AANP Adult Gerontology Primary Care Nurse Practiotioner Practice

The primary mechanism of action for penicillins is to interfere with bacterial cell wall synthesis. Penicillins belong to a class of antibiotics known as beta-lactams, and they exert their antibacterial effects by binding to specific proteins located in the bacterial cell wall. This binding inhibits the transpeptidation enzyme, which is crucial for cross-linking the peptidoglycan layers of the bacterial cell wall.

When penicillins inhibit this enzyme, it prevents the proper formation of the bacterial cell wall, leading to weakened structural integrity. As a result, bacteria become more susceptible to osmotic pressure which can ultimately cause cell lysis and death. This is particularly effective against actively growing bacteria that are in the process of dividing, as they depend on a stable and intact cell wall.

Other mechanisms of action mentioned, such as inhibiting protein synthesis or blocking folic acid synthesis, relate to different classes of antibiotics. For instance, tetracyclines and aminoglycosides are known for inhibiting protein synthesis, while sulfonamides work by blocking folic acid synthesis. Inhibiting nucleic acid synthesis is a mechanism attributed to antibiotics such as fluoroquinolones. Hence, the specificity of penicillins in