Pharcal 10 12

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 11

UNIVERSITY OF SANTO TOMAS

FACULTY OF PHARMACY – DEPT. OF PHARMACY


PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

COMPARATIVE ANALYSIS OF COMPENDIAL ANTIMICROBIAL EFFECTIVENESS TESTS


Arreola, R., Barroga, P., Beltran, C., Bocalan, M.

ABSTRACT
Since antimicrobial preservatives are utilized in the pharmaceutical industry to inhibit microorganism growth
and maintain product stability, antimicrobial effectiveness tests have been established by the different
pharmaceutical compendiums. The main compendia that the paper focused on are the Japanese
Pharmacopoeia (JP), United States Pharmacopeia (USP), and European Pharmacopoeia (Ph. Eur.). The
paper analyzed the three compendiums for their similarities and differences in terms of product categories,
challenge microorganisms, procedures, and criteria.

Keywords: Antimicrobials, Compendia, Pharmaceuticals, Preservatives, Testing

INTRODUCTION must be used at minute concentrations, ranging


Preservatives are natural or synthetic chemicals from 0.1% to 0.2%, 0.1% to 0.2%, and 0.1% to
added to food, pharmaceutical, and cosmetic 0.25% (w/w), respectively (Boukarim et al., 2009).
products to counteract microbial contamination and
decomposition, and chemical change (Shaikh et al., There are many different ways to characterize
2016). There are many ways to classify antimicrobial preservatives, such as electrokinetic
preservatives. According to Shaikh et al. (2016), capillary electrophoresis (CE), high performance
based on source, there are natural and artificial liquid chromatography (HPLC), gas
preservatives, and based on the mechanism of chromatography (GC), thin layer chromatography
action, there are antioxidants, chelating agents, and (TLC), and UV-visible spectrophotometry
antimicrobials. (Fahelelbom & El-Shabrawy, 2007). To test the
antimicrobial properties and effectiveness of the
Antimicrobials, in particular, are included in preservatives, antimicrobial effectiveness tests are
pharmaceutical preparations to either inhibit growth used in the pharmaceutical industry.
or kill microorganisms that were accidentally
introduced during product manufacture or through Antimicrobial effectiveness tests are indispensable
its use (Moser & Meyer, 2011). These are of great during the manufacture of pharmaceutical products,
importance in multiple-dose products, since as these determine the safety of a broad range of
withdrawing product multiple times comes with the products and dosage forms (Sutton & Porter, 2002).
possibility of contamination, and thus, product It assures that the effectiveness of the
instability (Fahelelbom & El-Shabrawy, 2007). preservatives or the antimicrobial activity of the
Products with high water content are also prone to product is sufficient to make it safe to use or intake
microbial proliferation, and require preservatives to in a given period (Sutton & Porter, 2002).
maintain protection from potentially pathogenic
microorganisms (Fahelelbom & El-Shabrawy, There are three major pharmacopeia used as
2007). reference in the pharmaceutical industry. Each of
these compendiums present minor differences in
Such antimicrobial preservatives are further their antimicrobial effectiveness tests. The
classified as parabens, acids and their salts, procedures are the following: the United States
quaternary ammonium compounds, mercurials, Pharmacopoeia (USP) <51> Antimicrobial
alcohols, phenols, and biguanides (Fahelelbom & Effectiveness Testing, the European
El-Shabrawy, 2007). Typically, sodium benzoate, Pharmacopoeia (Ph. Eur.) 5.1.3 Efficacy of
potassium sorbate, and methyl paraben are Antimicrobial Preservation, and the Japanese
employed in liquid pharmaceuticals (Boukarim et Pharmacopoeia (JP) 19, Preservative Effectiveness
al., 2009). Since these are potentially toxic, these Tests.
1
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

Category 3 comprises oral products, not including


The purpose of this comparative analysis is to antacids, made with aqueous bases or vehicles.
review each of the three different antimicrobial
effectiveness tests under the USP, Ph. Eur., and JP. Category 4 only has antacids made with an
aqueous base.
ANALYSIS
Overview of the procedures European Pharmacopoeia
The USP clearly states that the antimicrobial The Ph. Eur. loosely grouped products using their
effectiveness test must be conducted on routes of administration, where each classification
aqueous-based, multiple-dose topical and oral has a different acceptance criteria. The first
dosage forms and for other dosage forms such as category comprises parenterals, eye, intrauterine,
ophthalmic, otic, nasal, irrigation, and dialysis and intramammary preparations. The next category
fluids. includes ear, nasal, and cutaneous preparations, as
well as preparations for inhalation. The last
The Ph. Eur. notes the use of the efficacy of category is composed of oral, oromucosal, and
antimicrobial preservation test for aqueous rectal preparations.
products and products in multidose containers. It
also states that it is only used to demonstrate Japanese Pharmacopeia
efficacy of antimicrobial activity, but was not The products here have been divided into Category
developed to be used in routine control tests. I and Category II. Category I refers to products with
aqueous bases or vehicles. On the other hand,
The JP likewise highlights the microbial Category II comprises all dosage forms from
contamination risks associated with products in Category I that are produced with non-aqueous
multidose containers and aqueous products. bases or vehicles. Moreover, it is important to note
that oil-in-water emulsions are under Category I,
The three tests were compared in terms of their (1) while water-in-oil emulsions are classified under
products and categories, (2) challenge Category II.
microorganisms, (3) test strain preparation, (4)
growth promotion tests, (5) counting method Category I is divided into four subcategories: IA, IB,
suitability, (6) test procedure, and (7) interpretation IC, and ID.
of results and acceptance criteria.
Category IA includes injections and sterile products
Products and their Categories produced through dissolution or suspension in
United States Pharmacopoeia aqueous vehicles, such as ophthalmic, otic, and
Since the criteria of antimicrobial effectiveness are nasal preparations.
a function of the route of administration of the
products, the USP developed four categories based Category IB includes non-sterile topical products
on this. that are produced through dissolution or
suspension in aqueous vehicles, such as
Category 1 includes injections; other parenterals ophthalmic, otic, and nasal preparations, and
including emulsions, otic products, sterile nasal inhalations. Furthermore, products under category
products, and ophthalmic products made with IB may also be topically applied to mucous
aqueous bases or vehicles. membranes.

Category 2 is composed of topical products made Category IC includes orally administered


with aqueous bases or vehicles and nonsterile preparations, other than antacids, that are
nasal products and emulsions, including those produced through dissolution or suspension in
applied to mucous membranes. aqueous vehicles. Lastly, Category ID includes
antacids with aqueous bases or vehicles.
2
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

381; IP 2021.92; NBC 1960) for products like


Overall comparisons syrups that contain a lot of sugar. The test strains
While the USP and Ph. Eur. both categorize can be obtained by growing them on either liquid or
products based off of the route of administration, solid agar.
the JP first categorizes pharmaceuticals based on
the vehicle used, wherein those with aqueous Overall comparisons
bases are placed in subcategories based on the All three pharmacopeias utilize a standard of test
route of administration. Here, the USP and JP have microorganisms: E. coli (ATCC 8739), P.
similarities. aeruginosa (ATCC 9027), S. aureus (ATCC 6538),
C. albicans (ATCC 10231), and A. brasiliensis
The USP and JP both have four categories based (ATCC 16404). However, the Ph. Eur. states that
on the route of administration, from injections, the use of E. coli as a test microorganism is mainly
topicals, non-antacid oral products, and antacids. for oral preparations and is optional for testing in
The Ph. Eur., however, only has three categories, multidose parenterals. In addition, the JP and Ph.
and includes products that were not mentioned in Eur. have an additional guideline wherein Z. rouxii
the other two pharmacopoeia, such as intrauterine, may be used as a test microorganism in oral
intramammary, oromucosal, and rectal preparations that have a high concentration of
preparations. sugar, such as syrups.

Challenge microorganisms Test Strain Preparation


United States Pharmacopoeia United States Pharmacopoeia
The organisms chosen by the USP are Escherichia The bacteria are to be grown in Soybean-Casein
coli (ATCC 8739), Pseudomonas aeruginosa Digest broth or agar at a temperature of 32.5 ±
(ATCC 9027), Staphylococcus aureus (ATCC 2.5°C for 18 to 24 hours. The microbial recovery
6538), Candida albicans (ATCC 10231), and incubation time for these bacteria is from three to
Aspergillus brasiliensis (ATCC 16404). Seed-lot five days. Both of the fungi are to be grown in
culture maintenance techniques are used. Sabouraud Dextrose agar or broth at 22.5 ± 2.5°C.
C. albicans should be incubated for 44 to 52 hours,
European Pharmacopoeia while A. brasiliensis should be incubated for 6 to 10
The test microorganisms used are P. aeruginosa, days. The microbial recovery incubation time for C.
S. aureus, C. albicans, and A. brasiliensis. albicans is three to five days, while it is three to
However, E. coli is mainly recommended for oral seven days for A. brasiliensis.
preparations only. E. coli could still be used for
sterile multi-dose parenterals but it is not If the microorganisms are grown in agar, sterile
mandatory. The use of Zygosaccharomyces rouxii saline test solution is used to wash the surface
is in oral preparations that have a high growth of bacterial and C. albicans cultures. These
concentration of sugar. are then collected in a suitable vessel.

Japanese Pharmacopeia As for the A. brasiliensis spores, a sterile saline test


Seed-lot culture maintenance techniques are solution mixed with 0.05% of polysorbate 80 is
utilized to ensure that the viable microorganisms for used to harvest. The spore suspension is then
inoculation are not more than five passages aseptically treated to remove any hyphae.
removed from the initial master seed-lot. The test
microorganisms are E. coli, P. aeruginosa, S. It must be certified that no residual growth medium
aureus, C. albicans, and A. brasiliensis. from the inoculum is mixed into the suspension.
Furthermore, it is preferable to use strains that, This may be done through centrifugation and
depending on the product's characteristics, could resuspension in its corresponding sterile
contaminate the product and grow on or in it. For suspending fluid.
instance, it is preferable to use Z. rouxii (NCYC
3
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

If broth was used to grow the microorganisms, the Bacterial cultures are incubated at a temperature of
microbes may be harvested through centrifugation, 30°C to 35°C for 18 to 24 hours, while C. albicans
washing, and resuspension in the appropriate cultures are incubated at a temperature of 25°C for
sterile suspending fluid. 44°C to 52 hours, and A. brasiliensis cultures are
incubated at a temperature of 20°C to 25°C for six
These microbial suspensions must contain a to ten days, or once good sporulation has been
microbial count of about 1x108 cfu/mL. The achieved.
bacterial and yeast suspensions must be used
within two hours if stored at room temperature, or For solid cultures, bacterial mediums and the
within 24 hours if stored between 2°C to 8°C. The medium containing C. albicans are collected
A. brasiliensis spore suspension may be aseptically. Adjust the viable cell count to around
maintained for up to seven days at 2°C to 8°C. 10* CFU/mL and suspend the collected cells in
physiological saline. For A. brasiliensis,
European Pharmacopoeia physiological saline containing 0.05 w/v%
A Casein Soybean Digest agar for bacteria and polysorbate 80 should be used to suspend the
Sabouraud Dextrose agar for fungi is used. An cultivated cells of A. brasiliensis, and the spore
inoculum from a fresh stock of the challenge count should be set at around 10* CFU/mL. If
microorganisms will be inoculated on the surface of necessary, filter the spore suspension to get rid of
the agar. Analogous to JP and USP, the cultures hyphae using sterile gauze or glass wool. All of the
containing bacteria will be incubated at 30°C to cells that have been produced in this manner must
35°C for 18-24 hours. Those that contain be centrifuged to eliminate any remaining medium
C.albicans will be incubated at 20°C to 25°C for 48 components. These suspensions are then utilized
hours. On the other hand, a culture of A.brasiliensis as inocula.
will be incubated at 20°C to 25°C for a week.
For liquid cultures, with the exception of A.
A sterile suspending fluid, containing 9 g/L of brasiliensis, remove the medium from after each of
sodium chloride R, is utilized in the harvest of C. the four strains has been grown in fluid Sabouraud
albicans. The microbial count should be around 108 Glucose Media or Soybean Casein Digest medium
microorganisms per mL. In order to achieve this in a centrifuge. After being washed in physiological
count, a suspending fluid is added. saline, the cells are re-suspended in the same
solution with the inoculum's viable cell count
The same concentration of sterile suspending fluid adjusted to approximately 10° CFU/mL.When
is used in the culture of A. brasiliensis but with the cultivating strains other than the five test cultures,
addition of 0.5g/L polysorbate 80. The spore count choose a culture medium that will promote the
should also be around 108 microorganisms per mL. growth of the strain in question. An appropriate
method for that strain should also be used to
A suitable sample is then collected from the prepare the cell suspension. If it is not possible to
suspension and plate count or membrane filtration inoculate the microbial suspensions into the test
method is utilized to determine the number of specimens within 2 hours of them being prepared
colony-forming units per mL. from the cultivations on agar media or in liquid
media, keep them at 2 - 8°C and use them within
Japanese Pharmacopeia 24 hours. Usually, the spore of A. brasiliensis can
Inoculation of the five test microorganisms is be kept at 2 to 8°C for up to 7 days. Calculate the
performed on the surface of agar plates and/or agar theoretical viable cell count per mL or per gram of
slants. Soybean Casein Digest Agar is utilized for the product present just after inoculation, then
the growth of E. coli, P. aeruginosa, and S. aureus. compare it to the actual viable cell count of the
Whereas Sabouraud Glucose Agar is utilized for inocula just before use.
the growth of C. albicans and A. brasiliensis.
Overall comparisons
4
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

All three pharmacopeias have similar incubation are 5 days and 3 days, respectively. At least 50% of
conditions for bacterial cultures. However, each the standardized cell counts should be acquired
pharmacopeia has different procedures and from the colony counts on the agar media.
guidelines in the incubation of fungi.
Overall comparisons
The USP states that C. albicans should be The USP and JP are essentially the same in terms
incubated for 44 to 52 hours, and A. brasiliensis of their requirements for the growth promotion test,
should be incubated for 6 to 10 days at a except the USP does not provide room for
temperature of at 22.5 ± 2.5°C. Whereas the JP substitution like the JP does. They, however, both
instructs that cultures of C. albicans are to be require the agar colony counts to reach at least
incubated at a temperature of 25°C for 44°C to 52 50% of the standardized inoculum.
hours, and A. brasiliensis cultures are to be
incubated at a temperature of 20°C to 25°C for six The Ph. Eur. did not provide any specifications.
to ten days, or once good sporulation has been
achieved. Lastly, the Ph. Eur. states that cultures of Counting method suitability
C.albicans are incubated at 20°C to 25°C for 48 United States Pharmacopoeia
hours, and cultures of A.brasiliensis are incubated Preparation of a 10-1 dilution is done by adding 1
at 20°C to 25°C for a week. mL of the specific product with 9 mL of saline or
other neutralizing agent. Continue the dilution
Growth Promotion tests scheme to 10-2 and 10-3 dilution levels. An
United States Pharmacopoeia appropriate number of challenge organisms is
The test requires media that can support microbial added to each tube of diluted product and mixed. A
growth. Hence, each batch of the ready-prepared suitable volume from each dilution is then plated to
medium and each batch of medium prepared from yield less than 250 cfu/plate for bacteria and yeast
dehydrated medium or additional ingredients are (ideally between 25 to 250 cfu) or less than 80
tested. For solid media, the counts must reach at cfu/plate for A. brasiliensis (ideally between 8 to 80
least 50% of the calculated value for a standardized cfu) with the plating being performed minimally in
inoculum. On the other hand, freshly prepared duplicate.
inoculum must have comparable growth to those of
previously tested and approved media. The positive control for the procedure is prepared
by introducing the same inocula into saline, and
European Pharmacopoeia transferring saline in similar volumes to the agar
The Ph. Eur. did not specify a method to test plates. The suitable recovery scheme provides 50%
growth promotion of the media to be used. of the saline control count, which is averaged.

Japanese Pharmacopoeia In case the diluted product exhibits antimicrobial


The test uses Sabouraud Glucose Agar Medium for properties, specific neutralizers may need to be
fungi, and Soybean-Casein Digest Agar Medium for incorporated into the diluents or the recovery
bacteria. If other media offer comparable nutritional media. If there are no suitable neutralizing agents,
components and growth-promoting qualities for the the level of inoculum may be increased to measure
microorganisms under test, those may also be a 3 log unit reduction.
utilized.
The ability of the procedure to measure
The material to be used in actual product testing preservative efficacy may be compromised if the
should be utilized for the growth promotion test method requires a greater dilution (10-2 and 10-3),
using challenge strains or those deemed as it will affect the measured recovery. It may be
comparable. The maximum incubation periods for difficult to measure a 3 log unit reduction for highly
Sabouraud Glucose Agar Medium and diluted inoculum.
Soybean-Casein Digest Agar Medium, respectively,
5
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

The reported recovery of the method cannot be Both the USP and JP introduce the inocula to
less than 1 cfu/plate on average. Membrane saline, which is transferred to the agar plates. The
filtration may be used to filter larger volumes of suitable recovery scheme for both is set at at least
dilutions to avoid a decrease in the reported 50% of the average saline control count.
recovery, and/or to assist in neutralizing the
antimicrobial properties of the product. Antimicrobial properties are to be neutralized for
USP and JP by the use of neutralizers or
European Pharmacopoeia inactivators. Both pharmacopeias also state that
The Ph. Eur. did not specify a method to determine membrane filtration is also to be used for larger
the suitability of counting method in the presence of dilutions and for cases in which antimicrobial
product. properties need to be neutralized without an
inactivator.
Japanese Pharmacopoeia
In preparation of the product, 1 g or 1 mL must be The Ph. Eur. did not provide any specifications.
diluted to nine times its mass of physiological
saline, or other appropriate neutral diluting Product Testing Procedure
solutions. Prepare two more dilutions for the United States Pharmacopoeia
solutions by serial ten-fold dilution, and then add The test may be conducted in five of the original
the suitable count of the test cells in each specific containers if these containers can be entered
test tube. Mix the tubes then inoculate so they aseptically and have a sufficient volume of product.
would yield less than 250 CFU/plate (bacteria and Otherwise, the test must be conducted in five
C. albicans) or less than 80 CFU/plate (A. sterile, capped bacteriological containers of
brasiliensis). sufficient size wherein the appropriate volume has
been transferred.
The same inocula is introduced into saline. Similar
volumes of saline are transferred to the agar plates. Each container is then inoculated and mixed with
Suitable recovery scheme is one that provides at one of each standardized suspensions. The volume
least 50% of the average saline control count. The of the inocula should be between 0.5% to 1% of the
method is valid to verify the suitability in the volume of the product.
specimen.
For products belonging to the first three categories,
If growth in the cells were inhibited, an inactivator the concentration of test microorganisms should
may be added to a buffer solution for the use of bring the final concentration of the test preparation
dilution. Confirmation that the inactivator has no to between 10 x 105 to 10 x 106 cfu/mL of the
effect on the growth of the microorganism is product. For Category 4, the final concentration
important. after inoculation should be between 10 x 103 to 10 x
104 cfu/mL of the product.
If the preservative or product itself affects the
determination of the viable cell count, and there is The initial concentration of viable microorganisms
no suitable inactivator, the viable cell counts must in each test preparation is estimated based on the
be calculated using the membrane filtration concentration of microorganisms in the
method. standardized inocula, as determined by the
plate-count method.
Validation study states that if the cell recovery
count is not less than 50% of the inoculated cell The inoculated containers must then be incubated
counts the ones set on zero days may be used as at 22.5 ± 2.5°C. These are then sampled at
theoretical inoculate cell count. appropriate intervals, at 7, 14, and 28 days.

Overall comparisons
6
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

For each interval, changes in appearance, and the Japanese Pharmacopoeia


number of cfu present in each test are determined For products under Category I, the five containers
by plate-count procedure with a minimum of containing the product will be injected with each of
duplicate plates. The cfu is averaged before the cell suspensions.
determination of deduced cfu/mL. If membrane
filtration is used, duplicate membrane filters should If there are difficulties in injecting the cell
be used for each estimate. suspension into the container or the volume of the
product in each container is too small to be tested,
The changes in log10 of the concentration of cfu/mL transfer a sufficient volume of the product into each
of each microorganism at each interval are then of the alternative sterile containers aseptically. After
calculated using the calculated cfu/mL that, the inoculum is mixed. Calculate the viable cell
concentrations from the beginning of the test. count of the test preparations at 0, 7 (only for
These changes are expressed in terms of log Category IA), 14, and 28 days after the inoculation
reductions, which are the difference between the containers have been incubated at 20°C to 25°C
log10 values of the starting concentration of cfu/mL with protection from light. When noticeable changes
in the suspension and the log10 unit value of cfu/mL in the test preparations have occurred (such as
of the survivors at that time point. color changes, the emergence of a foul odor, or the
formation of a fungus), note them. It is important to
European Pharmacopoeia note them to determine the preservative’s efficacy.
The method used the agar medium from the initial This is expressed as changes in terms of log
cultivation of the microorganisms. Inoculate a reduction against the count of inoculated cells. In
series of containers of the product to be examined, general, the Plate-count method (Pour-plate
each with a suspension of one of the test methods; Surface-spread method) or the
organisms to give an inoculum of 105 to 106 Membrane Filtration method in "Microbiological
microorganisms per mL or per g of the preparation. Examination of Non-sterile Products (4.05)" are
The volume of the suspension of inoculum should used to calculate the viable cell counts. For items in
not exceed 1% of the volume of the product. Mix to Categories I and II, alternative microbiological
ensure homogeneity, and maintain the inoculated techniques, including automated approaches, may
product at a temperature of 20°C to 25°C while be used as long as they produce results that are at
being protected from light. least as good as those obtained using
pharmacopeial techniques.
A sample, typically 1 mL or 1 g, is removed from
the containers at zero hour and at appropriate Processes for Category II products are the same as
intervals for the type of product being tested. those outlined for Category I products, but extra
Determine the number of viable microorganisms by considerations and procedures are needed for both
plate count or membrane filtration. the uniform dispersion of the test microorganism in
the product and the calculation of viable cell counts
Residual antimicrobial activity is eliminated by in the test preparations. For semisolid ointment
dilution, filtration, or using a specific inactivator. bases, heat the test preparation to 45°C to 50°C
When diluting, a due allowance is made to maintain until it becomes oily. The cell suspension is added
a reduced sensitivity in recovery for small numbers then evenly distributed in the inoculum with a sterile
in microorganisms. When a specific activator is glass rod or spatula. To promote uniform
used, the system’s ability to support growth must dispersion, surfactants can also be used, but it is
be confirmed with the use of controls. important to make sure they do not interfere with
the test microorganisms' ability to survive or
The procedure is validated in terms of its ability to weaken the product's ability to preserve itself. To
demonstrate the needed reduction for the count of evenly distribute the test preparations in the buffer
viable microorganisms. solution or liquid medium in order to determine the
viable cell count, a surfactant or emulsifier may be
7
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

added. Lecithin, polysorbate 80, or sorbitan


days’ count at 28 days
monooleate may be added to enhance miscibility
between the buffer solution or liquid medium and Yeast and molds No increase from the initial
the semi-solid ointments or oils into which the test calculated count at 14 and
microorganisms were inoculated. These 28 days
substances work to neutralize or inactivate many of
the most popular preservatives. For Category 3 Products

Overall comparisons Bacteria NLT 1.0 log reduction from


USP and Ph. Eur. showed similarities in the the initial count at 14 days,
volumes to be utilized from the inocula. The and no increase from the 14
incubation period is the same for the three days’ count at 28 days
compendiums with a range from 20°C to 25°C and
should be protected from light. All of the three use Yeast and molds No increase from the initial
the plate-count method and membrane filtration. JP calculated count at 14 and
contains more detail to the procedures. 28 days

Interpretation of Results and Acceptance For Category 4 Products


Criteria
United States Pharmacopoeia Bacteria, yeast, No increase from the initial
The conditions for antimicrobial effectiveness are and molds calculated count at 14 and
met if the criteria in Table 1 are met. There are 28 days
different criteria for each category. The criteria for Note. “No increase” in counts is defined as NMT
bacteria and yeast and molds must all be passed 0.5 log10 unit more than the value to which it is
for a preservative to pass the antimicrobial compared.
effectiveness test.
European Pharmacopoeia
Table 1. The A category is the optimal efficacy, while B is
Criteria for Tested Microorganisms the criteria to be satisfied when A could not be
For Category 1 Products achieved. NI means there should be no increase in
the number of viable microorganisms while Nr
Bacteria NLT 1.0 log reduction from means there should be no recovery. The different
the initial calculated count at criteria for the three different categories may be
7 days, NLT 3.0 log viewed in Tables 2, 3, and 4.
reduction from the initial
count at 14 days, and no Table 2.
increase from the 14 days’ Parenteral preparations, eye preparations,
count at 28 days intrauterine preparations and intramammary
preparations
Yeast and molds No increase from the initial
Log reduction
calculated count at 7, 14,
and 28 days 6 hr 24 hr 7 d 14 d 28d
For Category 2 Products Bacteria A 2 3 - - NR
Bacteria NLT 2.0 log reduction from B - 1 3 - NI
the initial count at 14 days,
and no increase from the 14 Fungi A - - 2 - NI

8
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

B - - - 1 NI IA Bacteria At 7 days: Not less


than 1.0 log reduction
Table 3. from the initial count
Ear preparations, nasal preparations, preparations
for cutaneous application and preparations for At 14 days: Not less
inhalation than 3.0 log reduction
Log reduction from the initial count.

24 hr 7d 14 d 28d At 28 days: No
Bacteria A 2 3 - NI increase from the 14
day's count.
B - - 3 NI
Fungi At 7, 14 and 28 days:
Fungi A - - 2 NI No increase from the
initial count.
B - - 1 NI
IB Bacteria At 14 days: Not less
Table 4. than 2.0 log reduction
Oral preparations, oromucosal preparations and from the initial count.
rectal preparations
At 28 days: No
Log reduction increase from the 14
day's count.
14 d 28d
Fungi At 14 and 28 days: No
Bacteria 3 NI
increase from the
Fungi 1 NI initial count.

IC Bacteria At 14 days: Not less


Japanese Pharmacopoeia
The preservative efficacy is interpreted based on than 1.0 log reduction
the criteria set in Table 5. In case microorganisms from the initial count.
that are not being tested are found in the product, At 28 days: No
there is a strong chance of contamination, and/or increase from the 14
the contamination level in a nonsterile product day's count.
exceeds the microbial enumeration limit, these
require caution in handling the product and Fungi At 14 and 28 days: No
changes in the manufacturing process.
increase from the
Table 5. initial count.
Interpretation criteria by product category
ID Bacteria At 14 and 28 days: No
Category Microorganism Interpretation increase from the
Criteria
initial count.

9
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

(Sutton & Porter, 2002), contained in the three


Fungi At 14 and 28 days: No
major pharmacopeias, the USP, Ph. Eur., and JP.
increase from the There are similarities and differences in the test
initial count. products categories, challenge microorganisms,
procedures, and criteria.
II Bacteria At 14 and 28 days: No
increase from the In terms of the products and their categories, all the
initial count. compendia essentially divide the criteria based on
the route of administration. The JP, however, first
Fungi At 14 and 28 days: No divides products based on whether or not they
increase from the make use of an aqueous vehicle. Then, the
aqueous products are subdivided into four based
initial count.
on the routes of administration similar to those of
Note. “No increase from the initial count” means not the USP. The Ph. Eur. only has three categories,
more than 0.5 log10 increase from the initial and includes products administered through routes
calculated count. that were not mentioned in the other two.

Overall comparisons As for the challenge microorganisms, all three use


The intervals for testing the samples are the same the same ones: E. coli, P. aeruginosa, S. aureus, C.
for USP and JP, which are 7, 14, and 28 days. Ph. albicans, and A. brasiliensis. In Ph. Eur., E. coli is
Eur. also makes use of these days, but has an an optional test microorganism for multidose
additional interval for 6 and 24 hours. parenterals, as it is mainly for oral preparations and
is optional for testing in multidose parenterals. Both
All three pharmacopeias use log reduction as the JP and Ph. Eur. have an additional guideline
measurement for the acceptance criteria. wherein Z. rouxii may be used in testing oral
preparations with high sugar concentrations.
The USP and JP share the same acceptance
criteria for the products under USP Categories 1 to In preparing these test strains, all three
4 and JP Category IA to ID. However, JP has an pharmacopeias have similar incubation conditions
additional classification for nonaqueous products, for bacterial cultures. However, each pharmacopeia
which has the same acceptance criteria for has different procedures and guidelines in the
Category IA. incubation of fungi.

Ph. Eur., on the other hand, has two different The USP and JP have similar requirements for the
criteria: one that expresses the recommended growth promotion test, where they make use of
efficacy, and one for justified cases when the first Soybean Casein Digest medium and Sabouraud
one cannot be attained. The log reductions are also Glucose Agar medium. The JP allows for
different compared to the USP and JP. substitutions, unlike the USP. They, however, both
require the agar colony counts to reach at least
CONCLUSION 50% of the standardized inoculum.
Preservatives are essential in pharmaceutical
products packaged in multidose containers and In terms of the counting method suitability, both the
those containing a large amount of water USP and JP mix the inoculum and saline, which is
(Fahelelbom & El-Shabrawy, 2007; Moser & Meyer, to be transferred to the agar plates. The suitable
2011). recovery scheme for both is set at at least 50% of
the average saline control count.
One type of preservative is antimicrobial
preservatives, of which their activity may be Antimicrobial properties are to be neutralized for
assessed through antimicrobial effectiveness tests USP and JP by the use of neutralizers or
10
UNIVERSITY OF SANTO TOMAS
FACULTY OF PHARMACY – DEPT. OF PHARMACY
PHARMACEUTICAL MICROBIOLOGY AND PARASITOLOGY (PHA 6114)
S.Y. 2022-2023

inactivators. Both pharmacopeias also state that formulations, and thus, the safety and stability of
membrane filtration is also to be used for larger the resulting product.
dilutions and for cases in which antimicrobial
properties need to be neutralized without an REFERENCES:
inactivator. European Pharmacopoeia. 8 (2014), 5.1.3.
Effectiveness of Antimicrobial Preservation.
The Ph. Eur. did not specify the use or methods for
a growth promotion test and counting method Fahelelbom, K. M., & El-Shabrawy, Y. (2007).
suitability. Analysis of preservatives in pharmaceutical
products. Pharm Rev, 5(1).
For the product testing procedures, USP and Ph.
Eur. use the same volumes for the inocula. The Japanese Pharmacopoeia. JP <19> Preservative
incubation period is the same for the three effectiveness tests.
compendiums, ranging from 20°C to 25°C, making
sure that these are protected from light. All three Moser, C. L., & Meyer, B. K. (2011). Comparison of
use the plate-count method and membrane compendial antimicrobial effectiveness tests: a
filtration. JP contains more detail to its procedures. review. Aaps Pharmscitech, 12(1), 222-226.

As for the interpretation of results and acceptance Shaikh, S. M., Doijad, R. C., Shete, A. S., &
criteria, the intervals for testing the samples are the Sankpal, P. S. (2016). A Review on: Preservatives
same for USP and JP, which are 7, 14, and 28 used in Pharmaceuticals and impacts on Health.
days. The Ph. Eur., in addition to these intervals, PharmaTutor, 4(5), 25-34.
also uses 6 and 24 hours.
Sutton, S. V., & Porter, D. (2002). Development of
The effectiveness of the preservatives, and thus the the antimicrobial effectiveness test as USP
acceptance criteria, are expressed through the chapter< 51>. PDA Journal of Pharmaceutical
changes of log reduction of the initial and final Science and Technology, 56(6), 300-311
concentration for all the three.
U.S. Pharmacopeia. 38 (2015), <51> Antimicrobial
The USP and JP share the same log reduction Effectiveness Testing.
values for the products under USP Categories 1 to
4 and JP Category IA to ID, which also contain the
same products for each category. In JP, Category II
(nonaqueous products) shares the same criteria as
Category IA.

Ph. Eur., on the other hand, has two different


criteria: one that expresses the recommended
efficacy, and one for justified cases when the first
one cannot be attained. The accepted log reduction
values are also different compared to the USP and
JP.

Despite the differences in the antimicrobial


effectiveness tests of the three different
pharmacopeias, these are harmonized in certain
aspects. These ultimately provide guidelines that
uphold the effectiveness of antimicrobial
preservatives to be used in various pharmaceutical
11

You might also like