Stability Test of Ampicillin Sodium Solutions in the Accufuser® Elastomeric Infusion Device Using HPLC: UV Method
- 1 Department of Nursing, College of Nursing, Yonsei University, Seoul, South Korea
- 2 Department of Pharmacology & Clinical Pharmacology Lab, College of Medicine and Division of Molecular Therapeutics Development, Hanyang Biomedical Research Institute, Hanyang University, Seoul, South Korea
Abstract
The stabilities of two kinds of solutions (30 mg/mL) of Ampicillin sodium in 0.9% NaCl in water (NS, normal saline) and in sterile water (SW) in the intravenous elastomeric infusion device (Accufuser ® ) were evaluated based on recommended solutions and storage periods. The injectable NS- and SW-Ampicillin solutions in the Accufuser ® device were stored and evaluated at controlled temperature (room temperature, 25℃ ± 2℃ and cold temperature, 4℃ ± 2℃) during 7 days. Effects of the periods of storage (from 0 to 7 days) and the temperatures of storage (RT and CT) on the physico-chemical appearances and concentrations of active compounds were determined. The visual clarity, pH, and concentrations of Ampicillin were determined by stability-indicating high-performance liquid chromatography (HPLC)-ultraviolet (UV) detection. The results showed that the amount of Ampicillin in studied solutions gradually decreased with time. The Ampicillin in NS, which was stored in CT, was relatively stable, retaining 94% of its original amount up to 7 days. The solution that showed least stability was Ampicillin in SW, which was stored in RT, retaining 80% of its original amount. Generally, solutions that were stored in CT were more stable than the solutions that were stored in RT. No significant changes in physical appearance or color of the solutions were observed during the study. Particles were not detected in any solution samples. In summary, two kinds of solutions of Ampicillin sodium, in NS and SW, showed different chemical stabilities with time in intravenous infusion device without any significant physical changes and retained about 94% vs 89% and 83% vs 80% of initial concentrations after 7 days in CT and RT, respectively. We suggest that 30 mg/mL of Ampicillin sodium in NS solution in an Accufuser ® infusion device which is stored in CT can be applicable for 7 days in clinical situations.
- D.M. Roberts, G. Fernando, R.F. Singer, K.J. Kennedy, M. Lawrence and G. Talaulikar, “Antibiotic stability in commercial peritoneal dialysis solutions: influence of formulation, storage and duration,” Nephrology, Dialysis, Transplantation, Vol. 26, 2011, pp. 3344–3349. doi:10.1093/ndt/gfr005.
- G.Y. Lee, M.J. Kim, M. Kang, Y.S. Park, S.H. Kim, S.H. Kim and J.S. Kang, “Stability of commonly used antibiotics solutions in the Accufuser? elastomeric infusion device under recommended storage and used conditions,” The Open Nutraceutical Journal, Vol. 4, 2011, pp. 125-129. doi:10.2174/1876396001104010125.
- M.J. Kim, G.Y. Lee, Y.S. Park, S.H. Kim, M. Kang, M.J. Kim and J.S. Kang, “Intravenous suitability studies of commonly used oxacillin sodium solutions in the Accufuser? infusion device,” Pharmacology & Pharmacy, Vol. 2, 2011, pp. 189-193. doi:10.4236/pp.2011.23027.
- M.L. Stiles and L.V. Allen Jr, “Stability of nafcillin sodium, oxacillin sodium, penicillin G potassium, penicillin G sodium, and tobramycin sulfate in polyvinyl chloride drug reservoirs,” American Journal of Health-System Pharmacy, Vol. 54, 1997, pp. 1068-1070.
- K.A. O’Bey, L.K. Jim, J.P. Gee and R.M. Johnson, “Temperature dependence of the stability of tobramycin mixed with penicillin in human serum,” American Journal of Hospital Pharmacy, Vol. 39, 1982, pp. 1005-1008.
- Q.A. Xu, L.A. Trissel, C.A. Saenz, D.S. Ingram and K.Y. Williams, “Stability of three cephalosporin antibiotics in AutoDose Infusion System bags,” Journal of the American Pharmacists Association (Wash), Vol. 42, 2002, pp. 428-431. doi:10.1331/108658002763316851.
- L.A. Trissel and Q.A. Xu, “Stability of cefepime hydrochloride in AutoDose Infusion System bags,” The Annals of Pharmacotherapy, Vol. 37, 2003, pp. 804-807. doi:10.1345/aph.1C313
- J.H. Fischer, M.J. Cwik, M.S. Luer, C.B. Sibley and K.L. Deyo, “Stability of fosphenytoin sodium with intravenous solutions in glass bottles, polyvinyl chloride bags, and polyethylene syringes,” The Annals of Pharmacotherapy, Vol. 31, 1997, pp. 553-559.
- Y. Zhang and L.A. Trissel, “Physical and chemical stability of pemetrexed solutions in plastic syringes,” The Ann of Pharma-cotherapy, Vol. 39, 2005, pp. 2026-2028. doi:10.1345/aph.1G161
- S.A. Farag, “Simultaneous liquid chromatographic analysis of the beta-lactam antibiotics cefazolin, cefadroxil, cephalexin, ampicillin, and cepharadine in solution,” J AOAC International, Vol. 81, 1998, pp. 381-385.