erythromycin resistant organisms altere receptors in 50s ribosomal subunit. Penicillin resistance change in penicillin binding protein “PBP”.
6.
7. Origins of the drug resistance ORIGINS Non genetic Genetic chromosomal Extrachromosomal