细菌耐药性与抗菌药物的合理应用.ppt

20 Bacteria have evolved numerous mechanisms to evade antimicrobial drugs. Chromosomal mutations are an important source of resistance to some antimicrobials. Acquisition of resistance genes or gene clusters, via conjugation, transposition, or transformation, accounts for most antimicrobial resistance among bacterial pathogens. These mechanisms also enhance the possibility of multi-drug resistance. Once resistant strains of bacteria are present in a population, exposure to antimicrobial drugs favors their survival Reducing antimicrobial selection pressure is one key to preventing antimicrob