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Penicillins

Beta-lactams
Beta-lactams interfere with synthesis of the peptidoglycan layer of the cell wall. – More specifically, beta-lactams bind transpeptidases, which are bacterial enzymes required for peptidoglycan crosslinking. – It's helpful to know that, because they are the targets of penicillins and other beta-lactams, the transpeptidases are also called Penicillin-Binding Proteins!Penicillinase is a bacterial enzyme that renders penicillin ineffective.
Penicillins Penicillins that are Sensitive to penicillinase:
  • Penicillin G
  • Penicillin V
  • Ampicillin
  • Amoxicillin.
Penicillins that are Resistant to penicillinase
  • Oxacillin
  • Nafillin
  • Dicloxacillin.
Non-Penicillin Beta-lactams
– Imipenem – Menopenem – Ertapenem – Doripenem
  • A monobactam called aztreonam