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Kuria KAM, Abuga KO, Masengo W, Govaerts C, Roets E, Busson R, de Witte P, Zupko I, Hoornaert G, Hoogmartens J, Laekeman G. "In vitro Antimalarial Activity of Ajuga remota Benth (Labiatae)." East Cent. Afr. J. Pharm. Sci.. 2003;6(2):26-30. Abstract

Ajuga remota Benth is the most frequently used plant to treat malaria by Kenyan herbalists. Both crude extracts and pure isolates of the plant were tested for their in vitro antimalarial properties. The activity was assessed by an enzyme assay method based on the measurement of the parasite lactate dehydrogenase activity. The IC50 of the most active A. remota extract (ethanol macerate) was 71 and 69 μg/ml against the chloroquine sensitive (FCA/20GHA) and resistant (W2) strains of Plasmodium falciparum respectively. Ajugarin-1 was moderately active with IC50 of 23.0 ± 3.0 μM as compared to chloroquine (IC50 = 0.041 ± 0.003 μM) against the chloroquine-sensitive strain of Plasmodium falciparum. Ergosterol-5, 8-endoperoxide was about 4x as potent (IC50 = 5.4 ± 1.9 μM) while 8-0- acetylharpagide, a new isolate of A.remota and whose structure was established by spectroscopic evidence, was inactive.

Nyamweya NN, Lumb PN, Mujyarugamba JC, Abuga KO. "Inactive Ingredients used in Alcohol-Based Hand Sanitizers marketed in the Nairobi Metropolitan Area." PJK. 2021;25(1):17-20. Abstract

Background: Alcohol-based hand sanitizers (ABHS) have become widely used products since the advent of the SARS-CoV-2 coronavirus based COVID-19 pandemic. In addition to ethanol or isopropanol (the active ingredients of ABHS) and water, these products are formulated with a number of ingredients to optimize delivery, efficacy and safety as well as to provide consumer appeal. Despite the widespread use of ABHS, there is very limited information in the literature on the non-alcohol ingredients used in these products.
Objectives: The aim of this work was to determine the inactive ingredients used in ABHS marketed in metropolitan Nairobi.
Methodology: ABHS products were randomly obtained from several locations at retail outlets within the Nairobi metropolitan region. The ingredients used in each ABHS were obtained from the product labels.
Results: The most common inactive ingredients based on percentage frequency of listing on product labels were glycerin (50%), fragrances (36%), carbomer (26%), triethanolamine (18%) and propylene glycol (17%). It was observed that some products incorporated additional antimicrobial agents and preservatives in the formulation. The fragrances and some of the preservatives used in the ABHS products are potential allergens. Incomplete or inadequate ingredient naming was noted for several products.
Conclusions: There is a need for ABHS manufacturers to fully disclose all raw materials used in ABHS products using standardized ingredient nomenclature. ABHS users need to be aware of potential allergens present in respective marketed products.

Karamshetty V, DeVries H, Wassenhove LVN, Dewilde S, Minnaard W, Ongarora D, Abuga K, Yadav P. "Inventory Management Practices in Private Healthcare Facilities in Nairobi County." Prod. Oper. Manag.. 2021;31(2):828-846. Abstract

Universal health coverage (UHC) is an integral part of the United Nations sustainable development goals. The private sector plays a prominent role in achieving UHC, being the primary source of essential medicines for many people. However, many private healthcare facilities in low‐ and middle‐income countries (LMICs) have insu_cient stocks of essential medicines. At the same time, these same facilities carry excessive quantities of certain drugs, leading to obsolescence. This suggests poor inventory control. To propose potential remedies it is vital to fully understand the underlying causes. In semi‐structured interviews with managers of private healthcare facilities in Nairobi, we asked them about their 1) inventory control systems, 2) inventory control skills, 3) time/human resource constraints, 4) budget constraints, 5) motivations for inventory control, and 6) suppliers. Our results suggest that the problems are driven by resource limitations (budget and time/human resources), managerial issues (relating to skills and systems), and market mechanisms that limit overage and underage costs. Unavailability at the supplier level and motivations for inventory control are relatively minor issues. We posit that the key causes are interlinked and stem from wider issues in the market and regulatory environment. Our results challenge prevalent beliefs about medicine supply chains in LMICs and lead to alternative hypotheses. Testing these hypotheses could improve our understanding of inventory management in private healthcare facilities and aid progress in achieving UHC.

Mukungu NA, Abuga KO, Mungai NN, Karumi EW. "Isolation and structural elucidation of compounds from the non-alkaloidal extract of Nicandra physaloides and the antimicrobial activity of withanicandrin." East Cent. Afr. J. Pharm. . 2013;16(2):49-53. Abstract

The aerial parts of Nicandra physaloides plant collected from Kenyatta National Hospital grounds were dried and subjected to acid-base extraction and partitioned to obtain alkaloidal and non-alkaloidal extracts. The non-alkaloidal extract yielded three compounds; withanicandrin, β-sitosterol and stigmasterol after column chromatography. Withanicandrin exhibited antifungal activity against Saccharomyces cerevisiae and Candida albicans but lacked antibacterial activity.

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