Bacteriological assessment of spoilt pharmaceutical products sold in yola metropolis adamawa state, nigeria
International Invention Journal of Medicine and Medical Sciences (ISSN: 2408-7246) Vol. 1(10) pp. 151-156, October, 2014 Available online http://internationalinventjournals.org/journals/IIJMMS Copyright 2014 International Invention Journals
Full Length Research Paper
Bacteriological Assessment of Spoilt Pharmaceutical
Products Sold in Yola Metropolis Adamawa State,
Ewansiha, J.U*1, Damaris, A.I.1, Ajunwa, O.M1, Umar. A.Y1, Busari, M.B2
1Department of Microbiology School of Pure and Applied Sciences Federal University of Technology, P.M.B 2076 Yola,
2Global Institute for Bioexploration, Federal University of Technology, P.M.B 65 Minna Niger State Nigeria.
Forty samples of spoilt pharmaceutical products (oral and ophthalmic) were collected from three
different patent medicine stores and screened for potential bacteria contaminants using standard
laboratory techniques. Of the 40 samples screened, 36 (90%) were seen to be contaminated by 5
different types of bacteria namely Bacillus species, Staphylococcus aureus, Corynebacterium species,
Micrococcus species and Pseudomonas aeruginosa while 4 (10%) were free of contamination. The
range of bacteria count for the oral and ophthalmic products ranges from 1.6 x 102 CFU/ml– 9.9 x 102
CFU/ml and 2.7 x 102 CFU/ml– 9.7 x 102 CFU/ml respectively. The presence of these pathogenic
organisms may contribute to the spoilage of these products and also may be source of infection to the
consumers. Therefore, good manufacturing practices, packaging, storage and distribution should be
enforced.
Keywords: Isolation, Bacteria, Pharmaceutical Products, Spoilt, Oral and Ophthalmic.
INTRODUCTION
Drugs are chemical compounds that may be used on or
of micro-organisms (Willey
et al., 2008). The used
administered to human or animals as an aid in
contaminated products, even where the level of
diagnosis, prevention of diseases or other abnormal
contamination is low may present potential health
conditions for relieve of pain or suffering or to control any
hazards to patients (Asaeda
et al., 2012). In addition,
physiological or pathologic condition (Akerele and
such spoilt products constitute wastage and may have
Godwin, 2002). Drugs are any chemical substances
serious economic implication for the manufacturer.
capable of affecting the body. They are used or intended
Pharmaceutical products with huge moisture content
to modify or explore physiological system or pathological
may be contaminated with microorganisms (Villà
et al.,
state for the benefits of the recipient (Gervais
et al.,
2009). The contaminating microorganisms may spoil the
product due to loss of its therapeutic properties. If they
Pharmaceuticals of various forms and dosage are
are pathogenic, serious infections can arise (Denyer
et
al., 2004)
. Modern research identified different types of
microorganisms from the raw materials used during
(Adeshina
et al., 2009). Contaminated pharmaceuticals
pharmaceutical productions. These organisms include
are considered microbiologically unsafe, if low level of
Aspergillus species and
Penicillium species (Obuekwe
pathogenic or higher level of opportunistic or toxic
and Eichie, 2006). A study carried out by Mugoyela and
microbial metabolites persist even after death or removal
Mwambete 2010, involved structured selection of
representative tablets, syrups and capsules from the
hospital's outpatient unit. They found the majority of
microbial contaminants in non-sterile pharmaceuticals
Aspergillus
*Corresponding Author Email:
[email protected]
and Corynebacterium species. Contamination of
152 Int. Inv. J. Med. Med. Sci.
pharmaceuticals with microorganisms can also changes
samples were inoculated in test tubes containing 9mls of
the physical characteristics of the product, including
sterile peptone broth. The preparations were incubated
breaking of emulsions, thinning of creams, fermentation
at 37oC for 24h (Beishir, 1987). Sub-culturing and
of syrups, turbidity or deposits, and changes in odor and
isolation was done by the use of pour plate method. One
color (Gad
et al., 2011). The deteriorating effect on the
Millilitre (1ml) of enriched samples after incubation was
products varies, ranging from introduction of toxic
dispensed into sterile petri dishes and 20ml of freshly
metabolites and cell fractions to chemical and physical
prepared bacteriological media, plated and mixed gently.
modifications (Obuekwe
et al., 2000). There have been
After solidifying, the plates were incubated at 370c for 24
reports of drug-borne human infections worldwide
hours. Enumeration of microbial isolates and colony
(Mwambete
et al., 2009). Villà
et al. (2009) reported that
counting were done using Gallenkamp digital colony
the contamination of thyroid tablets by
Salmonella
counter and total population expressed as colony
muenchen and
Pseudomonas aeruginosa, the incidence
forming units per ml (CFU/ml).
of micro flora in non-sterile preparations generally is
influenced by the nature of the ingredients (whether
natural or synthetic), the quality of the vehicle, care and
Microscopy and Morphological Characterisation
attitude of personnel handling the compounds (Parker,
2000). Gad
et al. (2011) recommended stringent limits
Pure cultures of bacteria were characterized based on
for objectionable microorganisms in drugs intended for
colony, microscopic and biochemical tests. The identity
use by immune compromised patients as smaller
of the isolates was confirmed by comparing their
numbers of opportunistic pathogens become infectious
microscopic and morphological characteristic with known
when resistance mechanisms are impaired, either by
taxa (Chessbrough, 2000).
immunosuppressive drugs (Sautour
et al., 2008).
Microbial limits cannot be formulated to cover every
Gram Staining
possibility of contamination that may occur. In assessing
the results of microbiological testing, the number and
The pure isolates were stained according to Gram
types of organisms present should be considered in the
staining technique (Chessbrough, 2000). The stained
context of the proposed use of the product. Thus, in
cells were examined under the microscope with oil
manufacturing, packaging, storage, and distribution of
pharmaceuticals, suitable measures must be taken to
microorganisms were characterized by a deep purple or
ensure product quality. The aim of this research work
violet colour, while the Gram-negative organisms
was to isolate and characterize potential spoilage
retained reddish pink colour. The shape of the cells was
bacteria of pharmaceutical products.
also noted (Chessbrough, 2000).
MATERIALS AND METHODS
Media used include peptone broth, nutrient agar,
Total Colony Counts per Product
chocolate agar and blood agar, the preparation of all
media were according to the methods described by
The result in Table 1 shows the total colony count by
Chessbrough, (2000)
product. The highest bacteria count occur in ampliclox A
with a total bacteria count of 9.9×102CFU/ml followed
closely by gentamycin A (9.7 x 102 CFU/ml) and
Collection and Processing of Samples
Gentamycin capsule C (9.2 x 102 CFU/ml) while cotrim
had the lowest bacteria count of 1.6×102. Gelucid,
Unexpired Pharmaceutical products were collected from
ketras, ibuprofen and flagyl had no bacteria growth.
different locations in Pharmaceutical stores at Sabogari,
Jimeta, and Sangere in Yola, Adamawa State. Products
include syrups, tablets and eye drops produced by
Range of colony count of bacteria by route of
different manufacturers. All the samples were properly
sealed, packaged and transported to the laboratory for
microbiological analysis
.
The range of colony count of bacteria isolated by route
of administration is shown in Table 2. Oral products had
1.6 x 102 – 9.9 x 102 CFU/ml while ophthalmic products
Bacteriological Analysis of Samples
had 2.7 x 102 – 9.7 x 102 CFU/ml Distribution of bacteria
isolated
. Table 3 shows the distribution of bacterial
The bacteriological analysis of samples was carried isolates from the screened pharmaceutical products. out by 10 fold serial dilutions whereby 1ml and/or 1g of
Staphylococcus aureus,
Bacillus species,
Micrococcus
Ewansiha et al. 153
Table 1. Total colony count by product
Microbial count
(CFU/ml)
Metronidazole tablet (A)
Metronidazole tablet (B)
Paracetamol tablet (A)
Paracetamol tablet (B)
Paracetamol tablet (C)
Paracetamol tablet (D)
Paracetamol tablet (E)
Chlopheniramine tablet( A)
Chlopheniramine tablet (B)
Chlopheniramine tablet (C)
Multivitamin syrup(A)
Vitamin A tablet (A)
Vitamin B tablet (B)
Cotrimoxazole tablet (A)
B.Complex tablet (A)
B.Complex tablet (B)
Gentamycin capsul (A)
Gentamycin capsul (B)
Cirofloxacin capsul
Fluconazole tablet
Gentamycin capsule (C)
Chloramphenicol capsul (A)
Chloramphenicol capsul (B)
Benzyline eye drop
Ampiclox capsul (A)
Ampiclox capsul (B)
Ampiclox capsul (C)
Ampiclox capsul (D)
Cotrimoxazole tablet (B)
Lincomycin capsul
Analgin tablet (A)
Analgin tablet (B)
Multivitamin syrup (B)
Ketoconazole tablet
Magnesium trisilicate
Ibuprofen tablet
Alphabets in parenthesis represents manufacturer
Table 2. Range of colony count of bacteria by route of administration
Microbial Count Range
Specification BP (CFU/ml) British
(CFU/ml)
Pharmacopoeia, (2008)
1.6×102-9.9×102
2.7×102-9.7×102
BP = British Pharmacopoeia
154 Int. Inv. J. Med. Med. Sci.
Table 3. Distribution of bacteria isolated from pharmaceutical products
Products (g/ml)
Bacteria isolate
Total No. Of isolates
(per gram)
Metronidazole tablet (A)
Pseudomonas aeruginosa, Staphylococcus aureus
Metronidazole tablet (B)
Bacillus species, Micrococcus species, Staphylococcus aureus
Paracetamol tablet (A)
Corynebacterium species, Bacillus species
Paracetamol tablet (B)
Staphylococcus aureus
Paracetamol tablet (C)
Micrococcus species, Bacillus species, Staphylococcus aureus
Paracetamol tablet (D)
Micrococcus species, Bacillus species, Staphylococcus aureus
Paracetamol tablet (E)
Micrococcus species, Bacillus species, Staphylococcus aureus
Chlopheniramine tablet( A)
Pseudomonas aeruginosa, Staphylococcus aureus
Chlopheniramine tablet( B)
Pseudomonas aeruginosa
Chlopheniramine tablet( C)
Bacillus species, Micrococcus species, Staphylococcus aureus
Bacillus species, Corynebacterium species
Bacillus species, Staphylococcus aureus
Multivitamin syrup(A)
Micrococcus species, Bacillus species
Vitamin A tablet (A)
Bacillus species, Pseudomonas aeruginosa
Vitamin A tablet (B)
Bacillus species, Staphylococcus aureus
Staphylococcus aureus
Cotrimoxazole tablet (A)
Bacillus species, Micrococcus species
Ampiclox capsule (A)
Pseudomonas aeruginosa, Staphylococcus aureus
Ampiclox capsule (B)
Pseudomonas aeruginosa, Micrococcus species
Ampiclox capsule (C)
Bacillus species, Micrococcus species
Ampiclox capsule (D)
Bacillus species, Staphylococcus aureus
B.Complex tablet (A)
Corynebacterium species, Bacillus species
B.Complex tablet (B)
Corynebacterium species, Bacillus species
Benzyline eye drop(A)
Pseudomonas aeruginosa, Staphylococcus aureus
Benzyline eye drop (B)
Pseudomonas aeruginosa, Micrococcus species, Staphylococcus
Cirofloxacin capsule
Corynebacterium species, Bacillus species
Fluconazole tablet
Staphylococcus aureus, Bacillus species
Benzyline eye drop (C)
Micrococcus species, Corynebacterium species, Staphylococcus
Chloramphenicol capsule (A)
Pseudomonas aeruginosa, Micrococcus species, Staphylococcus
Chloramphenicol capsule (B)
Staphylococcus aureus, Corynebacterium species
Benzyline eye drop (D)
Staphylococcus aureus, Micrococcus species
Lincomycin capsule
Bacillus species, Staphylococcus aureus
Cotrimoxazole tablet (B)
Bacillus species, Staphylococcus aureus
Analgin tablet (A)
Pseudomonas aureus, Staphylococcus aureus
Analgin tablet (B)
Staphylococcus aureus, Micrococcus species
Multivitamin syrup (B)
Micrococcus species, Corynebacterium species
Ketoconazole tablet
Magnesium trisilicate
Ibuprofen tablet
NG = No Growth, Alphabets in parenthesis represents manufacturer
specie
s,
Corynebacterium species, and
Pseudomonas
Staphylococcus aureus had the highest prevalence
aeruginosa were predominant.
(32%) while
Corynebacterium species were least
Prevalence of bacterial isolated
DISCUSSION
The prevalence of bacterial isolated from the
pharmaceutical products is shown in Figure 1.
The result of this research showed that the samples
Ewansiha et al. 155
Figure 1. Frequency of bacteria occurrence.
tested had satisfactory bacteria levels compared to the
practice (GMP) and ensuring compliance through regular
British Pharmacopoeia specification of 103 CFU/ml. The
monitoring of non-sterile products. The types of
organisms isolated were
Staphylococcus aureus (32%)
,
organisms isolated in this study suggest the main
Bacillus species
(27%)
, Corynebacterium species
(10%)
,
sources of contamination of these products were from
Micrococcus
Pseudomonas
the processing unit, handlings, and storage.
Bacillus
aeruginosa
(14%)
.
species which was isolated from the pharmaceutical
contaminated as it had 9.9 x 102 CFU/ml. The least
products are ubiquitous organisms and considered
contaminated sample was Cotrim Cough Syrup with a
harmless in this study, though undesirable because of
viable count of 1.6 x 10 CFU/ml. The low count recorded
their potential to spoil the products. The presence of this
in Cotrim Cough Syrup may be attributed to the
organism in the products can be traced back to the raw
incorporation of trisodium citrate together with sugar
materials used in the production of pharmaceuticals
content of the syrups which provide high osmotic
since this organism is present in the water and un-sterile
pressure that is inhibitory to many microorganisms
air in the manufacturing environment which need
(Muhammed and Umoh, 2009). However the presence
fumigation (Kulshrestha
et al., 2008). The manufacturing
of
Staphylococcus aureus reflects its nature of habitation
equipment may be handicapped by a number of
i.e. human skin which could easily contaminate the
designed faults (Kulshrestha
et al., 2008). The extent of
products during processing. The organisms being a
microbial contamination depends on a number of factors
normal flora of the body can easily contaminate the
products during handling and processing by personnel.
microorganisms; oxygen and the factors determining the
outcome of medicament-borne infections include the
type and degree of microbial contamination, root of
concentration,
Staphylococcus aureus thrive well in fairly
administration and state of the patient's immune system.
high concentration of sugar (Madigan and Martinko,
Gram positive isolates were mainly
Staphylococcus
2006). The high number of
Staphylococcus aureus in
aureus, Corynebacterium species,
Bacillus species and
these preparations suggests that they are able to
Micrococcus species.
Pseudomonas aeruginosa was the
tolerate the presence of preservatives in such products
only gram negative rod. The presence of bacteria in the
as reported by (Cundell, 2009). The type of bacterial
unhygienic practices and non-adherence to good
contaminations possibly water, personnel, handling and
manufacturing environment; unhygienic handling of the
the environment (Okunlola
et al., 2007). These bacterial
products and lack of microbiological in-house control
species have previously been associated with drug
may also have contributed to the microbial load in some
contaminations (Ibezim
et al., 2002; Takon and Antai,
samples. The strict compliance to this practice will
2006). The isolation of
Staphylococcus aureus in these
consequently reduce the incidence of contamination and
products indicates a possible health risk and the need to
guarantee good quality products (Takon and Antai,
reduce the degree of contamination of such products by
2006). In addition, some of the products without
enforcing official guidelines such as good manufacturing
microbial contamination might be as a result of the
156 Int. Inv. J. Med. Med. Sci.
presence of preservatives.
Madigan MT, Martinko JM (2006). Brock Biology of Microorganisms
(11th edition).Pearson. ISBN 0-13-196893-9.
Mugoyela V, Mwambete DK (2010). Microbial contamination of
nonsterile pharmaceuticals in public hospital settings, Therapeutics
REFERENCES
and Clinical Risk Management, Dove Press Journal. pp 6, 447.
Muhammed A, Umoh VJ (2009). Incidence and effects of
Adeshina GO, Ajayi S, Onaolapo JA (2009). "Microbial quality of some
microorganisms on the quality of some pharmaceutical mixtures in
Zaria – Nigeria.
Nigeria Journal of Pharmaceutical Science
preparations in Ilorin Nigeria". Nigeria Journal of Pharmaceutical
Science; 8 (1): 109-117.
Mwambete KD, Justin-Temu M, Fazleabbas FS (2009) Microbiological
Akerele JO, Godwin UC (2002). "Aspects of microbial contamination of
assessment of commercially available quinine syrup and water for
tablets dispensed in hospitals and community pharmacies in Benin
injections in Dar Es Salaam, Tanzania. Tropical Journal of
City, Nigeria", Tropical Journal of Pharmaceutical Research,Vol 1,
Pharmaceutical Resources.8 (5): 4 41-447.
Obuekwe CO, Obuekwe IF, Rafiq M (2000) Surface microbial
Asaeda G, Gilbert C, Christopher S (2012). "Fried Rice Syndrome".
contamination in some commercially available tablet dosage forms.
Journal of Emergency Medical Services 30 (12): 30–32.
Beishir l (1987). Microbiology in Practice. A Self- Instructions
Obuekwe IF, Eichie F (2006). The presence of microorganisms in
Laboratory Course, 4th edn. Harper and Row Publishers, New York,
some common excipients used in tablet formulation, Acta Poloniae
pp 96-111, 120-130, 238-272.
Pharmaceutica. Drug Research, 63(2): 124.
British Pharmacopoeia BP (2008). Microbiological Examination of non-
Okunlola A, Adewoyin BA, Odeku OA (2007). Evaluation of
sterile pharmaceuticals.
Pharmaceutical and Microbial Qualities of Some Herbal Medicinal
Cheesebrough M (2000). District laboratory practice in tropical
Products in South Western Nigeria, Tropical Journal
countries, Part 11.United Kingdom: Syndicate of the University of
Pharmaceutical Research. 6: 661-670.
Cambridge, United Kingdom and tropical health Technology.
Parker MS (2000). Microbiological contamination and preservation of
pharmaceutical preparations. The science of dosage from design.
Pharmaceutical Industly. Martln Easter, Edition International
2nd edition. China, Churchill Livingstone. P 220
pharmaceutical Press.9-17.
Sautour M, Soares C, Mansur DC, Bensoussan M, Dantigny P (2008),
Denyer SP, Hodges NA, Gorman SP, Hugo W, Russell A (2004).
Comparison of the effects of temperature and water activity on
Pharmaceutical Microbiology. 7th edition. London, U. K., Blackwell
growth rate of food spoilage moulds-Journal of Industrial
Science, p 220, 240.
Microbiology and Biotechnology. 28:311-315
Gad GF, Aly RA, Ashour MSE (2011). Microbial Evaluation of Some
Takon AI, Antai SP (2006). Microbial contamination of expired and
Non-sterile Pharmaceutical Preparations Commonly Used in the
unexpired aqueous and suspension drugs sold in some patent
Egyptian Market. Tropical Journal of Pharmaceutical Research, 10
medicine stores in Calabar. Nigeria Journal of Microbiology. 20(2):
Gervais P, Bensoussan M, Grajek W (2008). "Water activity and water
Villà B, Fontgibell A, Badiola I, Esteve-Garcia E, Jiménez G, Castillo
content: comparative effects on the growth of
Penicillium roqueforti
M, Brufau J (2009). "Reduction of
Salmonella enterica var.
on solid substrate", Applied Microbiology Biotechnology. 27: 389-
Enteritidis colonization and invasion by
Bacillus cereus var.
toyoi
inclusion in poultry feeds"
Ibezim EC, Esimone CO, Ofoefule SI, Chah KF (2002) Evaluation of
Wil ey JM, Sherwood LM, Woolverton CJ, Prescott, Harley, Klein's
the microbiological quality of some commercially available syrups
(2008). Microbiology.7th edition. McGraw Hill Company New York,
and suspensions in Nigeria Journal of Phytomedical Therapy;
America, Pp. 578.
Kulshrestha R, Gupta CP, Shukla G, Kundu,MG, Bhatnagar PS,
How to cite this article: Ewansiha JU, Damaris AI, Ajunwa OM, Umar
Katiyar CK (2008). The effect of water activity and storage
AY, Busari M (2014). Bacteriological Assessment of Spoilt
temperature on the growth of
Aspergillus flavus in medicinal herbs,
Pharmaceutical Products Sold in Yola Metropolis Adamawa State,
Nigeria. Int. Inv. J. Med. Med. Sci. Vol. 1(10): 151-156
Source: http://internationalinventjournals.org/journals/IIJMMS/Archive/2014/October_vol-1-issue-10/fulltext/Ewansiha%20et%20al.pdf
Journal of Affective Disorders 126 (2010) 293–298 Contents lists available at Journal of Affective Disorders Benzodiazepine and cyclopyrrolone reduction in general practice — Doesthis lead to concomitant change in the use of antipsychotics?A study based on a Danish population Viggo Rask Kragh Jørgensen Medicine Team, Central Denmark Region, Lægårdvej 12, 7500 Holstebro, Denmark
JOURNAL OF ELECTRONIC TESTING: Theory and Applications 18, 571–581, 2002 2002 Kluwer Academic Publishers. Manufactured in The Netherlands. Structural Fault Based Specification Reduction for Testing Analog Circuits SOON-JYH CHANG AND CHUNG LEN LEE Department of Electronic Engineering & Institute of Electronics, National Chiao Tung University,