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Controlling Cleanrooms - Ses 3 - ASEPTIC WKSHP PUNE FEB'07
Controlling Cleanrooms - Ses 3 - ASEPTIC WKSHP PUNE FEB'07
Sumant Baukhandi
Pharma Institute of GMPs
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Points Covered
Defining an Aseptic State
Attaining an Aseptic State – Quality By Design
Apply Risk Based Approach
People & Aseptic Technique
Complexity of Aseptic Processing
Approaches
Sanitization Techniques in Cleanrooms
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Aseptic State
Defining an Aseptic State
- What is Asepsis?
- Is it sterile?
Let us see!!
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Aseptic State
Defining an Aseptic State
1. Sepsis: Comes from Greek for decay or
putrid. Indicates bacterial contamination.
2. Asepsis: Absence of significant
contamination.
3. Aseptic techniques are used to prevent
contamination of products, operating
personnel, and processing areas &
equipment
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Aseptic State
Aseptic Processing - A mode of processing
pharmaceutical and medical products that
involves the separate sterilization of the
product and of the package
(containers/closures or packaging material
for medical devices) and the transfer of the
product into the container and its closure
under microbiologically critical controlled
conditions.
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Aseptic State
Clean Room - A room in which the concentration of
airborne particles is controlled to meet a specified
airborne particulate Cleanliness Class.
In addition, the concentration of microorganisms in the
environment is monitored
Each Cleanliness Class defined is also assigned a
microbial level for air, surface, and personnel gear.
Controlled Environment - Any area in an aseptic process
system for which airborne particulate and microorganism
levels are controlled to specific levels, appropriate to the
activities conducted within that environment.
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Aseptic State
Defining an Aseptic State
1. Sterility - Within the strictest definition of sterility,
an article is deemed sterile when there is complete absence
of viable microorganisms.
Absolute sterility cannot be practically demonstrated
without testing every article in a batch.
Sterility is defined in probabilistic terms, where the
likelihood of a contaminated article is acceptably remote.
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Control of Microbial Growth:
Rate of Microbial Death
When bacterial populations are heated or treated
with anti-microbial chemicals, they usually die at a
constant rate.
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Aseptic State
How to Attain an Aseptic State?
Quality By Design
Facility Design
- Building & Facilities
- HVAC Systems
- Man - Material Flow
- Behavior of Operating Personnel
- Sanitation, Sanitization, Disinfection techniques
- Sterilization processes / Filtration process
- Handling of material / components
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Aseptic State
People & Aseptic Technique
General Hygiene
General Awareness on Microbiology & Contamination
Know your Area classification regime and restricted
access
Know your gowning regime
Knowing the Aseptic processes – how to handle?
Know the Environmental conditions inside that directly
influence contamination & growth
Know the sources of contamination & controls
Know the sterilization systems & processes
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Aseptic State
People & Aseptic Technique
Skills: Attitude, temperament, diligence, thoroughness
What is Aseptic processing & how does it work?
Why is aseptic filling performed?
Aseptic connections, transfers,
Quality Systems: Validation, Calibration, Training,
Documentation, Change control
Why we do microbiological monitoring & testing?
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Aseptic State
People & Aseptic Technique
How to move & behave in a manufacturing environment?
How to handle materials / components / machines?
How to intervene a process appropriately?
How to perform sanitation, sanitization, sterilization, filtration?
Good Apparel, Attire,
Proper gowning practice, gloving,
Good Clean room behavior
Good Laminar airflow, HEPA Filtration
Tacky mats
Good Hand washing & disinfection practices
Good use of cleaners, mops, swipes, swabs, RODAC plates, IPA
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Aseptic State
Complexity of Aseptic Approaches
Powder in Vials
Solution in Vials
Glass Ampoules & Sterilization
Lyophilization processes – glass vials
Opthalmic solutions
Nasal Drops
Bulk APIs – regular & lyophilized – equipment
complexities
Risks to identified, assessed, minimized
Equipment cleaning & SIPs
Aseptic Process Filtrations
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Sanitization Techniques
Sanitization Techniques in Cleanrooms
Sanitization is a complex technology, not
well recognized in pharmaceutical field
Some important terms:
1. Antimicrobial: This is an agent intended
for minimizing growth or destroying
microorganisms in vitro (sanitizers,
germicides, disinfectants, sterilizers &
microbiostats)
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Sanitization Techniques
Sanitization Techniques in Cleanrooms
2. Sanitizer: It is a chemical agent that
specifically kills microbial contamination in
the form of vegetative cells
3. Sterilizer: This may be defined as a
chemical agent that destroys or eliminates
all forms of microbial life in an inanimate
environment. Sanitizers are not necessarily
sterilizers
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Sanitization Techniques
Sanitization Techniques in Cleanrooms
4. Disinfectant: This is an anti-microbial
agent employed to destroy pathogens on
inanimate objects
5. Microbiocides: These agents kill
microorganisms (bactericide, fungicide,
sporicide, virucide)
6. Microbiostats: These agents only inhibit
growth of microorgnisms
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Sanitization Techniques
Selection of Agent
No single sanitizer achieves the ideal goal.
Following should be the considerations:
- Kills a wide range of microbes
- is non-toxic to humans
- is non-corrosive & non-staining to equipment
- possesses detergent action
- has stability
- has quick action
- will not be inactivated by organic matter
- produces desired residual action, and
- is inexpensive
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Sanitization Techniques
Assessing Scope of Application
The microbiologist must select a single agent or a
combination, governed by the standards of her/his
company,
that produces maximum effectiveness at a
minimum cost
Considerable research & evaluation is required to
determine the preferred sanitizer
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Sanitization Techniques
Assessing Scope of Application
Know the surfaces to be sanitized:
Inside or outside: easily accessible
Compatibility of the surfaces
(glass, ceramics, stainless steel are resistant)
Type of finish: porous, smooth, rough, grainy
(for porous – add surfactant to aid penetration)
Method of Application is another aspect:
Spraying,
Mopping,
Fogging,
Submerging
(which is more appropriate?)
What should be the contact time?
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Sanitization Techniques
Rotation of Sanitizer(s)
Since no single sanitizer kills all types of
microbes, it is prudent to rotate sanitizers
Rotation frequency to be determined
Weekly or monthly rotation
However, rotation should be done only if deemed
necessary (when specific data indicates a need)
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Sanitization Techniques
Selection of Sanitizer(s)
Merits of four major groups should be considered
Chlorinated compounds: most widely used & economical
- Cl2 solutions in water – form hypochlorous acid
- Chloramines & Cl2 gas - increasing concentrations kills bacteria
- Hypochlorite solutions – increasing concentrations decreases
their power to kill
Iodine compounds – Iodophors contain solubilizing agent in I2
Quaternary ammonium compounds – sanitize at low
concentrations, and
Acid-anionic compounds – combinations of organic or inorganic
acids & surface-active agents (H2PO4 & alkyl sulfonate group)
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Sanitization Techniques
Selection of Sanitizer(s)
1. Phenols and Phenolics:
Phenol (carbolic acid) was first used by Lister as a disinfectant.
Rarely used today because it is a skin irritant and has strong odor.
Used in some throat sprays and lozenges.
Acts as local anesthetic.
Phenolics are chemical derivatives of phenol
Cresols: Derived from coal tar (Lysol).
Biphenols (pHisoHex): Effective against gram-positive
staphylococci and streptococci. Used in nurseries. Excessive use
in infants may cause neurological damage.
Destroy plasma membranes and denature proteins.
Advantages: Stable, persist for long times after applied, and remain
active in the presence of organic compounds.
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Sanitization Techniques
Selection of Sanitizer(s)
2. Halogens: Effective alone or in compounds.
A. Iodine:
Tincture of iodine (alcohol solution) was one of first antiseptics used.
Combines with amino acid tyrosine in proteins and denatures
proteins.
Stains skin and clothes, somewhat irritating.
Iodophors: Compounds with iodine that are slow releasing, take
several minutes to act. Used as skin antiseptic in surgery. Not
effective against bacterial endospores.
Betadine
Isodine
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Sanitization Techniques
Selection of Sanitizer(s)
2. Halogens: Effective alone or in compounds.
B. Chlorine:
When mixed in water forms hypochlorous acid:
Cl2 + H2O ------> H+ + Cl- + HOCl
(Hypochlorous acid)
Used to disinfect drinking water, pools, and sewage.
Chlorine is easily inactivated by organic materials.
Sodium hypochlorite (NaOCl): Is active ingredient of
bleach.
Chloramines: Consist of chlorine and ammonia. Less
effective as germicides.
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Sanitization Techniques
Selection of Sanitizer(s)
3. Alcohols:
Kill bacteria, fungi, but not endospores or naked viruses.
Act by denaturing proteins and disrupting cell membranes.
Evaporate, leaving no residue.
Used to mechanically wipe microbes off skin before
injections or blood drawing.
Not good for open wounds, because cause proteins to
coagulate.
Ethanol: Drinking alcohol. Optimum concentration is 70%.
Isopropanol: Rubbing alcohol. Better disinfectant than ethanol.
Also cheaper and less volatile.
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Sanitization Techniques
Selection of Sanitizer(s)
4. Heavy Metals:
Include copper, selenium, mercury, silver, and zinc.
Oligodynamic action: Very tiny amounts are effective.
A. Silver:
1% silver nitrate used to protect infants against gonorrheal eye
infections until recently.
B. Mercury
Organic mercury compounds like merthiolate and mercurochrome
are used to disinfect skin wounds.
C. Copper
Copper sulfate is used to kill algae in pools and fish tanks.
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Sanitization Techniques
Selection of Sanitizer(s)
5. Quaternary Ammonium Compounds (Quats):
Widely used surface active agents.
Cationic (positively charge) detergents.
Effective against gram positive bacteria, less effective against gram-
negative bacteria.
Also destroy fungi, amoebas, and enveloped viruses.
Zephiran, Cepacol, also found in our lab spray bottles.
Pseudomonas strains that are resistant and can grow in presence of
Quats are a big concern in hospitals.
Advantages: Strong anti-microbial action, colorless, odorless,
tasteless, stable, and nontoxic.
Disadvantages: Form foam. Organic matter interferes with
effectiveness. Neutralized by soaps and anionic detergents.
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Sanitization Techniques
Selection of Sanitizer(s)
6. Aldehydes:
Include some of the most effective anti-microbials.
Inactivate proteins by forming covalent cross-links with
several functional groups.
A. Formaldehyde gas:
Excellent disinfectant.
Commonly used as formalin, a 37% aqueous solution.
Formalin was used extensively to preserve biological
specimens and inactivate viruses and bacteria in vaccines.
Irritates mucous membranes, strong odor
Also used in mortuaries for embalming.
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Sanitization Techniques
Selection of Sanitizer(s)
6. Aldehydes:
B. Glutaraldehyde:
Less irritating and more effective than formaldehyde.
One of the few chemical disinfectants that is a sterilizing
agent.
A 2% solution of glutaraldehyde (Cidex) is:
Bactericidal, tuberculocidal, and viricidal in 10 minutes.
Sporicidal in 3 to 10 hours.
Commonly used to disinfect hospital instruments.
Also used in mortuaries for embalming.
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Sanitization Techniques
Selection of Sanitizer(s)
7. Gaseous Sterilizers:
Chemicals that sterilize in a chamber similar to an autoclave.
Denature proteins, by replacing functional groups with alkyl groups.
A. Ethylene Oxide:
Kills all microbes and endospores, but requires exposure of 4 to 18
hours.
Toxic and explosive in pure form.
Highly penetrating.
Most hospitals have ethylene oxide chambers to sterilize mattresses
and large equipment.
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Sanitization Techniques
Selection of Sanitizer(s)
8. Peroxygens (Oxidizing Agents):
Oxidize cellular components of treated microbes.
Disrupt membranes and proteins.
A. Ozone:
Used along with chlorine to disinfect water.
Helps neutralize unpleasant tastes and odors.
More effective killing agent than chlorine, but less stable and more
expensive.
Highly reactive form of oxygen.
Made by exposing oxygen to electricity or UV light.
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Sanitization Techniques
Selection of Sanitizer(s)
8. Peroxygens (Oxidizing Agents):
B. Hydrogen Peroxide:
Used as an antiseptic.
Not good for open wounds because quickly broken down
by catalase present in human cells.
Effective in disinfection of inanimate objects.
Sporicidal at higher temperatures.
Used by food industry and to disinfect contact lenses.
C. Benzoyl Peroxide:
Used in acne medications.
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Sanitization Techniques
Selection of Sanitizer(s)
8. Peroxygens (Oxidizing Agents):
D. Peracetic Acid:
One of the most effective liquid sporicides available.
Sterilant :
Kills bacteria and fungi in less than 5 minutes.
Kills endospores and viruses within 30 minutes.
Used widely in disinfection of food and medical
instruments because it does not leave toxic residues.
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Efficiency of Different Chemical
Antimicrobial Agents
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THANKS!
For inquiries please contact –
Website: www.pigmp.com
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