A Review of Penicillin
Abstract
One of the most widely used broad-spectrum antibiotics worldwide, penicillin has a wide range of clinical uses. Penicillin is a key component of the β-lactam antibiotic class of medications and is effective against infections caused by gram-positive cocci, gram-positive rods, most anaerobes, and gram-negative cocci. The majority of bacteria have a peptidoglycan cell wall that surrounds the bacterial plasma membrane, providing structural stability and preventing osmotic lysis. This peptidoglycan wall is constantly changing, particularly during development and replication. Penicillin works by stopping peptidoglycan from cross-linking within the cell wall.
Penicillin should only be used against susceptible species due to the increase of resistance. Penicillin's signs and symptoms, mechanism of action, administration, adverse event profile, pharmacokinetics, monitoring, and relevant interactions for interprofessional healthcare team members in infection therapy are all covered in this activity. This exercise improves patient outcomes by helping the clinical team better understand how to quickly diagnose and treat multiple illnesses with the right antibiotic.
References
Barker, C. I., Germovsek, E., & Sharland, M. (2017). What do I need to know about penicillin antibiotics? Archives of Disease in Childhood: Education and Practice Edition, 102(1), 44–50.
Dunaway, S. B., Maxwell, C. L., Tantalo, L. C., Sahi, S. K., & Marra, C. M. (2020). Neurosyphilis treatment outcomes after intravenous penicillin G versus intramuscular procaine penicillin plus oral probenecid. Clinical Infectious Diseases, 71(2), 267–273.
Espinosa-Gongora, C., Jessen, L. R., Kieler, I. N., Damborg, P., Bjørnvad, C. R., Gudeta, D. D., Pires Dos Santos, T., Sablier-Gallis, F., Sayah-Jeanne, S., Corbel, T., Nevière, A., Hugon, P., Saint-Lu, N., de Gunzburg, J., & Guardabassi, L. (2020). Impact of oral amoxicillin and amoxicillin/clavulanic acid treatment on bacterial diversity and β-lactam resistance in the canine faecal microbiota. Journal of Antimicrobial Chemotherapy, 75(2), 351–361.
Fisher, J. F., & Mobashery, S. (2020). Constructing and deconstructing the bacterial cell wall. Protein Science, 29(3), 629–646.
Friedland, I. R., & McCracken, G. H. (1994). Management of infections caused by antibiotic-resistant Streptococcus pneumoniae. The New England Journal of Medicine, 331(6), 377–382.
Gillam, D. G., & Turner, W. (2014). Antibiotics in the treatment of periodontal disease: A guide for the general dental practitioner. Primary Dental Journal, 3(3), 43–47.
Gordon, E., Mouz, N., Duée, E., & Dideberg, O. (2000). The crystal structure of the penicillin-binding protein 2x from Streptococcus pneumoniae and its acyl-enzyme form: Implication in drug resistance. Journal of Molecular Biology, 299(2), 477–485.
Harcourt, B. H., Anderson, R. D., Wu, H. M., Cohn, A. C., MacNeil, J. R., Taylor, T. H., Wang, X., Clark, T. A., Messonnier, N. E., & Mayer, L. W. (2015). Population-based surveillance of Neisseria meningitidis antimicrobial resistance in the United States. Open Forum Infectious Diseases, 2(3), Article ofv117.
Herman, D. J., & Gerding, D. N. (1991). Antimicrobial resistance among enterococci. Antimicrobial Agents and Chemotherapy, 35(1), 1–4.
Kache, P. A., Person, M. K., Seeman, S. M., McQuiston, J. R., McCollum, J., & Traxler, R. M. (2020). Rat-bite fever in the United States: An analysis using multiple national data sources, 2001–2015. Open Forum Infectious Diseases, 7(6), Article ofaa197.
LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. (2020, October 20). Penicillins (1st generation). National Institute of Diabetes and Digestive and Kidney Diseases.
Parker, C. M., Karchmer, A. W., Fisher, M. C., Muhammad, K. M., & Yu, P. A. (2022). Safety of antimicrobials for postexposure prophylaxis and treatment of anthrax: A review. Clinical Infectious Diseases, 75(Suppl. 3), S417–S431.
Perry, C. M., & Markham, A. (1999). Piperacillin/tazobactam: An updated review of its use in the treatment of bacterial infections. Drugs, 57(5), 805–843.
Robbins, N., Gilbert, M., Kumar, M., McNamara, J. W., Daly, P., Koch, S. E., Conway, G., Effat, M., Woo, J. G., Sadayappan, S., & Rubinstein, J. (2018). Probenecid improves cardiac function in patients with heart failure with reduced ejection fraction in vivo and cardiomyocyte calcium sensitivity in vitro. Journal of the American Heart Association, 7(2).
Spratt, B. G., & Cromie, K. D. (1988). Penicillin-binding proteins of gram-negative bacteria. Reviews of Infectious Diseases, 10(4), 699–711.
Tunkel, A. R., Hasbun, R., Bhimraj, A., Byers, K., Kaplan, S. L., Scheld, W. M., van de Beek, D., Bleck, T. P., Garton, H. J. L., & Zunt, J. R. (2017). 2017 Infectious Diseases Society of America's clinical practice guidelines for healthcare-associated ventriculitis and meningitis. Clinical Infectious Diseases, 64(6), e34–e65.
Wilson, R. C., Arkell, P., Riezk, A., Gilchrist, M., Wheeler, G., Hope, W., Holmes, A. H., & Rawson, T. M. (2022). Addition of probenecid to oral β-lactam antibiotics: A systematic review and meta-analysis. Journal of Antimicrobial Chemotherapy, 77(9), 2364–2372.
Wolman, A. T., Gionfriddo, M. R., Heindel, G. A., Mukhija, P., Witkowski, S., Bommareddy, A., & Vanwert, A. L. (2013). Organic anion transporter 3 interacts selectively with lipophilic β-lactam antibiotics. Drug Metabolism and Disposition, 41(4), 791–800.
Workowski, K. A., Bolan, G. A., & Centers for Disease Control and Prevention. (2015). Sexually transmitted diseases treatment guidelines, 2015. MMWR Recommendations and Reports, 64(RR-03), 1–137.
Wyber, R., Taubert, K., Marko, S., & Kaplan, E. L. (2013). Benzathine penicillin G for the management of RHD: Concerns about quality and access, and opportunities for intervention and improvement. Global Heart, 8(3), 227–234.
Refbacks
- There are currently no refbacks.