“…A set of efflux systems facilitates bacteria to survive in extreme environments. Bacterial efflux pumps are involved in the multidrug resistance (MDR) phenotype combined with other more specific resistance systems including target mutation and enzymatic modification of antimicrobial agents (Zgurskaya & Nikaido, 2000;Davin-Regli et al, 2008;Bolla et al, 2011). The mechanism of efflux pumps in Escherichia coli, Enterobacter aerogenes and Klebsiella pneumoniae may also serve down regulation of porin production that slow down the penetration of hydrophilic solutes, and decrease the transmembrane diffusion of lipophilic solutes (Nikaido & Vaara, 1985;Plésiat & Nikaido, 1992;Li & Nikaido, 2004;Pagés et al, 2008).…”