Tuberculosis and beta-lactam antibiotics

Future Microbiol. 2020 Jul:15:937-944. doi: 10.2217/fmb-2019-0318. Epub 2020 Aug 7.

Abstract

Tuberculosis (TB) is one of the oldest health problems in the world and it remains unresolved. Multidrug-resistant-TB and extensively resistant-TB are a serious problem for control programs. The evaluation of available antibiotics has gained importance in recent years for the treatment of resistant TB. Beta-lactam antibiotics inhibit cell wall biosynthesis in the bacteria; the presence of beta-lactamase enzyme in TB bacilli raises the question of whether this group of antibiotics can be used in treatment. As a result, it has been reported that the combination of beta-lactam antibiotics with beta-lactamase is effective against Mycobacterium tuberculosis both in vitro and in vivo. The aim of this article is to review and discuss up-to-date knowledge and future perspective on beta-lactam antibiotics and TB.

Keywords: MDR; XDR; tuberculosis; β-lactams.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Antitubercular Agents / pharmacology
  • Drug Resistance, Multiple, Bacterial / drug effects
  • Humans
  • Microbial Sensitivity Tests
  • Mycobacterium tuberculosis / drug effects*
  • Tuberculosis / drug therapy*
  • Tuberculosis, Multidrug-Resistant / drug therapy
  • beta-Lactamases
  • beta-Lactams / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Antitubercular Agents
  • beta-Lactams
  • beta-Lactamases