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Overview
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Pivmecillinam Hydrochloride undergoes hydrolysis in vivo to produce the parent compound, Mecillinam, a broad-spectrum beta-lactam antibiotic and amidinopenicillin. It is used against Gram-negative bacteria implicated in urinary tract infections.
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Background
Pivmecillinam Hydrochloride is a biologically inactive pivaloyloxymethylpenicillin ester that is hydrolysed in the gut to the active component, Mecillinam. The addition of the pivalate ester enhances antibiotic absorption.
β-lactams interfere with penicillin binding protein (PBP) activity involved in the final phase of peptidoglycan synthesis. PBP’s catalyze a pentaglycine crosslink between alanine and lysine residues providing additional strength to the cell wall. Without a pentaglycine crosslink, the integrity of the cell wall is severely compromised and ultimately leads to cell lysis and death. Resistance to β-lactams is commonly due to cells containing plasmid encoded β-lactamases.
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- Properties
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Overview