Drug Resistance Mechanisms · Pharmacology

Methicillin-resistant Staphylococcus aureus (MRSA) is resistant due to:

  1. Production of an extended-spectrum beta-lactamase
  2. Acquisition of mecA gene encoding altered PBP2a
  3. Overexpression of multidrug efflux pumps
  4. Decreased outer membrane permeability
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Correct answer: Acquisition of mecA gene encoding altered PBP2a

MRSA carries the mecA gene, which encodes a modified penicillin-binding protein (PBP2a). This protein has low affinity for beta-lactam antibiotics.

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