The emergence of beta-lactam resistant pathogenic strains has recently
become a worrying clinical problem. In this review, the ,various fact
ors which contribute to bacterial resistance are described ana discuss
ed. The study of the three-dimensional structure of beta-lactamases an
d penicillin-binding proteins supplies the cornerstone for the design
of new antibacterial agents. This type of approach rests on the unders
tanding of fundamental phenomena such as cell division, enzyme catalys
is and gene control and covers a wide range of scientific fields, from
microbiology to the study of enzymatically catalysed reactions by the
methods of quantum chemistry.