NCIt definition : The probenate salt form of pivampicillin, a semisynthetic, orally active pivalate
ester of ampenicillin with antibacterial activity. Upon absorption, pivampicillin
is hydrolyzed into its active form ampicillin by esterases. Ampicillin binds to and
inactivates penicillin-binding proteins (PBPs) located on the inner membrane of the
bacterial cell wall. Inactivation of PBPs interferes with the cross-linkage of peptidoglycan
chains necessary for bacterial cell wall strength and rigidity. This interrupts bacterial
cell wall synthesis and results in the weakening of the bacterial cell wall and eventually
causing cell lysis.;