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Cited by 320

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Fosfomycin: Mechanism and Resistance

Open access
Silver, Lynn L.·2017·Cold Spring Harbor Perspectives in Medicine

Abstract

Fosfomycin, a natural product antibiotic, has been in use for >20 years in Spain, Germany, France, Japan, Brazil, and South Africa for urinary tract infections (UTIs) and other indications and was registered in the United States for the oral treatment of uncomplicated UTIs because of Enterococcus faecalis and Escherichia coli in 1996. It has a broad spectrum, is bactericidal, has very low toxicity, and acts as a time-dependent inhibitor of the MurA enzyme, which catalyzes the first committed step of peptidoglycan synthesis. Whereas resistance to fosfomycin arises rapidly in vitro through loss of active transport mechanisms, resistance is rarely seen during therapy of UTIs, seemingly because of the low fitness of the resistant organisms. Recently, interest has grown in the use of fosfomycin against multidrug-resistant (MDR) pathogens in other indications, prompting the advent of development in the United States of a parenteral formulation for use, initially, in complicated UTIs. Whereas resistance has not been problematic in the uncomplicated UTI setting, it remains to be seen whether resistance remains at bay with expansion to other indications.

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Metadata

Authors
Silver, L. L.
Venue
Cold Spring Harbor Perspectives in Medicine
Published
2017-01-06
Volume
7
Issue
2
Pages
a025262
ISSN
2157-1422 (ISSN-L)
OpenAlex
W2571466206
Cited by
320
References
35
Type
posted content
Language
en
Open access
hybrid

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