Arsène M, Favetta P, Favier B, Bureau J
Centre Hospitalier Lyon-Sud, Service Pharmacie, Pierre-Bénite, France.
J Clin Pharm Ther. 2002 Jun;27(3):205-9. doi: 10.1046/j.1365-2710.2002.00406.x.
To study the effect of type of container on ceftazidime stability in intravenous solutions.
One hundred millilitre polypropylene (PP) and polyvinyl chloride (PVC) bags and 100-mL glass bottles were filled with 5% dextrose or 0.9% sodium chloride solutions containing ceftazidime (Fortumset) at 40 mg/mL. Three containers of each solution were stored at 20 and 35 degrees C. One millilitre samples were drawn from each container at 0 and 20 h and assayed. Pyridine concentrations, the main degradation product of ceftazidime, were determined by high-pressure liquid chromatography.
Pyridine levels increased during storage and were higher in PVC and PP bags than in glass bottles in both diluents. Solutions stored in PP bags showed better stability than in PVC bags.
This study shows that ceftazidime undergoes slower degradation in PP than PVC containers although the difference is small. Glass bottles seems to be the better container for storing ceftazidime solutions, whatever storage temperature and diluent used.
研究容器类型对静脉输液中头孢他啶稳定性的影响。
将含有头孢他啶(复达欣)浓度为40mg/mL的5%葡萄糖溶液或0.9%氯化钠溶液分别装入100毫升聚丙烯(PP)袋、聚氯乙烯(PVC)袋和100毫升玻璃瓶中。每种溶液的三个容器分别在20℃和35℃下储存。在0小时和20小时时从每个容器中抽取1毫升样品进行检测。通过高压液相色谱法测定头孢他啶的主要降解产物吡啶的浓度。
储存期间吡啶水平升高,在两种稀释剂中,PVC袋和PP袋中的吡啶水平均高于玻璃瓶中的。储存在PP袋中的溶液比储存在PVC袋中的溶液稳定性更好。
本研究表明,尽管差异较小,但头孢他啶在PP容器中的降解速度比在PVC容器中慢。无论储存温度和使用的稀释剂如何,玻璃瓶似乎是储存头孢他啶溶液的更佳容器。