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Summary
Table of Contents
Preface | p. xiii |
The Author | p. xv |
Microbial Life and Ecology | p. 1 |
An Overview of Microbial Life | p. 1 |
Microbial Phylogeny | p. 2 |
Microbial Taxonomy | p. 3 |
Microbial Growth and Survival | p. 4 |
Growth Curve | p. 4 |
Temperature | p. 5 |
Energy Sources | p. 6 |
Oxygen | p. 7 |
Bacteria | p. 7 |
Cell Shape | p. 8 |
Mycoplasma | p. 8 |
Bacterial Growth and Reproduction | p. 9 |
Cell Structures | p. 10 |
The Phyla Gram-Positive Bacteria and Proteobacteria | p. 12 |
Gram-Positive Bacteria | p. 12 |
Proteobacteria | p. 13 |
The Gram-Staining Method | p. 14 |
KOH Test | p. 14 |
Catalase Test | p. 15 |
Fungi | p. 15 |
Cell Structures | p. 16 |
Fungal Growth and Reproduction | p. 16 |
Molds | p. 16 |
Yeasts | p. 16 |
Microorganisms of Interest | p. 17 |
Genus Staphylococcus | p. 18 |
Staphylococcus aureus | p. 19 |
Genus Pseudomonas | p. 20 |
Pseudomonas aeruginosa | p. 20 |
Genus Burkholderia | p. 22 |
Burkholderia cepacia | p. 22 |
Genus Ralstonia | p. 23 |
Ralstonia pickettii | p. 23 |
Genus Comamonas and Genus Stenotrophomonas | p. 23 |
Family Enterobacteriaceae | p. 24 |
Genus Escherichia | p. 24 |
Escherichia coli | p. 24 |
Genus Salmonella | p. 26 |
Genus Shigella | p. 27 |
Genus Serratia | p. 27 |
Genus Klebsiella | p. 27 |
Genus Bacillus | p. 28 |
Bacillus subtilis | p. 29 |
Bacillus cereus | p. 29 |
Genus Clostridium | p. 29 |
Clostridium perfringens | p. 30 |
Clostridium sporogenes | p. 30 |
Candida albicans | p. 31 |
Zygosaccharomyces rouxii | p. 32 |
Genus Aspergillus | p. 32 |
Aspergillus niger | p. 33 |
Genus Penicillium | p. 33 |
References | p. 33 |
Microbial Contamination and Control | p. 35 |
Microbiological Contamination | p. 35 |
Product Recalls | p. 35 |
Nonsterile Products | p. 38 |
Microbial Limit Standards | p. 40 |
The Preservation of Pharmaceutical Products | p. 40 |
Antimicrobial Activity and Efficacy | p. 41 |
Types of Preservatives | p. 44 |
Alcohols | p. 44 |
Benzalkonium Chloride | p. 44 |
Benzoic Acid and Salts | p. 45 |
Boric Acid and Salts | p. 46 |
Chlorhexidine | p. 46 |
Cresol | p. 46 |
Dowicil 200 | p. 46 |
Mercurials | p. 46 |
Parabens | p. 46 |
Phenol | p. 47 |
Sorbic Acid Salts | p. 47 |
Microbiological Control | p. 47 |
Risk Assessment | p. 48 |
Objectionable Organisms | p. 49 |
Sanitization and Disinfection Practices | p. 51 |
Definitions and Types of Chemical Products | p. 52 |
Factors in Choice and Use of Disinfectants | p. 53 |
Rotation of Disinfectants | p. 54 |
Qualification of Disinfectants | p. 54 |
In Situ Testing | p. 55 |
In Vitro Testing | p. 56 |
Expiration Date for Disinfectant Solutions | p. 58 |
Sanitizers Used for Equipment Cleaning | p. 59 |
Neutralization and Microbial Recovery Studies | p. 59 |
Requalification and Change Control | p. 60 |
Conclusion | p. 61 |
References | p. 61 |
The USP Microbial Limit Tests | p. 63 |
History of the Revision and Harmonization Process | p. 63 |
USP Chapter <61> Microbiological Examination of Nonsterile Products: Microbial Enumeration Tests | p. 64 |
Sample Preparation | p. 65 |
Total Aerobic Microbial Count | p. 66 |
Total Combined Yeasts and Molds Count | p. 67 |
Bioburden Tests | p. 67 |
Two-Media Bioburden Test | p. 67 |
One-Medium, Dual-Temperature Incubation Bioburden Test | p. 68 |
TAMC and TYMC Tests via Plate-Count Methods | p. 69 |
Pour-Plate Method | p. 69 |
Spread-Plate Method | p. 69 |
Incubation and Results Calculation | p. 70 |
Test Controls | p. 72 |
TAMC and TYMC Tests via Membrane Filtration Method | p. 72 |
Test Controls | p. 73 |
TAMC Test by the Multiple Tube Method | p. 74 |
Procedure | p. 74 |
Interpretation of the TAMC and TYMC Test Results | p. 77 |
USP CHAPTER <62>: Microbiological Examination of Nonsterile Products: Tests for Specified Microorganisms | p. 77 |
Sample Preparation for Direct Inoculation Tests | p. 78 |
Test for Absence of Escherichia coli | p. 79 |
Test for Absence of Salmonella spp. | p. 79 |
Test for Absence of Bile-Tolerant Gram-Negative Bacteria | p. 80 |
Test for Absence of Pseudomonas aeruginosa | p. 81 |
Test for Absence of Staphylococcus aureus | p. 82 |
Test for Absence of Candida albicans | p. 83 |
Test for Absence of Clostridia | p. 84 |
Quantitative Test for Bile-Tolerant Gram-Negative Bacteria | p. 85 |
Retesting | p. 86 |
References | p. 87 |
Pharmaceutical Waters | p. 93 |
Types of Water for Pharmaceutical Purposes | p. 93 |
Microbial Quality Attributes | p. 96 |
Testing of Pharmaceutical Waters | p. 98 |
Sampling Program | p. 99 |
Sample Collection and Preservation | p. 99 |
Bioburden Testing | p. 100 |
Recovery Media | p. 101 |
Coliform Testing | p. 103 |
Identification of Waterborne Microorganisms | p. 106 |
Establishing Alert and Action Levels | p. 107 |
Validation of Water Systems | p. 108 |
Microbial Control and Sanitization | p. 111 |
References | p. 111 |
Environmental Monitoring | p. 113 |
Cleanroom Classification | p. 114 |
Occupancy State | p. 116 |
Routine EM Program | p. 116 |
Testing Frequency and Sampling Sites | p. 122 |
Setting Alert and Action Levels | p. 122 |
Test Methods and Equipment | p. 123 |
Surface Sampling for Viable Particles | p. 124 |
Active Air Sampling for Viable Particles | p. 126 |
Active Air Sampling for Nonviable Particles | p. 131 |
Microbial Identification Program | p. 132 |
Data Analysis | p. 133 |
EM During Facility Validation Activities | p. 134 |
Room Occupancy | p. 135 |
EM of Isolators | p. 135 |
Microbial Control in Cleanrooms | p. 136 |
References | p. 137 |
Bioburden Considerations in Equipment-Cleaning Validation | p. 139 |
Biocontamination Control | p. 141 |
Disposable and Single-Use Equipment | p. 142 |
Equipment-Cleaning Methods | p. 142 |
Validation of Cleaning Methods | p. 144 |
Sampling Recovery Methods | p. 145 |
Swabbing of Equipment | p. 145 |
Rinsing of Equipment | p. 146 |
Qualification of Sampling Methods | p. 147 |
Recovery Study Using the Wet Method | p. 148 |
Recovery Studies Using the Dry Method | p. 150 |
Effects of Product and/or Cleaning Agent Residue on the Recovery of Microorganisms | p. 151 |
Establishing Limits | p. 153 |
Execution of Equipment-Cleaning Validation Protocol | p. 155 |
Validation of Cleaned Equipment Hold Time | p. 155 |
Validation of Dirty Equipment Hold Time | p. 156 |
Ongoing Verification of Cleaning | p. 156 |
Validation of Holding Time/Shipping Conditions | p. 157 |
References | p. 158 |
Method Validation and Media Suitability Testing | p. 159 |
Suitability Test Design | p. 160 |
Representative Challenge Organisms | p. 162 |
Maintenance and Preparation of Test Organisms | p. 163 |
Preparation of Working Cultures | p. 165 |
Validation of Storage Period for Working Cultures | p. 166 |
Recovery of Injured Organisms | p. 166 |
Suitability Testing by Direct Inoculation/Plating Methods | p. 167 |
Validation of Screening for Specified Microorganisms | p. 167 |
Modifications to the Direct Inoculation Method | p. 174 |
Validation of the TAMC and TYMC Tests | p. 175 |
Approach 1 | p. 175 |
Approach 2 | p. 176 |
Modifications to the Plate Method | p. 182 |
Suitability Testing for Membrane Filtration Methods | p. 182 |
Validation of Screening for Specified Organisms | p. 183 |
Validation of TAMC and TYMC | p. 184 |
Modifications to the Membrane Filtration Method | p. 187 |
Suitability of Microbiological Media | p. 188 |
Growth Promotion Testing for Microbial Enumeration Media | p. 190 |
Growth Promotion Testing for Selective Media | p. 190 |
Validation of Rapid Microbiological Methods | p. 192 |
The Validation Package | p. 192 |
Validation Criteria | p. 193 |
Validation of Quantitative Methods | p. 194 |
Accuracy | p. 194 |
Specificity | p. 194 |
Precision | p. 195 |
Limit of Quantitation | p. 195 |
Linearity | p. 195 |
Limit of Detection | p. 195 |
Range | p. 196 |
Ruggedness | p. 196 |
Robustness | p. 196 |
Validation of Qualitative Methods | p. 197 |
Specificity | p. 197 |
Limit of Detection | p. 197 |
Ruggedness | p. 197 |
Robustness | p. 197 |
Accuracy and Precision | p. 198 |
Validation of Automated Microbial Identification Methods | p. 198 |
Accuracy | p. 198 |
Precision | p. 198 |
Robustness | p. 198 |
Ruggedness | p. 198 |
Final Thoughts | p. 199 |
Points to Consider | p. 199 |
References | p. 201 |
Microbiological Quality of Pharmaceutical and Biopharmaceutical Products and Raw Materials | p. 203 |
Microbiological Testing | p. 203 |
Raw Materials | p. 203 |
Biopharmaceutical Products | p. 204 |
Nonsterile Finished Drug Products | p. 209 |
USP Chapter <1111> | p. 209 |
Testing Frequency | p. 213 |
Stability Testing | p. 213 |
Water Activity | p. 215 |
Measuring Water Activity | p. 217 |
The Chilled-Mirror/Dew Point Method | p. 217 |
Capacity Sensors | p. 217 |
Pharmaceutical Applications for Water Activity | p. 218 |
International Harmonization | p. 219 |
Looking Ahead | p. 220 |
References | p. 220 |
Rapid Testing and Alternative Methods in Microbiology | p. 223 |
Rapid Method Technology Platforms | p. 224 |
Impedance/Conductance Technology | p. 225 |
Gas Consumption or Generation | p. 226 |
ATP Bioluminescence | p. 227 |
The Celsis ATP Bioluminescence Systems | p. 230 |
Automated Biochemical Assays | p. 231 |
The VITEK System | p. 231 |
The Biolog Systems | p. 235 |
Fatty Acid Analysis Using Gas Chromatography | p. 237 |
The MIDI System | p. 237 |
Enzyme-Linked Immunosorbent Assay (ELISA) | p. 240 |
The VIDAS | p. 241 |
Analysis of Biomolecules Using Mass Spectrometry | p. 242 |
Polymerase Chain Reaction (PCR) | p. 243 |
Detection of Microbial Contamination Using PCR Technology | p. 244 |
Pulse-Field Gel Electrophoresis (PFGE) | p. 245 |
Riboprinting | p. 246 |
The Riboprinter | p. 246 |
Fluorescent Labeling Assays | p. 247 |
Scan RDI Microbial Detection | p. 247 |
D-Count | p. 250 |
Biosensors and Microarrays | p. 251 |
Laboratory-on-a-Chip Technology | p. 252 |
Barriers to Implementation | p. 253 |
Regulatory Climate | p. 254 |
Future Trends | p. 255 |
Case Study: Genotypically Similar Staphylococci | p. 256 |
Contaminant Isolate and Environmental Sampling | p. 256 |
Ribosomal Gene Sequencing | p. 257 |
Phenotypic Analysis | p. 257 |
Genetic Subtyping-PFGE | p. 259 |
Results and Reporting | p. 259 |
References | p. 261 |
Biofilms | p. 263 |
Biofilm Definition | p. 263 |
Biofilm Structure | p. 263 |
The Biology of Biofilms | p. 265 |
Biofilm Formation | p. 265 |
Quorum Sensing | p. 265 |
Cell Adhesion | p. 266 |
Smooth versus Rough Surfaces | p. 267 |
Hydrophobic versus Hydrophilic Surfaces | p. 267 |
Electrostatic Charge Properties | p. 267 |
Low-Shear versus High-Shear Environments | p. 267 |
Biofilm Dispersion | p. 268 |
Biofilm Resistance and Phenotypes | p. 268 |
Pharmaceutical Production Equipment and Materials Prone to Biofilm Formation | p. 270 |
Water Systems | p. 271 |
Production Equipment | p. 273 |
Ultrafiltration/Diafiltration (UF/DF) Systems | p. 273 |
Chromatography Systems | p. 274 |
Miscellaneous Parts and Materials | p. 276 |
Biofilm Control and Prevention | p. 277 |
Heat Treatment | p. 278 |
Chemical Treatment | p. 278 |
Prevention of Biofilms | p. 279 |
Methods for Detection and Recovery of Biofilm Organisms | p. 280 |
Qualification of Chemical Sanitization Using Biofilm Cells | p. 282 |
Types of Biofilm Reactors | p. 282 |
Choosing a Biofilm Reactor | p. 287 |
Testing Sanitizers Using the CDC Biofilm Reactor | p. 287 |
Setting up the Biofilm Reactor | p. 287 |
Exposure of Biofilm to Disinfectant Solution | p. 290 |
Harvesting Biofilm Cells | p. 290 |
Sanitizer/Disinfectant Efficacy Evaluation | p. 291 |
Method Qualification and Test Controls | p. 291 |
Testing Sanitizers Using a Static Biofilm Reactor | p. 292 |
Industrial Significance of Biofilms | p. 292 |
The Future in Biofilm Research | p. 293 |
References | p. 295 |
Handling Aberrant and Out-of-Specification Microbial Data | p. 299 |
Historical Overview of Investigating OOS Results | p. 299 |
Out-of-Specification (OOS) Result | p. 300 |
Laboratory Investigations | p. 301 |
Conducting the Investigation | p. 304 |
Retesting and Resampling | p. 305 |
Testing for Outliers | p. 306 |
Repeat Testing | p. 307 |
Concluding the Investigation | p. 308 |
Product Lot Disposition | p. 309 |
OOS Investigations and FDA Citations | p. 309 |
References | p. 310 |
Index | p. 311 |
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