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penicillin, any of a group of chemically similar substances obtained from molds of the genus Penicillium that were the first antibiotic agents to be used successfully in the treatment of bacterial infections in humans. The antagonistic effect of penicillin on bacteria was first observed by the Scottish biologist Sir Alexander Fleming in 1928. Although he recognized the therapeutic potential of penicillin, it was not until 1941 that a group of biologists working in England, including Oxford's Sir H. W. Florey and E. B. Chain, purified the substance and established its effectiveness against infectious organisms and its lack of toxicity to humans. The first successful treatment of a patient with penicillin occurred in New Haven, Conn., in 1942. Despite the development of hundreds of different antibiotics in recent decades, penicillin remains important in antibiotic therapy.

Small amounts of the antibiotic were first obtained from strains of the mold species P. notatum grown in fermentation bottles. During World War II need for the drug spurred development of better production methods; in the current method highly productive strains of Penicillium are grown in a cornsteep liquor medium in fermentation vats. The main form of penicillin produced by this method is benzylpenicillin, which, like all penicillins, is a derivative of 6-aminopenicillanic acid. Phenoxymethyl penicillin, which can be given orally because it is resistant to degradation by stomach acid, is produced by the species P. chrysogenum.


Penicillin is effective against many gram-positive bacteria (see Gram's stain), including those that cause syphilis, meningococcal meningitis, gas gangrene, pneumococcal pneumonia, and some staphylococcal and streptococcal infections. Most gram-negative bacteria are resistant to the antibiotic, but some, such as the bacteria that cause gonorrhea, are susceptible, and others are responsive to high penicillin concentrations or to only certain classes of penicillins. Tuberculosis bacteria, protozoans, viruses, and most fungi are not affected by penicillin. The class of penicillins that includes ampicillin and amoxicillin with clavulanate (Augmentin) is active against gram-positive and gram-negative bacteria such as Haemophilus influenzae and Escherichia coli. All penicillins act by interfering with synthesis of the cell wall.

Drug Resistance and Sensitivity

Use of penicillin is limited by the fact that, although it causes fewer side effects than many other antibiotics, it causes allergic sensitivity in many individuals, including skin reactions and allergic shock. In addition, many microorganisms have developed resistance to the penicillins, and serious hospital epidemics involving infants and surgical patients have been caused by penicillin-resistant staphylococci (see drug resistance). Some organisms are resistant because they produce an enzyme, penicillinase, that destroys the antibiotic. Synthetically produced penicillins such as methicillin and oxacillin have been developed that are not degraded by the penicillinase enzyme, but these new penicillins have no effect on bacteria that have developed resistance by other means, e.g., by altered cell wall structure. Other antibiotics, such as erythromycin, have become important in treating infections by microorganisms resistant to penicillin.


See E. Lax, The Mold in Dr. Florey's Coat: The Story of the Penicillin Miracle (2004).

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The collective name for salts of a series of antibiotic organic acids produced by a number of Penicillium and Aspergillus species; active against most gram-positive bacteria and some gram-negative cocci.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.


any of a group of antibiotics with powerful bactericidal action, used to treat many types of infections, including pneumonia, gonorrhoea, and infections caused by streptococci and staphylococci: originally obtained from the fungus Penicillium, esp P. notatum. Formula: R-C9H11N2O4S where R is one of several side chains
Collins Discovery Encyclopedia, 1st edition © HarperCollins Publishers 2005
References in periodicals archive ?
Unexplained reduced microbiological efficacy of intramuscular benzathine penicillin G and of oral penicillin V in eradication of group A streptococci from children with acute pharyngitis.
FIGURE 2 Treatment failure in children with acute GABHS pharyngotonsillitis Patients with concordant serotype GABHS cultures (%) Time of assessment after IM Benzathine starting treatment Penicillin V (n=284) penicillin G (n=271) Days 10-14 24.6 26.9 Days 29-31 16.2 24.7 Either visit 35.2 37.3 Percentage of children with acute GABHS pharyngotonsillitis who had failed treatment with either penicillin V or intramuscular benzathine penicillin G in 2 multicenter, randomized, single-blind studies conducted in 1994 and 1995.
of Broomfield, Colo., will provide limited supplies of penicillin G sodium from the Austrian company Biochemie GmbH under an emergency drug shortage allocation program, the Food and Drug Administration announced in late January.
Intravenous penicillin G potassium is currently available in frozen bags from Baxter Corp.
There is no shortage of oral or intramuscular formulations of penicillin G.
Intravenous penicillin G is a first-line drug for syphilis, invasive group A streptococcal disease, pneumococcal meningitis, penicillin-susceptible community-acquired pneumonia, endocarditis, and meningococcosis.
"We have ten vials of (intravenous penicillin G) in house right now Our purchasing people are having to jump through hoops to get the drug," said Dr.
"These problems are well-documented," the warning continued, citing a study by the National Association of Neonatal Nurses that showed that 30%-35% of neonatal nurses and nurse-practitioners were unable to recognize the correct route of administration for penicillin G benzathine.
meningitidis with reduced susceptibility to penicillin G (MICs from 0.125 mg/L to 1 mg/L)increased from less than 1% in 1991 to 18% in 1996 (17,18).
gonorrhoeae displayed diminished sensitivity to penicillin G and to tetracycline.
On day 2, when S pneumoniae pneumonia was confirmed in the sputum, the patient's therapy was changed from IV cefuroxime to penicillin G, 2,000,000 units every 4 hours.
A 1-million-unit dose of penicillin G may achieve a peak serum level of 61 [micro]g/mL, depending on infusion time and time of serum sampling, and a lung tissue level of 2.4 [micro]g/g.[16] These concentrations are highly effective against penicillin-sensitive pneumococcus (MIC [is less than] 0.1 [micro]g/mL) but may be ineffective against intermediate to highly resistant strains (MIC 0.1 to [is greater than]2.0 [micro]g/mL)