العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( The Variation Of The In Vitro Antibacterial Activity Of Common Antibiotic Generic Names With Different Trade Names For Each In Iraqi Local Markets Senan A. Almashta Department of Biology, College of Science for Women, University of Babylon Abstract Thirty antibiotics belong to nineteen pharmaceutical industries found in nine countries around the world were collected from Iraqi local markets. Antibacterial activity for each type of antibiotics manufactured in certain industry was studied to detect the difference in an effectiveness for each product toward six species of bacteria: Pseudomonas aeruginosa, Streptococcus pyogenes, Staphylococcus aureus, Bacillus subtilis, Escherichia coli and Klebsiella pneumoniae in the method of agar disk diffusion in which the diameter of inhibition zone was measured. The product that gave the least inhibition values was determined, then confirmation of its inactivity against the applied bacterial species was made. الخالصة ،تم قياس الفعالية المضادة للبكتريا لثالثين مضادا ً حيويا ً صنع في تسعة عشر مصنعا ً دوائيا ً تابعة لتسع دول مختلفة حول العالم درست فعالية كل نوع من هذه المضادات الحياتية المنتجة من.حيث جمعت هذه المجموعة من المضادات من االسواق المحلية العراقية :مصانع دوائية مختلفة للتعرف على اختالف التأثير لكل منتج في ست أنواع من البكتريا هي Pseudomonas aeruginosa, Streptococcus pyogenes, Staphylococcus aureus, Bacillus subtilis, Escherichia coli , Klebsiella pneumoniae. حدد المنتج الذي أعطى أقل نتيجة تثبيط لكل. حيث تم قياس قطر منطقة التثبيط بالمسطرة،وذلك بطريقة االنتشار في الوسط الصلب .نوع من هذه المضادات حيث تم التأكد من عدم فاعليته تجاه األنواع البكتيرية المدروسة Introduction Antibiotics are the low molecular weight secondary metabolites of microorganisms, with moll mass of < 2000 Dalton, which, in small quantities(< 200 µg/ml), inhibit the growth of other microorganisms, without affecting the producers themselves (Smelcerovic and Djordjevic, 2000). They are chemical substances that can inhibit the growth of, and even destroy, harmful microorganisms. They are derived from special microorganisms or other living systems, and are produced on an industrial scale using a fermentation process. Although the principles of antibiotic action were not discovered until the twentieth century, the first known use of antibiotics was by the Chinese over 2,500 years ago. Today, over 10,000 antibiotic substances have been reported. Currently, antibiotics represent a multibillion dollar industry that continues to grow each year. The commercial development of an antibiotic is a long and costly proposal. It begins with basic research designed to identify organisms, which produce antibiotic compounds. During this phase, thousands of species are screened for any sign of antibacterial action. When one is found, the species is tested against a variety of known infectious bacteria. If the results are promising, the organism is grown on a large scale so the compound responsible for the antibiotic effect can be isolated (Stacey et al., 2002). The current era of antimicrobial chemotherapy began in 1935 with the discovery of the sulfonamides. In 1940, it was demonstrated that penicillin, discovered in 1929, could be an effective therapeutic substance. During the next 25 years, research on chemotherapeutic agents centered largely around substances of 428 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( microbial origin called antibiotics. The isolation, concentration, purification, and mass production of penicillin were followed by the development of streptomycin, tetracyclines, chloramphenicol, and many other agents. These substances were originally isolated from filtrates of media in which their respective molds had grown. Synthetic modification of previously described drugs has been prominent in the development of new antimicrobial agents. Antimicrobial drugs act in one of several ways: by selective toxicity, by inhibition of cell membrane synthesis and function, by inhibition of protein synthesis, or by inhibition of nucleic acid synthesis. Antimicrobial activity is measured in vitro in order to determine (1) the potency of an antibacterial agent in solution, (2) its concentration in body fluids or tissues, and (3) the susceptibility of a given microorganism to known concentrations of the drug (Brooks et al., 2007). Antibiotic resistant pathogens have been widely and continuously reported. In consequence, novel antibiotics have been investigated intensively (Miyadoh, 1993). Most of the antibiotics are extracellular-secondary metabolites which are normally secreted in culture media and serve as intermediates from primary metabolisms as precursors for their biosynthetic process (Vilches et al., 1990). The goal of this work is to evaluate the antibacterial activity of the common antibiotics toward selected species of bacteria and to assess the difference in the efficiency for each type of antibiotic manufactured in several pharmaceutical industries export their products to Iraqi local markets during the second half of the year 2008. Few of review articles was found around the world covering this subject during the work time. Materials and Methods 1- Bacterial Species: Six bacterial species were studied (Pseudomonas aeruginosa, Streptococcus pyogenes, Staphylococcus aureus, Bacillus subtilis, Escherichia coli and Klebsiella pneumoniae), were isolated from patients suffering from urinary tract infection and bacteremia at Babylon maternity and children hospital, Hilla, Iraq, and identified according to the diagnostic procedures recommended by Bergy’s manual for determinative bacteriology (Holt et al., 1994). 2- Antibiotics: Thirty antibiotics from different pharmaceutical industries were examined for their antibacterial activity, their generic names, trade names, state of origin, name of industry and packaging formulas shown in table (1). 3- Antibiotic Concentrations: All antibiotic concentrations were made according to (Sambrook and Russell, 2001), 10 mg/ml for Ampicillin, Amoxicillin and Cephalexin, while the final concentration for (Amoxicillin+Clavulanic acid), (Ampicillin+Cloxacillin), Ciprofloxacin, Tetracycline and Chloramphenicol was 5 mg/ml. 4- Antibiotic Sensitivity Test: Three replicates were made by using small disks (6 mm in diameter) from Wattman filter paper No.1, saturated in each antibiotic concentration left for 30 minutes(Williamson et al., 1985), then dried and tested against the bacterial species by method of agar disk diffusion (Bauer et al., 1966), the concentration of bacterial growth was 1.5*108 cell/ml (tube number 0.5 McFarland standard), the average of inhibition zone diameter was taken. 5- Confirmation of Antibiotic Activity: 429 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Member of some types of antibiotics showed the least antibacterial values was examined to confirm the weakness of this activity, nutrient agar media in conical flasks were autoclaved and cooled to 50°C, each generic name of antibiotic was added in certain concentration as follow: Ampicillin and Cephalexin (100 µg/ml), Ciprofloxacin and Tetracycline (20 µg/ml) and 50 µg/ml for Chloramphenicol, then poured into Petri dishes and left to solidify, the applied bacterial species were cultured by picking and patching method, dishes incubated under 37°C for 24 hours and the results were recorded (Miniatis et al.,1982). Table 1. Antibiotic generic names and their basic informations. No. 1 2 3 4 Antibiotic Generic Name Ampicillin 250 mg Ampicillin 500 mg Ampicillin 500 mg Ampicillin 500 mg 5 6 7 ------------------------------------PAN AMPICILLINE ------------------- Packaging Formula Capsules Vials Vials Vials State of Origin Iraq Germany France Eygpt Amoxicillin 250 mg Amoxicillin 500 mg Amoxicillin 500 mg -----------------EMBAMOX ------------------- Capsules Capsules Capsules Iraq India China 8 9 Amoxicillin 500 mg Amoxicillin 500 mg Capsules Vials China France 10 11 12 Amoxicillin 500 mg Amoxicillin 500 mg Amoxicillin 250 mg + Clavulanic Acid 125 mg Amoxicillin 250 mg + Clavulanic Acid 125 mg Ampicillin 250 mg + Cloxacillin 250 mg Ampicillin 250 mg + Cloxacillin 250 mg Ampicillin 250 mg + Cloxacillin 250 mg Cefalexin 500 mg Cephalexin 250 mg Cefalexin 500 mg Ciprofloxacin 500 mg Ciprofloxacin 500 mg Ciprofloxacin 500 mg -----------------PAN AMOXICILLINE Glomox 500 Neomox Clavoxil375 S.D.I Troge Medical. GMBH PANPHARMA Chemical Industries Development S.D.I Laborate Pharmaceutical Harbin Pharmaceutical Group Co., LTD Sishui Pharmaceutical Co., LTD PANPHARMA Capsules Capsules Tablets U.A.E U.A.E Syria global pharma neopharma Elsaad Pharma Bactoclav-375 Tablets India Micro Labs Limited -------------------- Vials Germany Troge Medical. GMBH Ampicloxacillin 500 Vials China Sishui Pharmaceutical Co., LTD Amicloxan Capsules Syria Cefex-500 ----------------------------------CIPROXENE 500 IFICIPRO 500 ----------------- Capsules Capsules Capsules Tablets Tablets Tablets India Iraq China Syria India China TYFLOX -500 Bactiflox- 500 SAMACYCLINE APCYCLINE-250 --------------------------------------- Tablets Tablets Capsules Capsules Capsules Capsules India Portugal Iraq India Germany China Barakat Pharmaceutical Industries Micro Labs Limited S.D.I ZMC Medical Bahry Company. Unique Pharmaceutical Labs Shijiazhuang Taihang Medicines Co., LTD Ajanta pharma limited Sofarimex Lda S.D.I Ajanta pharma limited Troge Medical. GMBH ZMC 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Ciprofloxacin 500 mg Ciprofloxacin 500 mg Tetracycline 250 mg Tetracycline 250 mg Tetracycline 250 mg Chloramphenicol 250 mg Trade Name 430 Industry العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( 29 30 Chloramphenicol 1 g. Chloramphenicol 1 g. ------------------ Vials China ZMC FENICOL 1000 Vials Syria Shifa Pharmaceutical Industries Results Assay revealed that there are many differences between each type of antibiotics produced by several pharmaceutical industries in the efficiency toward the applied bacterial species. Ampicillin from S.D.I, Iraq showed highest values against bacteria whilst the same antibiotic from Troge Medical, Germany gave the lowest values. At the same time, this antibiotic from PANPHARMA, France and Chemical Industries Development, Egypt had close results in general (table 2, figure 1). Seven industries belong to five states produce the antibiotic (Amoxicillin) between others that found in Iraqi local markets during the era of this work, the interference of their antibacterial activity is confusive, amoxicillin from PANPHARMA, France recorded its highest values against Streptococcus pyogenes, but the one from Laborate Pharmaceutical, India and Harbin Pharmaceutical Group Company, China showed their highest level of activity with Staphylococcus aureus, at that time, another one from S.D.I, Iraq showed its highest value against Bacillus subtilis and Escherichia coli, but amoxicillin from global pharma, U.A.E. had the greatest effect against Klebsiella pneumoniae (table 2, figure 2). Table 2, figure 3 showed that two types of the combination (Amoxicillin+ Clavulanic Acid) have been applied in this work, they were from Elsaad Phama, Syria and Micro Labs Limited, India, both of them exhibited approximately the same results against the tested bacterial species. The combination (Ampicillin+ Cloxacillin) was effective against Bacillus subtilis, Escherichia coli and Klebsiella pneumoniae especially the one from Barakat Pharmaceutical Industries, Syria, but the combinations from Troge Medical, Germany and Sishui Pharmaceutical Company, China were more effective against Staphylococcus aureus and Streptococcus pyogenes. No inhibition have been recorded with Pseudomonas aeruginosa (table 2, figure 4). Biggest values of Cefalexin from Micro Labs Limited, India appeared with Streptococcus pyogenes, Bacillus subtilis and Escherichia coli, it had the same effect with the ones from S.D.I, Iraq and ZMC, China against Bacillus subtilis (table 2, figure 5). Moreover, Ciprofloxacin from five different industries exerted a huge activity against the tested bacterial species including Pseudomonas aeruginosa, their results approximately were the same, except the one from Sofarimex Lda, Portugal which showed the lowest inhibitory effect in general (table 2, figure 6). In the case of Tetracycline, table 2, figure 7 demonstrated that three different origins were available, one from Ajanta pharma limited, India recorded the highest inhibitory values when exposed to Streptococcus pyogenes, Staphylococcus aureus, Bacillus subtilis and Klebsiella pneumoniae, whilst Troge Medical tetracycline came at the end of the activity degree (table 2, figure 7). 431 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Finally, Chloramphenicol in the form of capsules created from ZMC, China occupied the first position in its antibacterial inhibitory role, but the same antibiotic from Shifa Pharmaceutical Industries, Syria came last (table 2, figure 8). Confirmation of antibiotic activity showed that Ampicillin 500 mg, Troge Medical GMBH; Ciprofloxacin 500 mg, Sofarimex Lda; Cefalexin 500 mg, ZMC could not prevent the growth of Streptococcus pyogenes, also Tetracyclin 250 mg, Troge Medical. GMBH was unable to eliminate the survival of Pseudomonas aeruginosa; Streptococcus pyogenes; Staphylococcus aureus and Escherichia coli, one other thing that Chloramphenicol 1 g., Shifa Pharmaceutical Industries was ineffective to kill Streptococcus pyogenes; Staphylococcus aureus; Escherichia coli and Klebsiella pneumoniae (table 3). Table 2. Inhibition zone diameter (mm) of antibiotics versus bacterial species. No. Antibiotic Generic Name Industry 1 2 3 4 Ampicillin 250 mg Ampicillin 500 mg Ampicillin 500 mg Ampicillin 500 mg 5 6 7 Amoxicillin 250 mg Amoxicillin 500 mg Amoxicillin 500 mg 8 Amoxicillin 500 mg 9 10 11 12 17 18 19 20 21 Amoxicillin 500 mg Amoxicillin 500 mg Amoxicillin 500 mg Amoxicillin 250 mg + Clavulanic Acid 125 mg Amoxicillin 250 mg + Clavulanic Acid 125 mg Ampicillin 250 mg + Cloxacillin 250 mg Ampicillin 250 mg + Cloxacillin 250 mg Ampicillin 250 mg + Cloxacillin 250 mg Cefalexin 500 mg Cephalexin 250 mg Cefalexin 500 mg Ciprofloxacin 500 mg Ciprofloxacin 500 mg S.D.I Troge Medical. GMBH PANPHARMA Chemical Industries Development S.D.I Laborate Pharmaceutical Harbin Pharmaceutical Group Co., LTD Sishui Pharmaceutical Co., LTD PANPHARMA global pharma neopharma Elsaad Pharma 22 Ciprofloxacin 500 mg 23 24 Ciprofloxacin 500 mg Ciprofloxacin 500 mg 13 14 15 16 Antibiotic Concentrati on (mg/ml) 10 10 10 10 Diameter of Inhibition Zone (mm) PA SP SA BS EC KP 8 ---------- 15 9 12 11 27 12 22 24 30 26 30 28 30 22 24 23 29 22 26 25 10 10 10 ---------- 9 9 10 8 25 25 31 26 26 26 22 25 29 22 22 10 ---- 10 22 26 22 22 10 10 10 5 ---8 ---8 15 13 16 27 22 18 ---27 25 29 26 32 25 16 25 23 22 30 27 30 Micro Labs Limited 5 8 27 25 32 22 29 Troge Medical. GMBH 5 ---- 15 20 25 20 12 Sishui Pharmaceutical Co., LTD Barakat Pharmaceutical Industries Micro Labs Limited S.D.I ZMC Medical Bahry Company Unique Pharmaceutical Labs Shijiazhuang Taihang Medicines Co., LTD Ajanta pharma limited Sofarimex Lda 5 ---- 11 20 26 23 10 5 ---- 11 15 30 26 15 10 10 10 5 5 ---------30 29 26 26 19 40 30 20 22 25 40 40 39 39 39 40 40 27 24 22 40 40 18 25 20 40 40 5 30 30 40 40 40 40 5 5 29 27 30 30 40 35 40 36 40 34 40 35 432 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Tetracycline 250 mg Tetracycline 250 mg Tetracycline 250 mg Chloramphenicol 250 mg Chloramphenicol 1 g. Chloramphenicol 1 g. 25 26 27 28 29 30 S.D.I Ajanta pharma limited Troge Medical. GMBH ZMC 5 5 5 5 10 10 10 18 22 30 18 29 14 27 ---35 25 27 20 35 29 24 11 23 23 27 8 39 ZMC 5 20 27 27 27 17 Shifa Pharmaceutical 5 20 11 23 16 14 Industries PA, Pseudomonas aeruginosa; SP, Streptococcus pyogenes; SA, Staphylococcus aureus; BS, Bacillus subtilis; EC, Escherichia coli; KP, Klebsiella pneumoniae. 28 11 Table 3. Bacterial species that grew in picking and patching method. 1 2 3 4 5 Antibiotic Generic Name Ampicillin 500 mg Cefalexin 500 mg Ciprofloxacin 500 mg Tetracycline 250 mg Concentratio n(µg/ml) 100 Troge Medical. GMBH 100 20 ZMC Sofarimex Lda 20 Troge Medical. GMBH Chloramphenicol 1 g. 50 Shifa Pharmaceutical Industries Industry Type(s) of Bacterial Species That Grew Streptococcus pyogenes Streptococcus pyogenes Streptococcus pyogenes Pseudomonas aeruginosa; Streptococcus pyogenes; Staphylococcus aureus; Escherichia coli. Streptococcus pyogenes; Staphylococcus aureus; Escherichia coli; Klebsiella pneumoniae. 35 S.D.I Troge Medical 30 PANPHARMA Inhibition Zone(mm) No. Chemical Industries Development 25 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae 20 15 10 5 0 PA SP SA BS Bacterial Species 433 EC KP العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Figure 1. Effect of Ampicillins on the applied bacterial species. 35 S.D.I Laborate Pharmaceutical Harbin Pharmaceutical Group Sishui Pharmaceutical Company 25 PANPHARMA global pharma 20 neopharma PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae 15 10 5 0 KP EC BS SA SP PA Bacterial Species Figure 2. Effect of Amoxicillins on the applied bacterial species 35 Elsaad Pharma 30 Micro Labs Limited 25 Inhibition Zone(mm) Inhibition Zone(mm) 30 20 15 10 5 434 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Figure 3. Effect of Amoxicillins+Clavulanic Acid on the applied bacterial species 35 Troge Medical Sishui Pharmaceut ical Company Barakat Pharmaceut ical Indust ries inhibition Zone(mm) 30 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae 25 20 15 10 5 0 PA SP SA BS EC KP Bacterial Species Figure 4. Effect of Ampicillins+Cloxacillins on the applied bacterial species 45 Micro Labs Limited S.D.I 40 ZMC hibition Zone(mm) 35 30 25 20 435 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Figure 5. Effect of Cephalexins on the applied bacterial species 45 Medical Bahry Company Unique Pharmaceutical Labs 40 Shijiazhuang Taihang Medicines Ajanta pharma limited 35 Sofarimex Lda PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae Inhibition Zone(mm) 30 25 20 15 10 5 0 PA SP SA BS EC KP Bacterial Species Figure 6. Effect of Ciprofloxacins on the applied bacterial species 35 S.D.I Ajanta pharma limited Troge M edical 30 hibition Zone(mm) 25 20 15 436 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Figure 7. Effect of Tetracyclines on the applied bacterial species 45 ZMC(Capsules) ZMC(Vials) 40 Shifa Pharmaceutical Industries Inhibition Zone(mm) 35 PA, Pseudomonas aeruginosa SP, Streptococcus pyogenes SA, Staphylococcus aureus BS, Bacillus subtilis EC, Escherichia coli KP, Klebsiella pneumoniae 30 25 20 15 10 5 0 PA SP SA BS EC KP Bacterial Species Figure 8. Effect of Chloramphenicols on the applied bacterial species Discussion 437 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Results showed a considerable variations between products manufactured from different pharmaceutical industries for the same type of antibiotic in their antibacterial activities toward certain bacterial species. This work agreed with results of Abdul-Sadda, 2008 who made a comparative study tested many antibiotics from different sources to determine their activities against some bacterial species, the study revealed a wide differences in inhibition zones for the origins of the same antibiotic against the same type of bacteria in vitro. Another research of (White & Hancock, 2007) recorded the differences between five origins of Tetracycline, they reported a high variations among these five origins. Adham et al., 2006 mentioned a clear variation between different antibiotic origins against isolate of Staphylococcus aureus. Producing pharmaceuticals is a complex process that requires a reliable, high quality supply of raw materials, technical expertise and a stable supply of electricity, gas and other utilities, plus sufficient human resource capacity with Ph.D-level scientists and expertise in pharmaceutical process and regulation. Pharmaceutical plants are capital intensive and take many years to develop and tend to be located in countries with good infrastructure, reliable utilities and access to technical expertise(Kaplan and Laing, 2005). There is many reasons may effect the efficacy of antibacterial effect of antibiotic from different pharmaceutical industries, unfortunately, large multinational companies spend more time and financial resources on the generation and dissemination of medical information than they do on researching and developing new treatments(Dukes, 2002). The problem is accentuated by large pharmaceutical companies insisting that they need financial incentives before they can re-start their antibacterial drug development programmes(Projan, 2003). The problem is different with the many off-patent, older antibiotics that have legally been available in cheap, generic versions. They are widely available, but often of dubious quality. Counterfeit medicines are another global problem, which can reach enormous proportions in Third World countries with negligible or no regulation(Kapp, 2002). The counterfeiting of pharmaceuticals has been detected since about 1990 and, recently, the problem has escalated, the World Health Organization(WHO) has defined counterfeit drug as those which are “deliberately mislabeled with respect to identity and/or source. Counterfeiting can apply to both branded and generic products with counterfeit products including drugs with the correct ingredients or with the wrong ingredients; without active ingredients, with insufficient active ingredients or with fake packaging.”(Deisingh, 2005). Impurities in pharmaceuticals are the unwanted chemicals that remain with the active pharmaceutical ingredients(APIs), or develop during formulation, or upon aging of both API and formulated APIs to medicines. The presence of these unwanted chemicals even in small amounts may influence the efficacy and safety of the pharmaceutical products(Roy, 2002). Impurities can also be formed by degradation of the end product during manufacturing of bulk drugs. However, degradation products resulting from storage or formulation to different dosage forms or aging are common impurities in the medicines. The degradation of Penicillins and Cephalosporins is a well-known example of degradation products. The presence of a β-lactam ring as well as that of an a-amino group in the C6/C7 side chain plays a critical role in their degradation(Krimpen et al., 1987). References 438 العدد/ العلوم الصرفة والتطبيقية/ مجلة جامعة بابل 2010 : )18( المجلد/ )2( Abdul-Sadda, H.K. (2008). A comparative study of antibacterial activity of antibiotics with different manufacturing origin. Medical Journal of Babylon. 5(1):141-148. Adham A.S.; Jams R.Y. and Ajfer A.D.(2006). Variations between different antibiotic origins against isolate of Staphylococcus aureus. J. Saudi Arabia.43: 23-26. Bauer R.W.; Kirby M.D.K.; Sherris J.C.and Turck M. (1966). Antibiotics by standardized single disk method. American Journal of Clinical Pathology.45:493-496. Brooks G.F.; Carroll K.C.; Butel J.S.and Morse S.A.(2007). Jawetz, Melnick& Adelberg’s medical microbiology. 24th ed. McGrew-Hill Companies, Inc., USA. Deisingh A.K. (2005). Pharmaceutical counterfeiting. Analyst. 130: 271-279. Dukes M.N.G. (2002). Accountability of the pharmaceutical industry. Lancet. 360:1682-1684. Holt J.G.; Krieg N.R.; Sneath P.H.; Staley J.T.and Williams S.T. (1994).Bergey’s manual of determinative bacteriology. 9th ed. Williams and Wilkins, Baltimore. Kaplan W.L.and Laing R. (2005). Local production of pharmaceuticals: industrial policy and access to medicines- an overview of key concepts, issues and opportunities for future research. World bank, HNP discussion paper, human development network. Available at www.worldbank.org/hnp >Publications>HNP Discussion Papers. Kapp C.(2002). Counterfeit drug problem”underestimated”, says conference. Lancet. 360:1080. Krimpen P.C.; Bennekom W.P.and Bult A.(1987). Penicillins and Cephalosporin: physicochemical properties and analysis in pharmaceutical and biological matrices. Pharm Weekbl [Sci]. 9: 1-23. Miniatis T; Fritsch E.and Sambrook J.(1982). Molecular cloning:a laboratory manual. Cold spring Harbour laboratory, New York. Miyadoh S.(1993). Research on antibiotic screening in Japan over the last decade. A producing microorganism approach. Actinomycetologica. 9:100-106. Projan S.J.(2003). Why is big pharma getting out of antibacterial drug discovery? Curr Opin Microbiol. 6:427-430. Roy J.(2002). Pharmaceutical impurities-a mini-review. AAPS PharmSciTech. 3(2):article 6. Sambrook J.and Russell D.W.(2001). Molecular cloning-a laboratory manual. 3rd ed.Cold spring Harbour laboratory publications, NY. Smelcerovic A.& Djordjevic S.(2000). The importance and advantages of the biotechnological methods for the production of antibiotics and for the discovery of new structures. The scientific journal FACTA UNIVERSITATIS. 1(5): 109-112. Stacey L.; Blachford and Cengage G.(2002). "Antibiotic". How products are made. eNotes.com. http://www.enotes.com/how-products-encyclopedia/antibiotic. Vilches C.; Mendez C.; Hardisson C.and Salas J.A.(1990). Biosynthesis of oleandomycin by Streptomyces antibioticus: Influence of nutritional conditions and development of resistance. J. Gen. Microbiol. 136:1447-1454. White R.L.and Hancock R.E.(2007). Comparative activity of Tetracycline against 16 clinical isolates of bacteria in the United States during 1999-2000. Diag. Microbiol. Infect. Dis. 43: 207. Williamson R.; Le bouquenec C.; Gutmann L.and Horaud T.(1985). Techniques in microbiology: antimicrobial susceptibility testing. ed. pp. 45-46, 87. 439