Antibiotic

Mechanism of action

Resistance mechanism

Macrolides

Blocks exit of the growing peptide chain in protein synthesis [87] [88]

Methylation of 23S rRNA by erm gene [128]

drug efflux mediated by mefF or mefA genes [129]

Quinolones

Inhibits DNA gyrase [88]

Mutations in gyrA or parC genes [130]

drug efflux mediated by pmrA gene [131]

Tetracycline

Inhibits codon-anticodon interaction in protein synthesis [87] [89]

tetM or tetO ribosomal protection proteins [132]

Chloramphenicol

Inhibits peptidyl transferase [87] [89]

Inactivation of chloramphenicol by cat gene [133]

Trimethoprim

Inhibits dihydrofolate reductase [87] -[89]

Mutation in dihydrofolate reductase gene [133]

Sulfamethoxazole

Inhibits dihydropteroate synthetase [87] -[89]

Mutation in dihydropteroate synthase gene [133]

Rifampin

Inhibits bacterial RNA polymerase [87] -[89]

Mutation in RNA polymearse gene [134]