The worsening of antibiotic resistance is a multifactorial process. One aspect of this is the counterfeiting of antibiotic medications. This is supposed to be particularly high in developing countries. including Nigeria. https://www.roneverhart.com/Medline-ReNewal-Reprocessed-Arthrex-Scorpion-Needle-AR-13995N-MULTIFIRE-SCORPION-NDL-BLACK-AR13995NR/