Myemba David T, Bwire George M, Sangeda Raphael Z
Department of Pharmaceutics and Pharmacy Practice, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Pharmaceutical Microbiology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Infect Drug Resist. 2022 Apr 21;15:2021-2034. doi: 10.2147/IDR.S355331. eCollection 2022.
Pathogenic and non-pathogenic microbial contaminants can cause physical-chemical alterations of pharmaceuticals and medicine-related infections. This study aimed to examine the microbiological quality of selected local and imported non-sterile pharmaceutical products in the Dar es Salaam market and the antibiogram of the isolated microorganisms.
Samples were collected between April and June 2021 and analysed for microbial content as per the harmonised methods of the European Pharmacopoeia (EP). Antibiotic susceptibility of the microbial isolates was studied using Kirby-Bauer disc diffusion method.
Fifty percent (50%) of the samples failed both bacterial and fungal enumeration tests. In this study, local products recorded lower microbial counts than imported products. Major bacterial contaminants isolated were (45.5%), , (45.5%) and , while major fungal contaminants were , followed by and (16.7%). The isolated bacterial contaminants recorded high resistance levels to commonly used antibiotics.
The tested products were contaminated with microorganisms at different levels, most of them exceeding the maximum acceptable colony counts. Syrups or suspensions were more contaminated than tablets and capsules. The isolated bacterial contaminants were highly resistant to commonly used antibiotics.
We recommend that pharmaceutical manufacturers abide by good manufacturing, distribution and storage practices to limit contamination and cross-contamination of products. Responsible drug regulatory authorities should heighten the frequency of inspection of manufacturing facilities and regularly conduct post-marketing surveillance (PMS) of registered products to assess continued conformity to GMP guidelines. Future studies should involve samples collected directly from manufacturing sites.
致病性和非致病性微生物污染物可导致药品的物理化学改变以及与药物相关的感染。本研究旨在检测达累斯萨拉姆市场上选定的本地和进口非无菌药品的微生物质量以及分离出的微生物的抗菌谱。
于2021年4月至6月期间收集样本,并按照欧洲药典(EP)的统一方法分析微生物含量。使用 Kirby-Bauer 纸片扩散法研究微生物分离株的抗生素敏感性。
50%的样本细菌和真菌计数测试均不合格。在本研究中,本地产品的微生物计数低于进口产品。分离出的主要细菌污染物为 (45.5%)、 、 (45.5%),而主要真菌污染物为 ,其次是 和 (16.7%)。分离出的细菌污染物对常用抗生素表现出高耐药水平。
所测试的产品受到不同程度的微生物污染,其中大多数超过了最大可接受菌落计数。糖浆或混悬剂的污染程度高于片剂和胶囊。分离出的细菌污染物对常用抗生素具有高度耐药性。
我们建议药品制造商遵守良好的生产、分销和储存规范,以限制产品的污染和交叉污染。负责的药品监管当局应提高对生产设施的检查频率,并定期对注册产品进行上市后监测(PMS),以评估其是否持续符合GMP指南。未来的研究应纳入直接从生产现场采集的样本。