1. Elaboration of a beta-lactamase by the organism induces
enzymatic beta lactam hydrolysis.
2. Mutation of PBP (penicillin binding protein) prevents
binding.
3. Mutation of porin proteins prevents access of the beta lactam
into the cell wall.
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it's amoxicillin 875mg and clauvulanic acid 125mg, aka
Augmentin. the clauvulanic acid binds up bacterial penicillin
binding proteins and allows the amoxicillin to work in most
penicillin-resistant bacteria.