TOPICS: Piperacillin, ticarcillin, pseudomonas, porins, gram negative bacteria, beta lactams, peptidoglycan, pbp, beta lactamase, clavulanic acid, sulbactam, tazobactam, cell wall lysis, mrsa, anaerobic bacteria, hypersensitivity, broad spectrum, sepsis, pneumonia, staph aureus, bacteroides fragilis