Table 2
Mechanisms of resistance to antimicrobials [9]

Antimicrobial category Resistance mechanism
Aminoglycoside Target modification
Decreased permeability
Decreased accumulation
Enzymatic inactivation
Chloramphenicol Enzymatic inactivation by acetyltransferase
Decreased permeability
Active efflux
Glycopeptide Drug target alteration
β-Lactams Modification of penicillin- binding protein
Decreased permeability
β-lactamase production
Macrolides, linezolid and streptogramin Target modification
Decreased uptake and accumulation
Active efflux
Inactivation
Quinolones Target (DNA gyrase) alteration
Decreased permeability
Active efflux
Rifampin Inactivation of RNA polymerase
Drug alteration
Tetracycline Target modification
Decreased permeability
Active efflux
Trimethoprim/sulfonamids Increased production of insensitive dihydrofolate reductase/dihydrofolate synthase
Decreased permeability
Active efflux