• penicillin G & V, nafcillin, oxacillin • limited spectrum, mostly Gram-positive
• Aminopenicillins
• ampicillin, amoxicillin • broader spectrum, some enteric Gram-negatives
S. E.
Timentin and Zosyn are also active against many nosocomial Gram-negatives incl. Pseudomonas
Penicillins: Places in therapy
Penicillin – pharyngitis, necrotizing fasciitis,
empiric treatment of meningitis and endocarditis) – Meningococcus – Anaeobes: Clostridium, Peptostreptococcus,
Actinomyces – T.pallidum
Commonly used penicillins
Aminopenicillins (Amoxicillin, Ampicillin)
– Active vs. streptococcal species (but not Staph!) – More active than PCN against S. pneumoniae,
Enterococcus, Listeria – Active against non-beta-lactamase producing
Anti-staphylococcal penicillins