Gram-negative bacteria have a characteristic architecture for the cell envelope, with an inner membrane, an
outer membrane, and a periplasmic space in between. In this arrangement, the
peptidoglycan layer is relatively thin and does not retain the crystal violet stain used in the
Gram staining method of bacterial classification.
Antibiotic resistance has become widespread in bacterial pathogens, and in Gram-negative bacteria such as the Enterobacteriaceae, much of this comes from acquired genes. The resistance genes encode proteins that export or inactivate
β-lactam antibiotics,
aminoglycosides,
tetracycline,
chloramphenicol,
fosfomycin, etc.
Plasmids carrying these genes readily move between strains or between species. Consequently, resistance to the currently available panel of approved antibiotics is an increasingly worrisome problem. The most recent class of antibiotics effective against these bacteria emerged in the 1960s. == Mode of action ==