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Piperacillin: human pharmacokinetics after intravenous and intramuscular administration. Antimicrob Agents Chemother 1978;14:829-37.  [PubMed] 233. Multiple anitbiotic resistance in a bacterium with suppressed autolytic system. The mechanism of the irreversible antimicrobial effects of penicillin: how the beta-lactam antibiotics kill and lyse bacteria. Ann Rev Microbiol 1979a;33:113-37.  [PubMed] 235. From penicillin-binding proteins to the lysis and death of bacteria: a 1979 view. Penicillin-binding proteins and the antibacterial effectiveness of the beta-lactam antibiotics. Rev Infect Dis 1986;8(Suppl 3):S260-78.  [PubMed] 237. Antibiotic resistance in Streptococcus pneumoniae . Clin Infect Dis 1997;24(Suppl 1):S85-8.  [PubMed] 238. Persistence of Treponema pallidum  following penicillin G therapy. Sudden death occurring during “massive-dose” potassium penicillin G therapy. Occurrence of a beta-lactam inducible penicillin-binding protein in methicillin-resistant staphylococci. Antimicrob Agents Chemother 1985;27:851-7.  [PubMed] 242. VanArsdel PP Jr, Martonick GJ, Johnson LE, Sprenger JD, Altman LC, Henderson WR Jr. The value of skin testing for penicillin allergy diagnosis. Van Esso D, Fontanals D, Uriz S, Morera MA, Juncosa T, Latorre C, Duran M. Neisseria meningitidis  with reduced susceptibility to penicillin. Van Etta LL, Kravitz GR, Russ TE, Fasching CE, Gerding DN, Peterson LR. Effect of method of administration on extravascular penetration of four antibiotics. Antimicrob Agents Chemother 1982;21:873-80.  [PubMed] 245. Comparison of the activities of the new ureidopenicillins piperacillin, mezlocillin, azlocillin, and Bay k 4999 against uses of amoxicillin capsules gram-negative organisms. Antimicrob Agents Chemother 1979;16:115-9.  [PubMed] 246. Visser LG, Arnouts P, van Furth R, Mattie H, van den Broek PJ. Clinical pharmacokinetics of continuous intravenous administration of penicillins. Vogelman B, Gudmundsson S, Leggett J, Turnidge J, Ebert S, Craig WA. Correlation of antimicrobial pharmacokinetic parameters with therapeutic efficacy in an animal model. Beta-lactam antibiotics: is continuous infusion the preferred method of administration? A hospital outbreak of high-level beta-lactam resistant Enterobacter  spp.: association more with ampicillin and cephalosporin therpay than with nosocomial transmission. Synergism with aminoglycosides of penicillin, ampicillin, and vancomycin against nonenterococcal group D streptococci and viridans streptococci. Watt G, Padre LP, Tuazon ML, Calubaquib C, Santiago E, Ranoa CP, Laughlin LW. Placebo-controlled trial of intravenous penicillin for severe and late leptospirosis. On the mechanism of action of probenecid on renal tubular secretion. Bull Johns Hopkins Hosp 1960;106:333-46.  [PubMed] 253. Wenger JD, Hightower AW, Facklam RR, Gaventa S, Broome CV, Bacterial Meningitis Study Group. Bacterial meningitis in the United States 1986: report of a multistate surveillance study. Influence of ampicillin elimination half-life on in vitro  bactericidal effect. J Antimicrob Chemother 1985;15(Suppl A):257-60.  [PubMed] 255. White GW, Malow JB, Zimelis VM, Pahlavanzadeh H, Panwalker AP, Jackson GG. Comparative in vitro  activity of azlocillin, ampicillin, mezlocillin, piperacillin, and ticarcillin, alone and in combination with an aminoglycoside. Antimicrob Agents Chemother 1979;15:540-3.  [PubMed] 256. Whitney CG, Farley MM, Hadler J, Harrison LH, Lexau C, Reingold A, Lefkowitz L, Cieslak PR, Cetron M, Zell ER, Jorgensen JH, Schuchat A; Active Bacterial Core Surveillance Program of the Emerging Infections Program Network. Increasing prevalence of multidrug-resistant Streptococcus pneumoniae  in the United States. Antibiotic susceptibility of clinical isolates of Listeria monocytogenes . Antimicrob Agents Chemother 1978;13:854-60.  [PubMed] 258. Williams TW Jr, Lawson SA, Brook MI, Ory EM, Morgen RO. Effect of hemodialysis on dicloxacillin concentration in plasma. Antimicrob Agents Chemother 1967;7:767-9.  [PubMed] 259. Wilson WR, Geraci JE, Wilkowske CJ, Washington JA 2d. Short-term intramuscular therapy with procaine penicillin plus streptomycin for infective endocarditis due to viridans streptococci. Wilson WR, Thompson RL, Wilkowske CJ, Washington JA 2d, Giuliani ER, Geraci JE. Short-term therapy for streptococcal infective endocarditis: combined intramuscular administration of penicillin and streptomycin. Activity of azlocillin and mezlocillin against gram-negative organisms: comparison to other penicillins. Antimicrob Agents Chemother 1978;13:559-65.  [PubMed] 262. Clin Neuropharmacol 1987;10:483-510.  [PubMed] 263. Woods CR, Smith AL, Wasilauskas BL, Campos J, Givner LB. Invasive disease caused by Neisseria meningitidis  relatively resistant to penicillin in North Carolina. Antibiotic cost savings from formulary resitrictions and physician monitoring in a medical-school affiliated hospital. Yamamoto M, Jimbo M, Ide M, Tanaka N, Umebara Y, Hagiwara S. Penetration of intravenous antibiotics into brain abscesses. Diffusion of β-lactam antibiotics through the porin channels of Escherichia coli K-12. Antimicrob Agents Chemother 1985;27:84-92.  [PubMed] 268. Studies on the pathogenesis of the Jarisch-Herxheimer reaction. Yu VL, Chiou CC, Feldman C, Ortqvist A, Rello J, Morris AJ, Baddour LM, Luna CM, Snydman DR, Ip M, Ko WC, Chedid MB, Andremont A, Klugman KP; International Pneumococcal Study Group. An international prospective study of pneumococcal bacteremia: correlation with in vitro  resistance antibiotics administered and clinical outcome. Cefuroxime by continuous infusion: a new standard of care? Rev Infect Dis 1990;Suppl 6:590-609.  [PubMed] 272. Effect of dose and schedule on cefoperazone pharmacodynamics in an in vitro  model of infection in a neutropenic host. Am J Med 1988;85(Suppl 1A):56-8.  [PubMed] Tables. Class and compounds  Trade names 1      Availability Natural penicillins  penicillin G potassium Pfizerpen Parenteral: 5, 20 mu vials phenoxymethyl penicillin various generics Tablets: 250, 500mg Solution: 125mg/5 mL, 250mg/5 mL penicillin G procaine Wycillin  Parenteral: 600,000 u/mL penicillin G benzathine Bicillin L-A, Permapen Parenteral: 300,000u/mL, 600,000u/mL penicillin G procaine/ penicillin G benzathine combination Bicillin C-R Parenteral: 150,000u/150,000 u/mL, 150,000/450,000 u/mL, 300,000/30,000 u/mL Penicillinase-Resistant Penicillins amoxicillin 1mg  methicillin Staphcillin no longer available nafcillin various generics Parenteral: 20 mg/mL vials oxacillin Bactocill Capsules: 250, 500mg Solution: 250mg/5mL Parenteral: 500mg, 1, 2, 4 g vials cloxacillin various generics Capsules: 250, 500mg Solution: 125mg/5 mL dicloxacillin Dynapen Capsules: 250, 500mg Suspension: 62.5 mg/5 mL Aminopenicillins   ampicillin Principen Capsules: 250, 500 mg Suspension: 125 mg/5 mL, 250 mg/5 mL Parenteral: 125, 250, 500 mg, 1, 2 g vials amoxicillin Amoxil,  Trimox Capsules: 250, 500 mg Chewable tablets: 125, 250, 400 mg Film-coated tablets: 500, 875 mg Suspension: 50mg/mL, 125 mg/5 mL, 200 mg/5 mL, 250 mg/5 mL, 400 mg/5 mL bacampicillin Spectrobid no longer available Carboxypenicillins  carbenicillin Geocillin Tablets: 382 mg ticarcillin Ticar Parenteral: 1, 3, 6 g vials Ureidopenicillins and piperazine penicillin  azlocillin Azlin no longer available in U.S. market mezlocillin    Mezlin no longer available in U.S. market piperacillin Pipracil  Parenteral: 2, 3, 4g vials. 1 = not all formulations are available with every brandÂ. Table 2.  Minimal Inhibitory Concentrations (MIC50) of Specific OrganismsÂ.  MIC-50 ( µg/mL) Organism Penicillin G Penicillin V Oxacillin Ampicillin/Amoxicillin Ticarcillin Mezlocillin Piperacillin Gram-Positive aerobes       Enterococcus sp. 2.0 4.0 >32 0.5 64 2 Staphylococcus aureus         (Non Penicillinase producing) 0.03 0.03 0.4 0.06 1.0 0.06   (Penicillinase-producing) >32 >32 1.6 >32 32 32 Staphlyococcus epidermidis 0.02 0.02 0.2 0.05 1.0 1.0 Streptococcus pneumoniae 0.01 0.01 0.1 0.02 0.4 0.02 Viridans streptococci 0.01 0.01 0.2 0.05 0.5 0.25 Streptococcus pyogenes 0.015 0.015 0.04 0.03 0.25 0.125 Listeria monocytogenes 0.25 0.25 >4 0.25 4 0.5 Gram-negative aerobes       Neisseria gonorrhoeae a 0.25  1.0 0.06 0.03 0.015 Neisseria meningitidis 0.03  0.06 0.06 0.03 0.03 Escherichia coli 64 128 8 2 4 2 Proteus mirabilis 32 128 4 0.5 2 1 Indole + P.
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