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Unlicensed and off-label use of medicines in children admitted to the intensive care units of a hospital in Malaysia.马来西亚某医院重症监护病房儿童中未授权和标签外使用药品的情况。
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Unlicensed and off-label drug use in a Swiss paediatric university hospital.瑞士一家儿科大学医院的无执照和未按批准说明书用药情况。
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Optimal timing for intravenous administration set replacement.静脉输液器更换的最佳时机。
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储存在聚丙烯注射器中用于新生儿持续静脉输注的前列腺素E溶液的稳定性。

Stability of prostaglandin E solutions stored in polypropylene syringes for continuous intravenous administration to newborns.

作者信息

Palmero David, Chavan Emilienne, Berger-Gryllaki Markoulina, Tolsa Jean-François, Di Paolo Ermindo R, Pannatier André, Henry Hugues, Sadeghipour Farshid

机构信息

Department of Pharmacy, Lausanne University Hospital, Lausanne, Switzerland.

School of Pharmaceutical Sciences, Geneva and Lausanne Universities, Geneva, Switzerland.

出版信息

Eur J Hosp Pharm. 2018 Oct;25(e2):e109-e114. doi: 10.1136/ejhpharm-2017-001205. Epub 2017 Aug 2.

DOI:10.1136/ejhpharm-2017-001205
PMID:31157079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6319414/
Abstract

OBJECTIVE

We aimed to monitor the physicochemical stability of prostaglandin E (PGE) 1.5 and 15 µg/mL in 10% dextrose stored in polypropylene syringes.

METHODS

We developed a liquid chromatography-high resolution mass spectrometry (LC-HRMS) method to detect and quantify levels of PGE. Method selectivity was performed with a mixture of PGE and its degradation products. Forced degradation tests were performed to determine which degradation products were most likely to form. PGE injection solutions in 10% dextrose were stored in unprotected and shielded-from-light polypropylene syringes in a climatic chamber. Samples were taken immediately after preparation (T) and after 24, 48, 72 and 168 hours for analysis. PGE solutions were considered stable if ≥90.0% of the initial concentration was retained.

RESULTS

The LC-HRMS method was validated in the range of 0.086-0.200µg/mL PGE with trueness values between 98.2% and 100.3%, and repeatability and intermediate precision values of <2.2%and <4.7%, respectively. The quantification and detection limits of the method were 0.086 and 0.026µg/mL, respectively. PGE and its degradation products were resolved chromatographically. PGE injection solutions were≥90.0%stable after 48hours in unprotected from light (UPL) syringes. The solutions remained clear without precipitation, colour or pH modification and subvisible particles within the permitted levels. Prostaglandin A was the sole degradation product observed.

CONCLUSIONS

A LC-HRMS method to evaluate PGE stability in a 10% dextrose was developed and validated. PGE 1.5 and 15µg/mL in 10% dextrose solution are stable for 48hours when stored at 30ºC in UPL polypropylene syringes.

摘要

目的

我们旨在监测前列腺素E(PGE)在10%葡萄糖溶液中1.5和15µg/mL浓度下,储存在聚丙烯注射器中的物理化学稳定性。

方法

我们开发了一种液相色谱-高分辨率质谱(LC-HRMS)方法来检测和定量PGE的水平。用PGE及其降解产物的混合物进行方法选择性测试。进行强制降解试验以确定最有可能形成的降解产物。10%葡萄糖溶液中的PGE注射溶液分别储存在气候箱中未加保护和避光的聚丙烯注射器中。制备后立即(T)以及24、48、72和168小时后取样进行分析。如果保留初始浓度的≥90.0%,则认为PGE溶液稳定。

结果

LC-HRMS方法在0.086 - 0.200µg/mL PGE范围内得到验证,真实值在98.2%至100.3%之间,重复性和中间精密度值分别<2.2%和<4.7%。该方法的定量限和检测限分别为0.086和0.026µg/mL。PGE及其降解产物通过色谱法分离。在未避光(UPL)注射器中,PGE注射溶液在48小时后稳定性≥90.0%。溶液保持澄清,无沉淀、颜色或pH值变化,且亚可见颗粒在允许水平内。观察到的唯一降解产物是前列腺素A。

结论

开发并验证了一种用于评估10%葡萄糖溶液中PGE稳定性的LC-HRMS方法。10%葡萄糖溶液中1.5和15µg/mL的PGE在30ºC下储存在UPL聚丙烯注射器中时,48小时内稳定。