Securing the supply of benzathine benzylpenicillin: a global perspective on risks and mitigation strategies to prevent future shortages.

benzathine penicillin drug manufacture medication shortages rheumatic heart disease syphilis

Journal

International health
ISSN: 1876-3405
Titre abrégé: Int Health
Pays: England
ID NLM: 101517095

Informations de publication

Date de publication:
03 Oct 2023
Historique:
received: 31 05 2023
accepted: 05 09 2023
medline: 3 10 2023
pubmed: 3 10 2023
entrez: 3 10 2023
Statut: aheadofprint

Résumé

Benzathine benzylpenicillin is a globally indispensable medicine. As a long-lasting injectable penicillin, it serves as the primary treatment for syphilis, group A streptococcal infections, rheumatic fever and rheumatic heart disease. A competitive market and low profit margins, compounded by limited visibility of demand, have resulted in a decreased number of active pharmaceutical ingredient (API) manufacturers. By 2016, only three Chinese API manufacturers remained, continuing to supply to the global market today. Recurring global shortages, a consequence of supply and demand imbalances, indicate underlying market risks. Therefore, the need for mitigation strategies is imperative.

Identifiants

pubmed: 37787149
pii: 7288044
doi: 10.1093/inthealth/ihad087
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene 2023.

Auteurs

Frederic Seghers (F)

Clinton Health Access Initiative, 383 Dorchester Avenue, Boston, MA 02127, USA.

Melanie M Taylor (MM)

U.S. Centers for Disease Control and Prevention, Division of HIV Prevention 1600, Clifton Road, Atlanta, GA 30333, USA.

Andrew Storey (A)

Clinton Health Access Initiative, 383 Dorchester Avenue, Boston, MA 02127, USA.

Jicui Dong (J)

World Health Organization, Regulation and Prequalification Department, Access to Medicines and Health Products Division. Avenue Appia 20, 1211 Geneva 27, Switzerland.

Teodora C Wi (TC)

World Health Organization, Communicable and Noncommunicable Diseases Division, Department of Global HIV, Hepatitis and STIs Programmes Avenue Appia 20, 1211 Geneva 27, Switzerland.

Rosemary Wyber (R)

Telethon Kids Institute, END RHD program, 15 Hospital Avenue, Nedlands, Western Australia 6009, Australia.

Kate Ralston (K)

World Heart Federation, 32 Rue de Malatrex, Geneva 1201, Switzerland.

Boniface Dongmo Nguimfack (BD)

World Health Organization, Communicable and Noncommunicable Diseases Division, Department of Global HIV, Hepatitis and STIs Programmes Avenue Appia 20, 1211 Geneva 27, Switzerland.

Classifications MeSH