Sterile Manufacturing Flashcards
Types of contamination
Viable matter: bacteria, fungus, yeasts, viruses
Non-viable matter: particles, dust etc.
Sources of contamination
Human: hands, hair, skin, nose, mouth etc.
Non-human: environment, equipment, surfaces, components etc.
Methods of removing or preventing viable contamination
Sterilisation- cannot sterilise everything e.g. heat labile
Disinfection- disinfectants are harsh chemicals, release of particles
Preservation- multi-dose containers
Sterile manufacturing
Controlled environment- ideally free from all sources of contamination
Terminally sterilised products
Aseptically dispensed/manufactured products
GMP requirements
Qualified personnel with appropriate training
Adequate premises
Suitable production equipment, designed for easy cleaning and sterilisation
Adequate precautions to minimise the bio-burden prior to sterilisation
Validated procedures for all critical production steps
Environmental monitoring and in process testing procedures
Terminal sterilisation
Terminal sterilisation using heat or radiation methods on the final product should always be the method of choice
Even though the product will be sterilised the manufacturing process should attempt to reduce the bio-burden before the sterilisation takes place
Not all products can be terminally sterilised by heat or radiation, in this instance only aseptic manufacturing is available for producing a safe product
Environmental control
Historically- hospital control of infectious diseases (containment)
Currently- environment attempts to actively reduce contamination levels caused by the environment, equipment and personnel
Effects of contamination
Viable matter- infection, sepsis etc.
Non-viable- pathological effects, spoilage of products (quality control issues) etc.
Contamination- skin
Viable: the outer skin layer sheds every 24 hours, these particles having a median size of 20 micrometres, with some less than 10 micrometres
These cells also carry the natural bacterial flora of the body (males worse than females)
Studies have shown that impervious clothing prevents dispersion of these cells e.g. a ten fold reduction in viable particulate counts led to a halving of the sepsis rate in implant operations
Contamination- non-viable
Particles may disperse from personnel within the manufacturing facilities
These may be from skin cells, normal clothing or containment clothing itself
Containment clothing accounts for only 1% of the total particulate load recorded in sterile manufacturing facilities
A further source is the respiratory tract of the operator, sneezing or talking generating substantial amounts of particulates
Cleanroom
Special manufacturing facilities with control over the levels of contamination (both viable and non-viable)
A room in which the concentration of airborne particles is controlled by specific limits
Cleanroom history
1950-60s: rooms with well filtered air systems developed for building inertial guidance systems
1961: Scandia laboratories (USA)- use of directed air flow to reduce particle counts
Scandia team developed first standards for cleanroom air cleanliness in 1963
Cleanroom applications
Biotechnology- antibiotic production, genetic engineering
Pharmacy- sterile pharmaceuticals, sterile disposable
Medical devices- heart valves, cardiac by-pass systems
Hospital- immunodeficiency therapy, isolation of contagious patients, operating rooms
Classification of cleanrooms
Classified by the cleanliness of the air
The number of particles equal to or greater than 0.5 micrometres is measured in one cubic foot of air, an this count is used to classify the room
Classification level dependent upon room’s activity and use, an empty room will have a low particulate load
Classification levels of cleanrooms
- As built- empty of all equipment
- With equipment but no personnel
- Fully operational
Section titles for BS-5295
Part 0- General introduction, terms and definitions for cleanrooms and clean air devices
Part 1- Specification for cleanroom and clean air devices
Part 2- Method for specifying the design, construction and commissioning of cleanrooms and clean air devices
Part 3- Guide to operational procedures and disciplines applicable to cleanrooms and clean air devices
Part 4- Specification for monitoring clean rooms and clean air devices to prove continued compliance
Classification equation
Depends on: maximum permitted concentration of particles, ISO classification number and considered particle size
Industrial requirements for cleanrooms
Ranges from 1 to 100,000
100: Manufacturing of aseptically produced parenterals, isolation of immunosuppressed patients, and implant/transplant surgical operations
10,000: Assembly of precision timing devices, servo-controlled valves, production of terminally sterilized pharmaceuticals