Antagonism has been demonstrated in vitro between erythromycin, lincomycin, chloramphenicol, and clindamycin.

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high-level resistance is conferred by the cat -gene; this gene codes for an enzyme called chloramphenicol acetyltransferase which inactivates chloramphenicol by covalently linking one or two acetyl groups, derived from acetyl-s-coenzyme a, to the hydroxyl groups on the chloramphenicol molecule.

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these observations could be explained by co-selection of mobile resistance elements or by unknown substrate s for the chloramphenicol-resistance determinants that serve as a selection pressure 23 , 36 .

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besides the inactivating enzymes, there are also reports on other chloramphenicol resistance systems, such as inactivation by phosphotransferases, mutations of the target site, permeability barriers, and efflux systems schwarz et al.

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