Quantitative assay for ciprofloxacin and enrofloxacin formulations

# Background Ciprofloxacin (cipro) is a broad-spectrum fluoroquinolone antibiotic active against both Gram-positive and Gram-negative bacteria. It is used extensively in both animals and humans due to its high bioavailability and the wide range of susceptible infections. However, the use of substan...

Full description

Saved in:
Bibliographic Details
Main Authors: Saundria Moed, Mackenzie Hall, Norman Lee, Clarissa Prazeres da Costa, Ernst K Rødland, Atena I Shemirani, Katie Clifford, Darash Desai, Muhammad H Zaman
Format: Article
Language:English
Published: Inishmore Laser Scientific Publishing Ltd 2019-08-01
Series:Journal of Global Health Reports
Online Access:https://doi.org/10.29392/joghr.3.e2019044
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850101218900180992
author Saundria Moed
Mackenzie Hall
Norman Lee
Clarissa Prazeres da Costa
Ernst K Rødland
Atena I Shemirani
Katie Clifford
Darash Desai
Muhammad H Zaman
author_facet Saundria Moed
Mackenzie Hall
Norman Lee
Clarissa Prazeres da Costa
Ernst K Rødland
Atena I Shemirani
Katie Clifford
Darash Desai
Muhammad H Zaman
author_sort Saundria Moed
collection DOAJ
description # Background Ciprofloxacin (cipro) is a broad-spectrum fluoroquinolone antibiotic active against both Gram-positive and Gram-negative bacteria. It is used extensively in both animals and humans due to its high bioavailability and the wide range of susceptible infections. However, the use of substandard (poor quality) and counterfeit formulations of cipro in low- and middle-income countries has contributed to an increased risk of treatment failure due to antimicrobial resistance (AMR). Poor quality medicines especially have been linked to AMR. Therefore, there is a pressing need to screen for quality of cipro in low-resource settings. # Methods We have addressed this need by developing a low-cost fluorescence assay capable of quantifying the amount of cipro in tablets. In this assay, cipro is dissolved in deionized water and mixed with palladium(II) and methyl cellulose. Upon addition of these reagents, quenching of cipro is observed and quantified. # Results We demonstrated our assay with three brands of cipro, quantifying the tablets to within 3% error of the gold-standard, high-performance liquid chromatography. We extended this assay to assess the quality of enrofloxacin (enro), another fluoroquinolone primarily used in veterinary medicine, within 5% error of the package indication. # Conclusions These assays can be used to assess the quality of cipro and enro tablets in the field and identify substandard tablets, potentially helping to remove those tablets from circulation and decrease acceleration of AMR to cipro and enro. These assays can be easily adapted to previously-developed portable microfluidic platforms capable of assessing medicine quality in the field.
format Article
id doaj-art-23ddd954a67e4182acf93cd36097817e
institution DOAJ
issn 2399-1623
language English
publishDate 2019-08-01
publisher Inishmore Laser Scientific Publishing Ltd
record_format Article
series Journal of Global Health Reports
spelling doaj-art-23ddd954a67e4182acf93cd36097817e2025-08-20T02:40:06ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232019-08-01310.29392/joghr.3.e2019044Quantitative assay for ciprofloxacin and enrofloxacin formulationsSaundria MoedMackenzie HallNorman LeeClarissa Prazeres da CostaErnst K RødlandAtena I ShemiraniKatie CliffordDarash DesaiMuhammad H Zaman# Background Ciprofloxacin (cipro) is a broad-spectrum fluoroquinolone antibiotic active against both Gram-positive and Gram-negative bacteria. It is used extensively in both animals and humans due to its high bioavailability and the wide range of susceptible infections. However, the use of substandard (poor quality) and counterfeit formulations of cipro in low- and middle-income countries has contributed to an increased risk of treatment failure due to antimicrobial resistance (AMR). Poor quality medicines especially have been linked to AMR. Therefore, there is a pressing need to screen for quality of cipro in low-resource settings. # Methods We have addressed this need by developing a low-cost fluorescence assay capable of quantifying the amount of cipro in tablets. In this assay, cipro is dissolved in deionized water and mixed with palladium(II) and methyl cellulose. Upon addition of these reagents, quenching of cipro is observed and quantified. # Results We demonstrated our assay with three brands of cipro, quantifying the tablets to within 3% error of the gold-standard, high-performance liquid chromatography. We extended this assay to assess the quality of enrofloxacin (enro), another fluoroquinolone primarily used in veterinary medicine, within 5% error of the package indication. # Conclusions These assays can be used to assess the quality of cipro and enro tablets in the field and identify substandard tablets, potentially helping to remove those tablets from circulation and decrease acceleration of AMR to cipro and enro. These assays can be easily adapted to previously-developed portable microfluidic platforms capable of assessing medicine quality in the field.https://doi.org/10.29392/joghr.3.e2019044
spellingShingle Saundria Moed
Mackenzie Hall
Norman Lee
Clarissa Prazeres da Costa
Ernst K Rødland
Atena I Shemirani
Katie Clifford
Darash Desai
Muhammad H Zaman
Quantitative assay for ciprofloxacin and enrofloxacin formulations
Journal of Global Health Reports
title Quantitative assay for ciprofloxacin and enrofloxacin formulations
title_full Quantitative assay for ciprofloxacin and enrofloxacin formulations
title_fullStr Quantitative assay for ciprofloxacin and enrofloxacin formulations
title_full_unstemmed Quantitative assay for ciprofloxacin and enrofloxacin formulations
title_short Quantitative assay for ciprofloxacin and enrofloxacin formulations
title_sort quantitative assay for ciprofloxacin and enrofloxacin formulations
url https://doi.org/10.29392/joghr.3.e2019044
work_keys_str_mv AT saundriamoed quantitativeassayforciprofloxacinandenrofloxacinformulations
AT mackenziehall quantitativeassayforciprofloxacinandenrofloxacinformulations
AT normanlee quantitativeassayforciprofloxacinandenrofloxacinformulations
AT clarissaprazeresdacosta quantitativeassayforciprofloxacinandenrofloxacinformulations
AT ernstkrødland quantitativeassayforciprofloxacinandenrofloxacinformulations
AT atenaishemirani quantitativeassayforciprofloxacinandenrofloxacinformulations
AT katieclifford quantitativeassayforciprofloxacinandenrofloxacinformulations
AT darashdesai quantitativeassayforciprofloxacinandenrofloxacinformulations
AT muhammadhzaman quantitativeassayforciprofloxacinandenrofloxacinformulations