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 | Inactivation of chloramphenicol by cat gene [133] | |
Trimethoprim | Mutation in dihydrofolate reductase gene [133] | |
Sulfamethoxazole | Mutation in dihydropteroate synthase gene [133] | |
Rifampin | Mutation in RNA polymearse gene [134] |