Substandard and falsified systemic anti-infectives in Peru
DOI:
https://doi.org/10.17843/rpmesp.2026.432.15577Keywords:
Substandard Drugs, Counterfeit Drugs, Drug Resistance Bacterial, Pharmacovigilance, PeruAbstract
Substandard and falsified (SF) systemic anti-infective (SAI) medications detected by the National Health Authority of Peru between 2015 and 2023 were quantified and characterized. An observational, descriptive, and retrospective design was applied, based on test reports issued by the National Quality Control Center on the quality of SAIs, complemented with national evidence of antimicrobial resistance (AMR). Of 9799 pharmaceutical products evaluated, 1247 (12.7%) were SF; of these, 189 (15.2%) corresponded to SF SAIs, with falsified ones predominating (11.0%). The main groups were β-lactams (27.5%), sulfonamides/trimethoprim (26.5%), and quinolones (12.7%). 59.8% had informal origin, mostly from Lima (72%). The circulation of SF SAI medications could promote selective pressure, the spread of AMR, and therapeutic failure.
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