尼日利亚药房提供的药品的药典质量
R B Taylor1, O Shakoor, R H Behrens
1School of Pharmacy, The Robert Gordon University, Schoolhill, AB10 1FR, Aberdeen, UK.
Lancet (London, England)
|June 27, 2001
概括
尼日利亚药房中近一半的药物未能通过质量测试,活性成分含量差异很大. 不良的制造质量保证是可能的原因,可能导致治疗失败和抗菌素耐药性.
科学领域:
- 制药科学 制药科学
- 药用化学 医学化学
- 公共卫生 公共卫生
背景情况:
- 劣质药物在欠发达国家构成重大威胁,原因是假冒,分解和生产不良.
- 药品中活性成分含量不足可能导致治疗失败和耐药性.
研究的目的:
- 调查尼日利亚零售药房中各种药物的质量.
- 确定药品质量差的原因,包括活性成分含量.
主要方法:
- 在尼日利亚拉各斯和阿布贾的35家药房中随机收集了27种类型的581种药物样本.
- 使用验证的染色学方法分析药物含量.
- 分析药物含量与已建立的药典标准进行比较.
主要成果:
- 48%的药物样本 (581个中的279个) 没有达到药典中活性成分含量限制.
- 变化包括没有活性成分的样本,以及含量超过或低于可接受范围的样本.
- 不合规率在不同类别的药物中是一致的.
结论:
- 制药制造过程中质量保证不足是不合格药物的首要原因.
- 欠发达国家中低质量的药物的流行有助于全球抗菌素耐药性和传染病治疗失败.
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