Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.

A range of antimalarial drugs were procured from private pharmacies in urban and peri-urban areas in the major cities of six African countries, situated in the part of that continent and the world that is most highly endemic for malaria. Semi-quantitative thin-layer chromatography (TLC) and dissolut...

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Autores principales: Roger Bate, Philip Coticelli, Richard Tren, Amir Attaran
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Publicado: Public Library of Science (PLoS) 2008
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Acceso en línea:https://doaj.org/article/a2747fc8b10c41e9b69fbd0863a4d567
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spelling oai:doaj.org-article:a2747fc8b10c41e9b69fbd0863a4d5672021-11-25T06:12:37ZAntimalarial drug quality in the most severely malarious parts of Africa - a six country study.1932-620310.1371/journal.pone.0002132https://doaj.org/article/a2747fc8b10c41e9b69fbd0863a4d5672008-05-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18461128/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203A range of antimalarial drugs were procured from private pharmacies in urban and peri-urban areas in the major cities of six African countries, situated in the part of that continent and the world that is most highly endemic for malaria. Semi-quantitative thin-layer chromatography (TLC) and dissolution testing were used to measure active pharmaceutical ingredient content against internationally acceptable standards. 35% of all samples tested failed either or both tests, and were substandard. Further, 33% of treatments collected were artemisinin monotherapies, most of which (78%) were manufactured in disobservance of an appeal by the World Health Organisation (WHO) to withdraw these clinically inappropriate medicines from the market. The high persistence of substandard drugs and clinically inappropriate artemisinin monotherapies in the private sector risks patient safety and, through drug resistance, places the future of malaria treatment at risk globally.Roger BatePhilip CoticelliRichard TrenAmir AttaranPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 3, Iss 5, p e2132 (2008)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Roger Bate
Philip Coticelli
Richard Tren
Amir Attaran
Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
description A range of antimalarial drugs were procured from private pharmacies in urban and peri-urban areas in the major cities of six African countries, situated in the part of that continent and the world that is most highly endemic for malaria. Semi-quantitative thin-layer chromatography (TLC) and dissolution testing were used to measure active pharmaceutical ingredient content against internationally acceptable standards. 35% of all samples tested failed either or both tests, and were substandard. Further, 33% of treatments collected were artemisinin monotherapies, most of which (78%) were manufactured in disobservance of an appeal by the World Health Organisation (WHO) to withdraw these clinically inappropriate medicines from the market. The high persistence of substandard drugs and clinically inappropriate artemisinin monotherapies in the private sector risks patient safety and, through drug resistance, places the future of malaria treatment at risk globally.
format article
author Roger Bate
Philip Coticelli
Richard Tren
Amir Attaran
author_facet Roger Bate
Philip Coticelli
Richard Tren
Amir Attaran
author_sort Roger Bate
title Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
title_short Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
title_full Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
title_fullStr Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
title_full_unstemmed Antimalarial drug quality in the most severely malarious parts of Africa - a six country study.
title_sort antimalarial drug quality in the most severely malarious parts of africa - a six country study.
publisher Public Library of Science (PLoS)
publishDate 2008
url https://doaj.org/article/a2747fc8b10c41e9b69fbd0863a4d567
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