Review Article

Multidrug Resistance: An Emerging Crisis

Table 1

Common drug resistant microbes and diseases caused by them.

Drug(s) resistant toTypical diseases

Name of Bacterium
Escherichia coli Cephalosporins and fluoroquinolonesUrinary tract infections and blood stream infections
Klebsiella pneumoniae Cephalosporins and carbapenemsPneumonia, blood stream, and urinary tract infections
Staphylococcus aureusMethicillinWound and blood stream infections
Streptococcus pneumoniaePenicillinPneumonia, meningitis, and otitis
 Nontyphoidal SalmonellaFluoroquinolonesFoodborne diarrhoea, blood stream infections
Shigella speciesFluoroquinolonesDiarrhoea (bacillary dysentery)
Neisseria gonorrhoeaeCephalosporinsGonorrhoea
Mycobacterium tuberculosis Rifampicin, isoniazid, and fluoroquinolone [4]Tuberculosis
Name of Fungi
Candida spp.  Fluconazole and echinocandins [5]Candidiasis
Cryptococcus neoformans  Fluconazole [17]Cryptococcosis
Aspergillus spp.  Azoles [18]Aspergillosis
Scopulariopsis spp.Amphotericin B, flucytosine, and azoles [19]Onychomycosis
Name of Virus
 Cytomegalovirus (CMV)  Ganciclovir and foscarnet [20]In AIDS and oncology patients
 Herpes simplex virus (HSV)  Acyclovir, famciclovir, and valacyclovir [21]Herpes simplex
 Human immunodeficiency
 virus (HIV)  Antiretroviral drugs [22]AIDS
 Influenza virusAdamantane derivatives (Amantadine and rimantadine) and neuraminidase inhibitors [23]Influenza
Varicella zoster virus Acyclovir and valacyclovir [21]Chicken pox
 Hepatitis B virus (HBV)Lamivudine [24]Hepatitis B
Name of Parasite
Plasmodia spp. Chloroquine, artemisinin, and atovaquone [25]Malaria
Leishmania spp.Pentavalent antimonials, miltefosine, paromomycin, and amphotericin B [13, 14]Leishmaniasis
 Schistosomes Praziquantel and oxamniquine [26, 27]Schistosomiasis
EntamoebaMetronidazole [28]Amoebiasis
Trichomonas vaginalisNitroimidazoles [29]Trichomoniasis
Toxoplasma gondii Artemisinin, atovaquone, and sulfadiazine [1012]Toxoplasmosis