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. . It's A Question of Residues. Non-residues. ?. TriclosanQACsTriclocarban. BleachPeroxidesAlcohols. . Residues. Cross- and Co- Resistance(Biocides and antibiotics). . Target mutations Multidrug efflux systems Plasmids
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7. Mutations in InhA confer triclosan resistance in Mycobacterium smegmatis Strain Selected InhA Relative MIC
on* mutation (in 7H9 medium)
Triclosan Isoniazid
mc2155 (wt) -- none 1.0 1.0
MT 1 TRC M161V 6.3 8.5
MT 9 TRC M103T 6.3 1.2
MT 17 TRC A124V 5.8 2.0
mc2651 INH S94A 6.3 22.0
mc2155 -- none 6.3 >64
(p::inhA)
*TRC = triclosan, INH = isoniazid McMurry et al, AAC 43:711, 1999.
8. Efflux as a Common Mechanism of Biocide and Antibiotic Resistance
16. Antibiotic susceptibility of MRSA andbenzalkonium chloride resistant derivatives MIC (?g/ml)
Antibiotic MRSA
Parent BZ-R-1 BZ-R-2
Oxacillin 16 512 512
Cloxacillin 0.5 256 512
Moxalactam 64 256 1024
Flomoxef 8 128 128
Cefmetazole 8 128 64
Cephalothin 64 128 128
Ampicillin 16 32 32
Chloramphenicol 4 4 4
Ofloxacin 8 32 32
Tetracycline 128 128 128
Benzalkonium chloride 5 10 10 Akimitsu et al, AAC 43:3042, 1999.