Penicillin and Cephalosporin Production: A
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100 Most Important Chemical Compounds
69. Penicillin CHEMICAL NAME = 2S,5R,6R)-3,3-dimeth- yl-7-oxo-6-[(phenylacetyl)amino]-4-thia-1- azabicyclo[3.2.0]heptane-2-carboxylic acid CAS NUMBER = 61–33–6 = MOLECULAR FORMULA C6H18N2O4S MOLAR MASS = 334.4 g/mol COMPOSITION = C(57.5%) H(5.4%) N(8.4%) O(19.1%) S(9.6%) MELTING POINT = 209–212°C (for Penicillin G sodium) BOILING POINT = decomposes DENSITY = 1.4 g/cm3 Penicillin was the fi rst natural antibiotic used to treat bacterial infections and continues to be one of the most important antibiotics. Th e name comes from the fungus genus Penicillium from which it was isolated. Penicillus is Latin for “brush” and refers to the brushlike appear- ance of fi lamentous Penicillium species. Species of this genus are quite common and appear as the bluish-green mold that appears on aged bread, fruit, and cheese. Th e term penicillin is a generic term that refers to a number of antibiotic compounds with the same basic structure. Th erefore it is more appropriate to speak of penicillins than of penicillin. Th e general penicil- lin structure consists of a β-lactam ring and thiazolidine ring fused together with a peptide bonded to a variable R group (Figure 69.1). Penicillin belongs to a group of compounds called β-lactam antibiotics. Diff erent forms of penicillin depend on what R group is bonded to this basic structure. Penicillin aff ects the cell walls of bacteria. Th e β-lactam rings in penicillins open in the presence of bacteria enzymes that are essential for cell wall formation. -
B-Lactams: Chemical Structure, Mode of Action and Mechanisms of Resistance
b-Lactams: chemical structure, mode of action and mechanisms of resistance Ru´ben Fernandes, Paula Amador and Cristina Prudeˆncio This synopsis summarizes the key chemical and bacteriological characteristics of b-lactams, penicillins, cephalosporins, carbanpenems, monobactams and others. Particular notice is given to first-generation to fifth-generation cephalosporins. This review also summarizes the main resistance mechanism to antibiotics, focusing particular attention to those conferring resistance to broad-spectrum cephalosporins by means of production of emerging cephalosporinases (extended-spectrum b-lactamases and AmpC b-lactamases), target alteration (penicillin-binding proteins from methicillin-resistant Staphylococcus aureus) and membrane transporters that pump b-lactams out of the bacterial cell. Keywords: b-lactams, chemical structure, mechanisms of resistance, mode of action Historical perspective Alexander Fleming first noticed the antibacterial nature of penicillin in 1928. When working with Antimicrobials must be understood as any kind of agent another bacteriological problem, Fleming observed with inhibitory or killing properties to a microorganism. a contaminated culture of Staphylococcus aureus with Antibiotic is a more restrictive term, which implies the the mold Penicillium notatum. Fleming remarkably saw natural source of the antimicrobial agent. Similarly, under- the potential of this unfortunate event. He dis- lying the term chemotherapeutic is the artificial origin of continued the work that he was dealing with and was an antimicrobial agent by chemical synthesis [1]. Initially, able to describe the compound around the mold antibiotics were considered as small molecular weight and isolates it. He named it penicillin and published organic molecules or metabolites used in response of his findings along with some applications of penicillin some microorganisms against others that inhabit the same [4]. -
Penicillin Allergy Guidance Document
Penicillin Allergy Guidance Document Key Points Background Careful evaluation of antibiotic allergy and prior tolerance history is essential to providing optimal treatment The true incidence of penicillin hypersensitivity amongst patients in the United States is less than 1% Alterations in antibiotic prescribing due to reported penicillin allergy has been shown to result in higher costs, increased risk of antibiotic resistance, and worse patient outcomes Cross-reactivity between truly penicillin allergic patients and later generation cephalosporins and/or carbapenems is rare Evaluation of Penicillin Allergy Obtain a detailed history of allergic reaction Classify the type and severity of the reaction paying particular attention to any IgE-mediated reactions (e.g., anaphylaxis, hives, angioedema, etc.) (Table 1) Evaluate prior tolerance of beta-lactam antibiotics utilizing patient interview or the electronic medical record Recommendations for Challenging Penicillin Allergic Patients See Figure 1 Follow-Up Document tolerance or intolerance in the patient’s allergy history Consider referring to allergy clinic for skin testing Created July 2017 by Macey Wolfe, PharmD; John Schoen, PharmD, BCPS; Scott Bergman, PharmD, BCPS; Sara May, MD; and Trevor Van Schooneveld, MD, FACP Disclaimer: This resource is intended for non-commercial educational and quality improvement purposes. Outside entities may utilize for these purposes, but must acknowledge the source. The guidance is intended to assist practitioners in managing a clinical situation but is not mandatory. The interprofessional group of authors have made considerable efforts to ensure the information upon which they are based is accurate and up to date. Any treatments have some inherent risk. Recommendations are meant to improve quality of patient care yet should not replace clinical judgment. -
In the Balance Away Through the Jungle
BOOK REVIEWS were reproduced in 1949 in Antibiotics In the balance by Florey et al.. Away through Edward Abraham Wainwright provides simplistic and slightly misleading accounts of the chem the jungle istry of penicillin and the semi-synthetic Colin Gough Miracle Cure. The Story of Antibiotics. penicillins and cephalosporins. Because By Milton Wainwright. Blackwell: 1990. all these compounds have a four-membered Pp.196. £16.95. jJ-lactam ring it might have been more Physics of High-T, Superconductors. By appropriate to have placed them in the J. C. Phillips. Academic: 1990. Pp.393. MrLTON Wainwright has written a readable same section of the book. $55,£36. pot-pourri. Much of it is concerned with The discovery of streptomycin was the assessment of credit for the discovery reported in 1944 by Schatz, Bugie and ALMOST four years after Bednorz and of the clinical value of penicillin and strep Waksman at Rutgers University; this Muller's Nobel prizewinning discovery of tomycin, but the author strays into other antibiotic was later found to be effective in superconductivity in the layered cuprate areas, including a description of some the treatment of tuberculosis. This book compounds, the unexpectedly high transi bizarre procedures that have previously describes how all was well between tion temperatures of these materials been claimed to cure bacterial infections Waksman and Schatz until Schatz dis remains unexplained. It is frequently and the fiasco of the antibiotic patulin and covered that Waksman was receiving claimed, with some justification, that the common cold. there are as many theories for the layered The author, who is in the Microbiology cuprate high-temperature (or HTC) Department at the University of Sheffield, superconductivity as there are groups states that he has "attempted to redress working on the problem. -
UNASYN® (Ampicillin Sodium/Sulbactam Sodium)
NDA 50-608/S-029 Page 3 UNASYN® (ampicillin sodium/sulbactam sodium) PHARMACY BULK PACKAGE NOT FOR DIRECT INFUSION To reduce the development of drug-resistant bacteria and maintain the effectiveness of UNASYN® and other antibacterial drugs, UNASYN should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. DESCRIPTION UNASYN is an injectable antibacterial combination consisting of the semisynthetic antibiotic ampicillin sodium and the beta-lactamase inhibitor sulbactam sodium for intravenous and intramuscular administration. Ampicillin sodium is derived from the penicillin nucleus, 6-aminopenicillanic acid. Chemically, it is monosodium (2S, 5R, 6R)-6-[(R)-2-amino-2-phenylacetamido]- 3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylate and has a molecular weight of 371.39. Its chemical formula is C16H18N3NaO4S. The structural formula is: COONa O CH3 N CH O 3 NH S NH2 Sulbactam sodium is a derivative of the basic penicillin nucleus. Chemically, sulbactam sodium is sodium penicillinate sulfone; sodium (2S, 5R)-3,3-dimethyl-7-oxo-4-thia 1-azabicyclo [3.2.0] heptane-2-carboxylate 4,4-dioxide. Its chemical formula is C8H10NNaO5S with a molecular weight of 255.22. The structural formula is: NDA 50-608/S-029 Page 4 COONa CH3 O N CH3 S O O UNASYN, ampicillin sodium/sulbactam sodium parenteral combination, is available as a white to off-white dry powder for reconstitution. UNASYN dry powder is freely soluble in aqueous diluents to yield pale yellow to yellow solutions containing ampicillin sodium and sulbactam sodium equivalent to 250 mg ampicillin per mL and 125 mg sulbactam per mL. -
History of Antibiotics
Sumerianz Journal of Medical and Healthcare, 2018, Vol. 1, No. 2, pp. 51-54 ISSN(e): 2663-421X, ISSN(p): 2706-8404 Website: https://www.sumerianz.com © Sumerianz Publication CC BY: Creative Commons Attribution License 4.0 Original Article Open Access History of Antibiotics Kourkouta L.* Professor of Nursing Department, Alexander Technological Educational Institute of Thessaloniki, Greece Tsaloglidou A. Assistant Professor of Nursing Department, Alexander Technological Educational Institute of Thessaloniki, Greece Koukourikos K. Clinical Professor of Nursing Department, Alexander Technological Educational Institute of Thessaloniki, Greece Iliadis C. RN, Private Diagnostic Health Center of Thessaloniki, Greece Plati P. Department of History and Archaeology, Greece Dimitriadou A. Professor of Nursing Department, Alexander Technological Educational Institute of Thessaloniki, Greece Abstract Introduction: Antibiotics are medicines used to treat or prevent bacterial infections. They can either kill or inhibit the growth of bacteria. Aim: The aim of this historical review is to provide information on the discovery and use of antibiotic formulations over time. Review Methods: The study material consisted of scientific publications related to the subject, such as those recorded in the literature of this study, and relevant writings. Results: The first known use of antibiotics was by the ancient Chinese over 2,500 years ago. Chinese have discovered the therapeutic properties of moldy soybeans and used this substance to cure furuncles (pimples), carbuncles and similar infections. Sir Alexander Fleming was a Scottish biologist and pharmacologist and he was involved in research of Bacteriology, Immunology and Chemotherapy. He is well known for the discovery of the first antibiotic, penicillin, in 1928, for which he received the Nobel Prize in Physiology and Medicine in 1945, along with Florey and Chain. -
Nobel Prizes in Physiology Or Medicine with an Emphasis on Bacteriology
J Med Bacteriol. Vol. 8, No. 3, 4 (2019): pp.49-57 jmb.tums.ac.ir Journal of Medical Bacteriology Nobel Prizes in Physiology or Medicine with an Emphasis on Bacteriology 1 1 2 Hamid Hakimi , Ebrahim Rezazadeh Zarandi , Siavash Assar , Omid Rezahosseini 3, Sepideh Assar 4, Roya Sadr-Mohammadi 5, Sahar Assar 6, Shokrollah Assar 7* 1 Department of Microbiology, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. 2 Department of Anesthesiology, Medical School, Kerman University of Medical Sciences, Kerman, Iran. 3 Department of Infectious and Tropical Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 4 Department of Pathology, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran. 5 Dental School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. 6 Dental School, Shiraz University of Medical Sciences, Shiraz, Iran. 7 Department of Microbiology and Immunology of Infectious Diseases Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. ARTICLE INFO ABSTRACT Article type: Background: Knowledge is an ocean without bound or shore, the seeker of knowledge is (like) the Review Article diver in those seas. Even if his life is a thousand years, he will never stop searching. This is the result Article history: of reflection in the book of development. Human beings are free and, to some extent, have the right to Received: 02 Feb 2019 choose, on the other hand, they are spiritually oriented and innovative, and for this reason, the new Revised: 28 Mar 2019 discovery and creativity are felt. This characteristic, which is in the nature of human beings, can be a Accepted: 06 May 2019 motive for the revision of life and its tools and products. -
The Miracle of the Mould Howard Florey and Colleagues Overcame Great Obstacles to Isolate Penicillin
books and arts The miracle of the mould Howard Florey and colleagues overcame great obstacles to isolate penicillin. The Mould in Dr Florey’s Coat: The Remarkable True Story of the Penicillin Miracle by Eric Lax Little, Brown: 2004. 288 pp. £16.99 William Shaw HAAS/BETTMANN/CORBIS D. Well-researched and readable accounts of medical science and disease are always wel- come. The first thing to note about this new work by Eric Lax, whose earlier efforts have been a well-regarded biography of Woody Allen and an engaging account of cancer chemotherapy, is that its title prom- ises a great deal — and does so rather late in the day. There is little doubt that, after more than half a century of personal reflections and scholarship, the story of the emergence of penicillin as a life-saving medicine remains remarkable — not least for the obstacles overcome and for the personalities of the trio of Nobel laureates involved: Alexander Fleming, Howard Florey and Ernst Chain. But promise of a true story begs the question of what has been on offer since 1945. And was there a miracle? Well, nearly, at least in the sense that the small team assembled by Florey at the Sir William Dunn School of Norman Heatley (below left) oversaw the mass production of penicillin in 1940s America. Pathology in Oxford, UK, in the dark and difficult early honorary doctorate of medi- from farther afield, such as the Yale papers years of the Second World cine, the first non-medical of John Fulton, Florey’s close friend and War, hardly seemed like a person to be so honoured. -
Computational Antibiotics Book
Andrew V DeLong, Jared C Harris, Brittany S Larcart, Chandler B Massey, Chelsie D Northcutt, Somuayiro N Nwokike, Oscar A Otieno, Harsh M Patel, Mehulkumar P Patel, Pratik Pravin Patel, Eugene I Rowell, Brandon M Rush, Marc-Edwin G Saint-Louis, Amy M Vardeman, Felicia N Woods, Giso Abadi, Thomas J. Manning Computational Antibiotics Valdosta State University is located in South Georgia. Computational Antibiotics Index • Computational Details and Website Access (p. 8) • Acknowledgements (p. 9) • Dedications (p. 11) • Antibiotic Historical Introduction (p. 13) Introduction to Antibiotic groups • Penicillin’s (p. 21) • Carbapenems (p. 22) • Oxazolidines (p. 23) • Rifamycin (p. 24) • Lincosamides (p. 25) • Quinolones (p. 26) • Polypeptides antibiotics (p. 27) • Glycopeptide Antibiotics (p. 28) • Sulfonamides (p. 29) • Lipoglycopeptides (p. 30) • First Generation Cephalosporins (p. 31) • Cephalosporin Third Generation (p. 32) • Fourth-Generation Cephalosporins (p. 33) • Fifth Generation Cephalosporin’s (p. 34) • Tetracycline antibiotics (p. 35) Computational Antibiotics Antibiotics Covered (in alphabetical order) Amikacin (p. 36) Cefempidone (p. 98) Ceftizoxime (p. 159) Amoxicillin (p. 38) Cefepime (p. 100) Ceftobiprole (p. 161) Ampicillin (p. 40) Cefetamet (p. 102) Ceftoxide (p. 163) Arsphenamine (p. 42) Cefetrizole (p. 104) Ceftriaxone (p. 165) Azithromycin (p.44) Cefivitril (p. 106) Cefuracetime (p. 167) Aziocillin (p. 46) Cefixime (p. 108) Cefuroxime (p. 169) Aztreonam (p.48) Cefmatilen ( p. 110) Cefuzonam (p. 171) Bacampicillin (p. 50) Cefmetazole (p. 112) Cefalexin (p. 173) Bacitracin (p. 52) Cefodizime (p. 114) Chloramphenicol (p.175) Balofloxacin (p. 54) Cefonicid (p. 116) Cilastatin (p. 177) Carbenicillin (p. 56) Cefoperazone (p. 118) Ciprofloxacin (p. 179) Cefacetrile (p. 58) Cefoselis (p. 120) Clarithromycin (p. 181) Cefaclor (p. -
I BOOK REVIEWS
Indian Inst. Sci. 63 (d), Mar. I983„ Pp. 4-.31 ic Indian Institute of science, Printed in India. BOOK REVIEWS The enchanted ring : The untold story of penicillin by John C. Sheehan. The Mb' press, Cambridge, Massachusetts 02142, USA, 1982, pp. xvi + 224, $ 15 (Asia $ 17.25). Despite the large number of monographs, review articles and popular literature avail. , able on penicillins and 13-lactum antibiotics, many facets of the development of the wonder drug are not known to the lay scientists. The readers of literature on penicillin gene- rally consider penicillin as a triumph of British science as the great names associated with the isolation and structure elucidation of penicillin were British stalwarts such as Alexander Fleming, Florey, Chain, Abraham Heatley and even Sir Robert Robinson. It was English crystallographer Dorothy Hodgkin who elucidated the correct structure. It is also generally accepted that the superior microbial techniques, the dynamic and innovative methodology of the American fermentation industry which made the drug available to millions at the end of the Second World War. in 1957, when John Sheehan reported the first acceptable total synthesis of penicillin he created a great sensation. The Enchanted Ring tells the story of Sheehan's involvement in the process. It is a story of indomitable faith and courage as well as superhuman perseverence which finally led to the success. The most amazing event in the history of penicillin is the confusion regarding its exact composition and structure. No other compound of a molecular weight of about 300 has baffled so many brilliant chemists. Even after the structure of penicillin was una equivocally established, Sir Robert Robinson held on. -
Identification and Nomenclature of the Genus Penicillium
Downloaded from orbit.dtu.dk on: Dec 20, 2017 Identification and nomenclature of the genus Penicillium Visagie, C.M.; Houbraken, J.; Frisvad, Jens Christian; Hong, S. B.; Klaassen, C.H.W.; Perrone, G.; Seifert, K.A.; Varga, J.; Yaguchi, T.; Samson, R.A. Published in: Studies in Mycology Link to article, DOI: 10.1016/j.simyco.2014.09.001 Publication date: 2014 Document Version Publisher's PDF, also known as Version of record Link back to DTU Orbit Citation (APA): Visagie, C. M., Houbraken, J., Frisvad, J. C., Hong, S. B., Klaassen, C. H. W., Perrone, G., ... Samson, R. A. (2014). Identification and nomenclature of the genus Penicillium. Studies in Mycology, 78, 343-371. DOI: 10.1016/j.simyco.2014.09.001 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. available online at www.studiesinmycology.org STUDIES IN MYCOLOGY 78: 343–371. Identification and nomenclature of the genus Penicillium C.M. -
Cephalosporin Administration to Patients with a History of Penicillin Allergy Adverse Reactions to Drugs, Biologicals and Latex Committee
Work group report May, 2009 Cephalosporin Administration to Patients with a History of Penicillin Allergy Adverse Reactions to Drugs, Biologicals and Latex Committee Work Group Members : Roland Solensky, MD FAAAAI, Chair Aleena Banerji, MD Gordon R. Bloomberg, MD FAAAAI Marianna C. Castells, MD PhD FAAAAI Paul J. Dowling, MD George R. Green, MD FAAAAI Eric M. Macy, MD FAAAAI Myngoc T. Nguyen, MD FAAAAI Antonino G. Romano, MD PhD Fanny Silviu-Dan, MD FAAAAI Clifford M. Tepper, MD FAAAAI INTRODUCTION Penicillins and cephalosporins share a common beta-lactam ring structure, and hence the potential for IgE-mediated allergic cross-reactivity. Allergic cross-reactivity between penicillins and cephalosporins potentially may also occur due to presence of identical or similar R-group side chains, in which case IgE is directed against the side chain, rather the core beta-lactam structure. This work group report will address the administration of cephalosporins in patients with a history of penicillin allergy. First, published data will be reviewed regarding 1) cephalosporin challenges of patients with a history of penicillin allergy (without preceding skin testing or in vitro testing), and 2) cephalosporin challenges of patients proven to have a type I allergy to penicillins (via positive penicillin skin test, in vitro test or challenge). Secondly, 1 2/9/2011 recommendations on cephalosporin administration to patients with a history of penicillin allergy will be presented. Unless specifically noted, the term ‘penicillin allergy’ will be used to indicate an allergy to one or more of the penicillin-class antibiotics, not just to penicillin itself. The following discussion includes references, in certain clinical situations, to performing cephalosporin graded challenges in patients with a history of penicillin allergy.