Zeitoun Hend, Kassem Mervat, Raafat Dina, AbouShlieb Hamida, Fanaki Nourhan
Department of Pharmaceutical Microbiology, Faculty of Pharmacy, Alexandria University, Alexandria, 1 Khartoum Square, Azarita, Alexandria 21521, Egypt.
BMC Microbiol. 2015 Dec 9;15:275. doi: 10.1186/s12866-015-0609-z.
Microbial contamination of pharmaceuticals poses a great problem to the pharmaceutical manufacturing process, especially from a medical as well as an economic point of view. Depending upon the product and its intended use, the identification of isolates should not merely be limited to the United States Pharmacopeia (USP) indicator organisms.
Eighty-five pre-used non-sterile pharmaceuticals collected from random consumers in Egypt were examined for the eventual presence of bacterial contaminants. Forty-one bacterial contaminants were isolated from 31 of the tested preparations. These isolates were subjected to biochemical identification by both conventional tests as well as API kits, which were sufficient for the accurate identification of only 11 out of the 41 bacterial contaminants (26.8%) to the species level. The remaining isolates were inconclusively identified or showed contradictory results after using both biochemical methods. Using molecular methods, 24 isolates (58.5%) were successfully identified to the species level. Moreover, polymerase chain reaction (PCR) assays were compared to standard biochemical methods in the detection of pharmacopoeial bacterial indicators in artificially-contaminated pharmaceutical samples.
PCR-based methods proved to be superior regarding speed, cost-effectiveness and sensitivity. Therefore, pharmaceutical manufacturers would be advised to adopt PCR-based methods in the microbiological quality testing of pharmaceuticals in the future.
药品的微生物污染给药品生产过程带来了巨大问题,尤其是从医学和经济角度来看。根据产品及其预期用途,分离株的鉴定不应仅仅局限于美国药典(USP)中的指示菌。
对从埃及随机消费者处收集的85份预先使用过的非无菌药品进行了细菌污染物最终存在情况的检测。从31份受试制剂中分离出41种细菌污染物。这些分离株通过传统试验和API试剂盒进行生化鉴定,这仅足以将41种细菌污染物中的11种(26.8%)准确鉴定到种水平。使用两种生化方法后,其余分离株鉴定结果不明确或显示出相互矛盾的结果。使用分子方法,24种分离株(58.5%)成功鉴定到种水平。此外,在人工污染的药品样品中,将聚合酶链反应(PCR)检测方法与标准生化方法用于药典细菌指示菌的检测进行了比较。
基于PCR的方法在速度、成本效益和灵敏度方面被证明更具优势。因此,建议药品制造商未来在药品微生物质量检测中采用基于PCR的方法。