Liquid antimicrobials: a national analysis of critical shortages

Nikolaus Riesenhuber1, Maxine Krauss2, Korinna Moßburger2

  • 1Pharmacy Service, Medical University of Vienna, Vienna, Austria nikolaus.riesenhuber@gmail.com.

Insights

Medicine shortages of liquid antibiotics, crucial for children's infections, are a major concern. In Austria, most antimicrobial products were unavailable for over half the study period, highlighting a critical supply issue.

Area of Science:

  • Pharmacology
  • Public Health
  • Paediatric Medicine

Background:

  • Medicine shortages, particularly antibiotics, present a significant global public health challenge.
  • These shortages can result in adverse patient health outcomes.
  • Liquid antimicrobial dosage forms are essential for treating pediatric infections.

Purpose of the Study:

  • To evaluate the availability of various antimicrobial agents in liquid formulations.
  • To assess the supply situation over a 27-week period in Austria.

Main Methods:

  • Monitoring the availability of liquid antimicrobial products over 27 weeks.
  • Quantifying the duration and extent of product unavailability.

Main Results:

  • 81.0% of 34 assessed antimicrobial products were unavailable for more than 50% of the study period.
  • 19.0% of products experienced complete unavailability during the observation period.
  • Specific penicillin antibiotics, amoxicillin and amoxicillin/clavulanic acid, showed significant periods of unavailability (77.8% and 59.3%, respectively).

Conclusions:

  • Continuous availability was observed for only 9.5% of the studied antimicrobial products.
  • Regular monitoring is recommended to mitigate antimicrobial shortages.
  • Cross-national strategies are essential to ensure a consistent future supply of these vital medicines.