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Cited by 274

The DOI matches its Crossref record; 95 of the 95 references it cites were found in a registry or an index.

Methicillin-resistant staphylococci

Open access
Chambers, H F·1988·Clinical Microbiology Reviews

Abstract

Strains of staphylococci resistant to methicillin were identified immediately after introduction of this drug. Methicillin-resistant strains have unusual properties, the most notable of which is extreme variability in expression of the resistance trait. The conditions associated with this heterogeneous expression of resistance are described. Methicillin resistance is associated with production of a unique penicillin-binding protein (PBP), 2a, which is bound and inactivated only at high concentrations of beta-lactam antibiotics. PBP2a appears to be encoded by the mec determinant, which also is unique to methicillin-resistant strains. The relationships between PBP2a and expression of resistance and implications for the mechanism of resistance are discussed. The heterogeneous expression of methicillin resistance by staphylococci poses problems in the detection of resistant strains. Experience with several susceptibility test methods is reviewed and guidelines for performance of these tests are given. Treatment of infections caused by methicillin-resistant staphylococci is discussed. Vancomycin is the treatment of choice. Alternatives have been few because methicillin-resistant strains often are resistant to multiple antibiotics in addition to beta-lactam antibiotics. New agents which are active against methicillin-resistant staphylococci are becoming available, and their potential role in treatment is discussed.

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Metadata

Authors
Chambers, H. F.
Venue
Clinical Microbiology Reviews
Published
1988-04
Volume
1
Issue
2
Pages
173-186
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W1876295475
Cited by
274
References
95
FWCI
11.51
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Methicillin-resistant staphylococci. https://app.cochat.ai/papers/10.1128/cmr.1.2.173
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Chambers, H. F. (1988). Methicillin-resistant staphylococci. Clinical Microbiology Reviews. https://doi.org/10.1128/cmr.1.2.173

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