Carbenicillin

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Carbenicillin

Carbenicillin, or carboxybenzylpenicillin, is a broad-spectrum beta-lactam-based antibiotic and is a derivative of penicillin. It is used for infections of the urinary tract. The most useful aspect of this drug is its antipseudomonal and antiproteal activity, but is used to treat a wide variety of bacterial infections in the urinary tract from bacteria including E. coli, Enterobacter species, Enterococci, Morganella morganii, Proteus mirabilis, Proteus vulgaris, Pseudomonas and [[{Providencia rettgeri]].

Mechanism of action

Like other beta-lactam penicillin derivatives, carbenicillin interference with final stage of bacterial cell wall synthesis by acylating the penicillin-sensitive transpeptidase enzyme's C-terminal domain by opening the lactam ring. This prevents cross-linking of peptidoglycan strands, and leads to autolysis of the bacterial cells by the autolysin enzymes.

Chemistry

Carbenicillin is a beta-lactam-based antibiotic, which acylates a transpetidase enyzme through a lactam ring-opening reaction. Its IUPAC chemical name is (2S,5R,6R)-6-[(3-hydroxy-3-oxo-2-phenylpropanoyl)amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid and it has chemical formula C17H18N2O6S (MW = 378.3996 g/mol).

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