Editors |
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xix | |
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xxi | |
Preface |
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xxvii | |
Foreword |
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xxxiii | |
Acknowledgments |
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xxxv | |
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1 Microbiological Control Strategy |
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1 | (22) |
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1 | (1) |
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1.2 Overview of a Microbial Control Strategy Program |
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2 | (2) |
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1.3 Main Factors to Be Controlled |
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4 | (14) |
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1.3.1 Controlled Facilities |
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4 | (6) |
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1.3.2 Controlled Procedures |
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10 | (1) |
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1.3.3 Controlled Product Ingredients |
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10 | (2) |
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1.3.4 Controlled Utilities |
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12 | (1) |
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1.3.5 Controlled Equipment |
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13 | (2) |
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1.3.6 Controlled Formulation |
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15 | (3) |
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18 | (1) |
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18 | (5) |
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2 Microbial Contamination Risk Assessment in Non-sterile Drug Product Manufacturing and Risk Mitigation |
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23 | (34) |
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24 | (1) |
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2.2 Regulatory, Compendia, and Industry Guidance |
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24 | (1) |
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2.3 Putting into Perspective the Microbiological Risk Associated with Non-sterile Products |
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25 | (4) |
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2.3.1 75000 Deaths Annually Caused by Infectious Diseases! |
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26 | (2) |
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2.3.2 Susceptibility of Different Patient Populations |
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28 | (1) |
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2.3.3 Frequency of Drug Product Recall |
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29 | (1) |
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2.4 Risk Assessment Tools |
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29 | (6) |
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30 | (1) |
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2.4.2 Failure Mode and Effects Analysis (FMEA) |
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31 | (1) |
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2.4.3 Hazard Analysis and Critical Control Points (HACCP) |
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31 | (1) |
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2.4.3.1 Application of HACPP to Tablet Manufacturing |
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32 | (3) |
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2.5 Organizational Risk Management Maturity |
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35 | (1) |
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35 | (11) |
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2.6.1 Hierarchy of Risk by Pharmaceutical Ingredient |
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35 | (7) |
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2.6.2 Hierarchy of Risk by Dosage Form and Processing Steps |
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42 | (1) |
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42 | (1) |
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2.6.2.2 Risk Associated with Different Processing Steps |
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43 | (2) |
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2.6.3 Hierarchy of Risk by Utility System |
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45 | (1) |
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2.7 Effect of Product Attributes |
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46 | (2) |
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2.7.1 What Are the Critical Quality Attributes for a Pharmaceutical Drug? |
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46 | (1) |
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2.7.2 Role of Formulation in Bioburden Control |
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46 | (1) |
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2.7.3 Hurdle Technology Concept |
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46 | (2) |
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2.7 A Concept of Hostility Level |
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48 | (1) |
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2.8 Emerging Manufacturing Technologies |
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48 | (4) |
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2.8.1 Jet Milling Micronization |
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48 | (2) |
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50 | (1) |
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2.8.3 Continuous Tablet Manufacturing |
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51 | (1) |
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52 | (1) |
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53 | (1) |
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53 | (4) |
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3 Qualification of Microbiological Laboratory Personnel and Equipment |
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57 | (22) |
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57 | (1) |
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3.2 Reasons, Requirements, and Strategies for Qualification |
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58 | (10) |
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3.2.1 Qualification and Re-Qualification of Laboratory Personnel |
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58 | (2) |
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3.2.2 Equipment Qualification: Which Equipment Needs to Be Qualified in a Microbiological Laboratory? |
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60 | (1) |
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3.2.2.1 Equipment Classification According to ISPE |
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61 | (3) |
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3.2.2.2 Equipment Classification According to USP |
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64 | (1) |
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3.2.3 Equipment Qualification: How to Qualify Laboratory Equipment |
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65 | (3) |
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3.3 Critical Aspects of Microbiological Methods |
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68 | (4) |
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3.3.1 Antibiotic Susceptibility Testing (AST) |
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69 | (3) |
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3.4 Practical Examples for Qualification of Laboratory Personnel |
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72 | (4) |
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72 | (1) |
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3.4.2 Verification of Spore Count on Biological Indicators |
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73 | (1) |
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3.4.3 Recovery Rate of Microbiological Swab Sampling |
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73 | (3) |
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76 | (1) |
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76 | (3) |
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4 Introduction to Culture Media in Pharmaceutical Microbiology for Non-sterile Products |
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79 | (26) |
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80 | (3) |
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4.2 Culture Media Challenges and Development |
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83 | (1) |
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4.3 Importance of Culture Media for Patient Safety |
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83 | (1) |
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4.4 Culture Media Are all Different |
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83 | (8) |
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4.4.1 Importance of Raw Materials |
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84 | (1) |
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84 | (1) |
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85 | (1) |
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4.4.1.3 Variability and Controls |
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85 | (2) |
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4.4.2 Manufacturing Process |
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87 | (1) |
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4.4.3 Development of Culture Media |
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87 | (1) |
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88 | (1) |
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89 | (2) |
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4.5 Innovation in Regard to Culture Media |
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91 | (1) |
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4.5.1 Objectionable Organisms Recall |
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91 | (1) |
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4.5.2 Increase Media Flexibility and Ease of Use |
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92 | (1) |
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92 | (6) |
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4.6.1 Quality Release Test Performed by the Culture Media Manufacturer (External Provider or In-house Media Manufacturer) |
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92 | (3) |
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4.6.2 Quality Control Test Performed on Ready-to-Use Culture Media Purchased from External Manufacturers |
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95 | (1) |
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4.6.3 Importance of the Quality Control Strains |
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96 | (1) |
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4.6.4 Outsourcing Strategy and How to Perform an Audit at a Growth Media Partner |
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97 | (1) |
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98 | (1) |
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4.6.4.2 Facilities and Equipment |
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98 | (1) |
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4.7 Culture Media Troubleshooting |
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98 | (5) |
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4.7.1 Temperature Storage Issues |
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99 | (1) |
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4.7.1.1 Storage Conditions Below 2 °C |
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99 | (1) |
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4.7.1.2 Exceptional Excursions of Temperature During Shelf Life |
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99 | (1) |
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4.7.2 Water Condensation and Excessive Moisture |
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100 | (1) |
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100 | (2) |
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4.7.4 Crystals in Xylose Lysine Deoxycholate (XLD) Culture Medium |
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102 | (1) |
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103 | (1) |
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103 | (2) |
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5 Microbiological Examination of Non-sterile Final Dosage Forms and Raw Material Including Acceptance Criteria and Testing Frequency |
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105 | (48) |
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5.1 Microbiological Acceptance Criteria |
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106 | (6) |
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106 | (4) |
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110 | (1) |
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5.1.3 Internal Out of Expectation (OOE) Limits |
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111 | (1) |
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112 | (5) |
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112 | (1) |
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5.2.1.1 Which Frequency to Set by Skip-lot Testing? |
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113 | (3) |
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5.2.2 Drug Substances and Excipients |
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116 | (1) |
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5.3 Procedure if Microbial Growth Occurs in Routine Testing |
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117 | (1) |
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117 | (3) |
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5.5 Nutrient Medium Controls |
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120 | (5) |
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121 | (1) |
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5.5.2 Absence of Microbial Contamination |
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121 | (1) |
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5.5.3 Growth Promotion Tests |
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121 | (4) |
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125 | (2) |
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5.7 Verification of the Suitability of the Method |
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127 | (15) |
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127 | (2) |
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5.7.2 Method Suitability for Microbial Enumeration Tests |
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129 | (1) |
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5.7.2.1 Membrane Filtration |
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129 | (2) |
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5.7.2.2 Plate Count Methods |
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131 | (3) |
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5.7.2.3 Most Probable Number Method |
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134 | (5) |
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5.7.3 Suitability of the Test Method for Absence of Specified Microorganisms |
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139 | (1) |
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5.7.4 Examples of Procedures in Case the Method Suitability Fails |
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140 | (2) |
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5.8 Microbiological Examination of Non-sterile Products |
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142 | (6) |
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5.8.1 Microbial Enumeration Tests: Membrane Filtration and Plate Count Methods |
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142 | (1) |
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5.8.1.1 Membrane Filtration |
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142 | (1) |
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5.8.1.2 Pour Plate Method |
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142 | (1) |
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5.8.1.3 Surface Spread Method |
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143 | (1) |
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143 | (1) |
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143 | (2) |
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5.8.2 Microbial Enumeration Tests: MPN Method |
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145 | (1) |
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5.8.2.1 Enumeration by Means of Serial Dilutions (MPN Method) |
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145 | (1) |
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5.8.3 Test for Specified Microorganisms Procedure |
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145 | (3) |
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148 | (1) |
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5.9 Elements to Consider for Raw Data Sheets |
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148 | (1) |
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149 | (1) |
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149 | (4) |
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6 Microbial Requirements and Testing of Primary Packaging |
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153 | (36) |
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154 | (7) |
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6.1.1 Definition of Primary Packaging |
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154 | (2) |
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6.1.2 Microflora in Packaging Materials |
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156 | (2) |
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6.1.3 Antimicrobial Packaging |
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158 | (3) |
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6.2 Guidelines and Literature |
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161 | (3) |
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6.3 Acceptance Criteria and Testing Frequency |
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164 | (6) |
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6.3.1 Examples of Acceptance Criteria |
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164 | (3) |
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6.3.2 Calculation Approach to Define Acceptance Criteria |
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167 | (2) |
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6.3.3 Comparison with Food Industry |
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169 | (1) |
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169 | (1) |
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170 | (4) |
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6.4.1 Membrane Filtration |
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172 | (1) |
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173 | (1) |
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6.4.3 Contact Plates and Swabs |
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173 | (1) |
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6.4.4 Test for Specified or Objectionable Microorganisms |
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174 | (1) |
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174 | (3) |
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6.5.1 Suitability Test Approach for the Membrane Filtration Method |
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175 | (1) |
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6.5.2 Suitability Test for the Contact Plate Approach |
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176 | (1) |
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6.5.3 Pour-Plate Method and Specified Microorganisms |
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176 | (1) |
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177 | (1) |
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6.7 Examples of OOS or OOE Cases |
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178 | (6) |
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6.7.1 Example 1: OOE of a Metal Container (11) Used for API Storage |
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179 | (2) |
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6.7.2 Example 2: Possible OOS for a Foil Used for Inhalation Products |
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181 | (2) |
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6.7.3 Example 3: Contaminated Inhaler |
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183 | (1) |
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184 | (1) |
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185 | (4) |
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7 Utilities Design and Testing |
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189 | (42) |
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190 | (1) |
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7.2 Defining, Developing, and Maintaining Utilities |
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191 | (7) |
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7.2.1 What Are Utilities? |
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191 | (1) |
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7.2.2 Good Design Principles |
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192 | (3) |
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7.2.3 Validation Master Plan |
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195 | (1) |
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7.2.4 Qualification of Utilities |
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195 | (1) |
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7.2.5 Upgrading, Reconstructing, and Renovating Utilities |
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196 | (1) |
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197 | (1) |
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7.3 Review of Critical Utilities |
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198 | (28) |
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7.3.1 Compressed Air and Gases |
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198 | (1) |
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7.3.1.1 Compressed Gas Standards |
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199 | (1) |
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7.3.1.2 Microbial Survival in Compressed Gases |
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200 | (1) |
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7.3.1.3 Microbiological Requirements |
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201 | (2) |
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203 | (1) |
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7.3.1.5 Instrumentation for Sampling |
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204 | (1) |
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7.3.1.6 Culture Medium Used and Incubation Conditions |
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205 | (3) |
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7.3.1.7 Reporting Requirements |
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208 | (1) |
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7.3.1.8 Bacterial Endotoxin and Compressed Gases |
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208 | (1) |
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7.3.2 Cleanrooms and Controlled Environments |
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208 | (1) |
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7.3.2.1 Heating, Ventilation, and Air Conditioning (HVAC) |
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208 | (2) |
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210 | (1) |
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7.3.2.3 Monitoring and Control |
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210 | (1) |
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7.3.2.4 Environmental Monitoring to Show Environmental Control |
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211 | (1) |
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7.3.2.5 Energy Efficiency |
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212 | (1) |
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212 | (1) |
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213 | (1) |
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7.3.3.2 Good Water System Design |
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214 | (2) |
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7.3.3.3 Microbial Control of Water |
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216 | (2) |
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218 | (3) |
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221 | (1) |
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221 | (1) |
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7.3.6 Clean Equipment, Sanitization, and Cleaning Validation |
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222 | (4) |
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226 | (1) |
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227 | (4) |
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8 Microbiological Environmental Monitoring |
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231 | (34) |
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232 | (1) |
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8.2 Microbiological Control Strategy |
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233 | (1) |
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8.3 Cleanliness Zoning Concept for Non-sterile Products |
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233 | (1) |
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8.4 Microbiological Environmental Monitoring Strategy |
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234 | (1) |
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8.5 Microbiological Environmental Monitoring Methods |
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235 | (3) |
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8.5.1 Microbiological Monitoring of Air |
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235 | (1) |
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8.5.1.1 Active Air Monitoring |
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235 | (1) |
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236 | (1) |
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8.5.2 Microbiological Monitoring of Surfaces |
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236 | (1) |
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236 | (1) |
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237 | (1) |
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237 | (1) |
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8.5.3 Microbiological Monitoring of Detergents and Disinfectants |
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237 | (1) |
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8.6 Method Validations and Suitability Tests for Microbiological Environmental Monitoring |
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238 | (6) |
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8.6.1 Choice and Validation of Nutrient Media |
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238 | (2) |
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8.6.2 Incubation Temperature and Incubation Period |
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240 | (1) |
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8.6.3 Experimental Studies to Evaluate the Impact of the Applied Testing Method Toward Microbial Recovery |
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241 | (1) |
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242 | (1) |
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243 | (1) |
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8.7 Initial Validation of Cleanrooms and Production Equipment |
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244 | (2) |
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8.7.1 Initial Validation of Cleanrooms |
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244 | (1) |
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8.7.2 Initial Validation of Production Equipment |
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245 | (1) |
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8.8 Definition of a Microbiological Environmental Routine Monitoring Program |
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246 | (7) |
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8.8.1 Definition of Microbiological Control Levels |
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246 | (2) |
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8.8.2 Definition of Monitoring Frequencies |
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248 | (1) |
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8.8.3 Definition of Sampling Locations |
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249 | (1) |
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8.8.4 Measures if Microbiological Control Levels Are Exceeded |
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250 | (2) |
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8.8.5 Trending of Results |
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252 | (1) |
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8.8.5.1 Trending Areas and Periods |
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252 | (1) |
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8.8.5.2 Trending of Identified Isolates |
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252 | (1) |
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8.8.5.3 Adverse Microbiological Trend |
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252 | (1) |
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8.9 Microbiological Environmental Monitoring: Examples for Users |
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253 | (8) |
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8.9.1 Example for the Definition of Sampling Locations for a Production Area |
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253 | (2) |
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8.9.2 Examples for Deviation Handling |
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255 | (1) |
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8.9.2.1 Example No. 1: Equipment-Surface Monitoring with Exceeded Action Level |
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256 | (3) |
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8.9.2.2 Example No 2: Cleanroom Surface Monitoring with Exceeded Action Level |
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259 | (2) |
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261 | (1) |
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262 | (3) |
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9 Identification of Microorganisms |
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265 | (64) |
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266 | (2) |
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9.2 History and Challenges of Bacterial Taxonomy and Classification |
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268 | (8) |
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9.2.1 Definition of Strains |
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269 | (1) |
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9.2.2 Evolution of a Phylogenetic Marker |
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270 | (2) |
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9.2.3 Setting a New Starting Point |
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272 | (1) |
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9.2.4 The Contemporary View of Microbial Taxonomy |
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273 | (1) |
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9.2.5 Limits of Resolution |
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274 | (2) |
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9.2.6 Summary: The Whole Picture |
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276 | (1) |
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9.3 History and Challenges of Fungal Taxonomy and Classification |
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276 | (3) |
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9.3.1 Identification of Fungi Using the rRNA Region |
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278 | (1) |
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9.4 Current Identification Technologies |
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279 | (27) |
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9.4.1 Considerations of the Different Systems |
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280 | (2) |
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9.4.2 Challenges with Nomenclature and Reference Data |
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282 | (1) |
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9.4.3 Considerations for Using an In-house System or a Contract Testing Lab |
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283 | (1) |
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284 | (1) |
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9.4.4.1 Biochemical Approaches |
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284 | (1) |
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9.4.4.2 Fatty Acid Approach |
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285 | (1) |
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9.4.4.3 Summary of Phenotypic Identification Systems |
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286 | (1) |
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9.4.5 Proteotypic Systems |
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287 | (1) |
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9.4.5.1 History of MALDI-TOF |
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287 | (1) |
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9.4.5.2 MALDI-TOF Used for Microbial Identification Today |
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288 | (1) |
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289 | (1) |
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9.4.5.4 The Use of MALDI-TOF for the Identification of Filamentous Fungi |
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290 | (1) |
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291 | (1) |
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9.4.6.1 Sequence-Based Identification Technologies |
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291 | (1) |
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9.4.6.2 Sequence-Based Identification Technologies and Phylogenetic Analyses |
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292 | (1) |
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9.4.6.3 Considerations When Using a Sequence-Based Approach |
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293 | (1) |
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9.4.6.4 Cautions Using Public Databases for Sequence-Based Identifications |
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294 | (3) |
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9.4.7 Next-Generation Sequencing Systems |
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297 | (1) |
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9.4.7.1 Whole Genome Sequencing |
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298 | (1) |
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299 | (1) |
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9.4.8 Other Spectroscopy or Spectrometry Methods for Identification and/or Strain Typing |
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299 | (1) |
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9.4.8.1 FT-IR Spectroscopy |
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299 | (2) |
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9.4.8.2 Raman Spectroscopy |
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301 | (1) |
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9.4.8.3 Other Technologies |
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301 | (1) |
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9.4.3 Strain-Level Differentiation |
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302 | (1) |
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9.4.9.1 Fragment-Based Genotypic Technologies for Strain-Level Differentiation |
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302 | (3) |
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9.4.9.2 Sequence-Based Genotypic Technologies for Strain-Level Differentiation |
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305 | (1) |
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9.5 Strengths and Weaknesses with Each Categorical Method |
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306 | (3) |
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9.6 Case Studies from a Contract Testing Lab |
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309 | (3) |
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9.6.1 A Caveat to Identifying QC Strains |
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309 | (1) |
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9.6.2 Odoribacter Are Not Bacillus: The Importance of Accurate Reference Data |
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310 | (1) |
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9.6.3 Synonyms of Fungal Strains: Taxonomic Investigations |
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311 | (1) |
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9.6 A Synonyms of Bacterial Strains: Taxonomic Investigations |
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312 | (1) |
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313 | (1) |
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314 | (15) |
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10 Calculating Alert Levels and Trending of Microbiological Data |
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329 | (42) |
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330 | (2) |
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332 | (1) |
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10.3 Alert Levels Based on Historical Data |
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332 | (23) |
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332 | (3) |
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10.3.2 Distribution of Microbiological Data |
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335 | (3) |
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10.3.3 Data to Be Included in the Calculations |
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338 | (1) |
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10.3.3.1 Clustering of Data |
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338 | (1) |
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10.3.3.2 Data that Can Be Excluded from the Calculation |
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338 | (1) |
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10.3.3.3 Periodic Reassessment of Alert Levels |
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339 | (1) |
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10.3.4 Calculating Alert Levels Using Control Charts |
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339 | (3) |
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10.3.4.1 Examples of Control Charts |
|
|
342 | (4) |
|
10.3.5 Calculating Alert Levels Using Percentile Ranking |
|
|
346 | (1) |
|
10.3.5.1 Nonparametric Percentile Ranking Method |
|
|
347 | (1) |
|
10.3.5.2 Parametric Percentile Ranking Method |
|
|
347 | (1) |
|
10.3.5.3 Comparing Calculation Methods Using Control Charts and Percentile Ranking |
|
|
348 | (4) |
|
10.3.6 Conclusion Calculation of Alert Levels |
|
|
352 | (3) |
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|
355 | (12) |
|
|
355 | (1) |
|
10.4.2 Defining and Investigating Adverse Trends |
|
|
355 | (1) |
|
10.4.2.1 Grouping of Data |
|
|
355 | (1) |
|
10.4.2.2 Definitions of Adverse Trend |
|
|
355 | (2) |
|
10.4.2.3 Investigating Adverse Trends |
|
|
357 | (1) |
|
10.4.3 Examples of Trending Methods |
|
|
358 | (1) |
|
10.4.3.1 Graphical Interpretation Using Regression Analysis |
|
|
358 | (1) |
|
10.4.3.2 Graphical Interpretation Using Rolling Averages |
|
|
358 | (3) |
|
10.4.3.3 Neumann Gradual Trend Test |
|
|
361 | (1) |
|
10.4.3.4 Microbiological Contamination Recovery Rate and Number of Exceeding Alert Levels |
|
|
361 | (1) |
|
10.4.3.5 Qualitative Value System |
|
|
362 | (3) |
|
10.4.3.6 Trending of Identified Isolates |
|
|
365 | (2) |
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|
367 | (1) |
|
|
367 | (1) |
|
|
367 | (4) |
|
11 Exclusion of Objectionable Microorganisms from Non-sterile Pharmaceutical Drug Products |
|
|
371 | (30) |
|
|
|
372 | (2) |
|
11.2 What Is an Objectionable Microorganism? |
|
|
374 | (9) |
|
11.3 Screening for Objectionable Microorganisms |
|
|
383 | (5) |
|
11.3.1 Microbial Characterization, Identification, and Strain Typing |
|
|
383 | (1) |
|
11.3.2 Screening of Objectionable Microorganisms |
|
|
384 | (1) |
|
11.3.3 How Should We Screen Non-sterile Drug Products for Objectionable Microorganisms? |
|
|
385 | (1) |
|
11.3.4 Selectivity of the USP Absence of Specified Microorganism Tests with Regards to B. cepacia Complex |
|
|
385 | (3) |
|
11.3.5 Method Suitability |
|
|
388 | (1) |
|
11.4 Risk-Based Microbial Testing of Non-sterile Drug Products |
|
|
388 | (1) |
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|
388 | (1) |
|
11.4.2 Moderate Risk Products |
|
|
389 | (1) |
|
11.4.3 High-Risk Products |
|
|
389 | (1) |
|
11.5 Sources of Objectionable Microorganisms |
|
|
389 | (3) |
|
11.5.1 Pharmaceutical Ingredients |
|
|
389 | (2) |
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|
391 | (1) |
|
11.5.3 Manufacturing Personnel |
|
|
391 | (1) |
|
|
391 | (1) |
|
11.5.5 Manufacturing Environment |
|
|
391 | (1) |
|
11.6 Risk Assessment to Determine if a Microorganism Is Objectionable in a Non-sterile Drug Product |
|
|
392 | (3) |
|
11.6.1 Microorganism of Concern |
|
|
393 | (1) |
|
11.6.2 Potential Microbial Proliferation in the Drug Product |
|
|
393 | (1) |
|
11.6.3 Risk Level in Targeted Patient Populations |
|
|
394 | (1) |
|
|
395 | (3) |
|
11.7.1 Allopurinol Tablets for Cancer Patients |
|
|
395 | (1) |
|
11.7.2 Laxative Recommended for Infants |
|
|
396 | (1) |
|
11.7.3 Alcohol-Free Mouthwash in Hospital Settings |
|
|
396 | (1) |
|
11.7.4 Non-sterile Alcohol Wipes in an Intensive Care Unit |
|
|
396 | (1) |
|
11.7.5 Metformin Hydrochloride Oral Solution |
|
|
397 | (1) |
|
11.7.6 Comforts for Baby Water with Fluoride |
|
|
397 | (1) |
|
|
398 | (1) |
|
|
399 | (2) |
|
12 Data Integrity and Microbiological Excursion Handling |
|
|
401 | (28) |
|
|
|
|
401 | (9) |
|
12.2 General Concept for Microbiological Excursion |
|
|
410 | (10) |
|
12.2.1 Level 1 Investigation |
|
|
411 | (2) |
|
12.2.2 Level 2 Investigation |
|
|
413 | (7) |
|
12.3 Considerations for Excursions |
|
|
420 | (7) |
|
12.3.1 Excursion with Environmental Monitoring |
|
|
420 | (2) |
|
12.3.2 Excursion with Water Testing |
|
|
422 | (2) |
|
12.3.3 Excursion in the Growth Promotion Test |
|
|
424 | (2) |
|
12.3.4 Excursion with Microbiological Examination of Non-sterile Products |
|
|
426 | (1) |
|
|
427 | (2) |
|
13 Rapid Microbiological Methods |
|
|
429 | (30) |
|
|
|
429 | (2) |
|
13.2 The Current State of Microbiology Testing |
|
|
431 | (1) |
|
13.3 Rapid Microbiological Methods |
|
|
432 | (1) |
|
13.4 Applications for Non-sterile Pharmaceutical Drug Products |
|
|
433 | (2) |
|
|
435 | (12) |
|
|
436 | (2) |
|
13.5.2 Cellular Component-Based Technologies |
|
|
438 | (2) |
|
13.5.3 Viability-Based Technologies |
|
|
440 | (1) |
|
13.5.4 Spectroscopy-Based Technologies |
|
|
441 | (3) |
|
13.5.5 Nucleic Acid Amplification-Based Technologies |
|
|
444 | (3) |
|
13.6 Validating Rapid Microbiological Methods |
|
|
447 | (7) |
|
13.7 Developing a Business Case for Rapid Methods |
|
|
454 | (1) |
|
|
455 | (1) |
|
|
456 | (3) |
|
14 Validation of a Rapid Microbiological Method for the Microbiological Examination of Non-sterile and Nonfilterable Drug Products, APIs, and Excipients |
|
|
459 | (30) |
|
|
|
|
460 | (2) |
|
14.1.1 Workflow Rapid MET |
|
|
461 | (1) |
|
14.1.2 Evaluation of Test Results |
|
|
462 | (1) |
|
|
462 | (17) |
|
14.2.1 General Validation Strategy |
|
|
462 | (1) |
|
14.2.2 Statistical Data Evaluation |
|
|
463 | (1) |
|
14.2.2.1 Fisher's Exact Test and Chi-Square Test |
|
|
463 | (1) |
|
14.2.2.2 Sample Size and Test Power |
|
|
464 | (4) |
|
14.2.2.3 Equivalence Tests |
|
|
468 | (1) |
|
14.2.3 Experimental Conditions for Validation Experiments |
|
|
468 | (1) |
|
|
468 | (1) |
|
14.2.3.2 Compendial Method |
|
|
468 | (1) |
|
14.2.4 Method Validation Results |
|
|
469 | (1) |
|
|
469 | (1) |
|
|
470 | (1) |
|
|
471 | (1) |
|
|
471 | (1) |
|
14.2.4.5 Limit of Detection |
|
|
472 | (5) |
|
14.2.4.6 Accuracy and Precision (According to Ph. Eur. 5.1.6) |
|
|
477 | (1) |
|
14.2.4.7 Equivalence in Routine Operation |
|
|
478 | (1) |
|
14.3 Suitability Test (Product-Specific Method Validation) |
|
|
479 | (4) |
|
14.3.1 Sample Effects Study |
|
|
479 | (2) |
|
14.3.2 Suitability of the Test Method |
|
|
481 | (2) |
|
|
483 | (3) |
|
|
486 | (1) |
|
|
486 | (1) |
|
|
487 | (2) |
|
15 An Ex-Regulator's View of the Microbiology QA/QC Functions in the US Pharmaceutical Industries |
|
|
489 | (6) |
|
|
15.1 Foods, Drugs, and Quality |
|
|
489 | (3) |
|
15.2 Why Microbes Confound a Census |
|
|
492 | (2) |
|
15.3 Microbiological QA Decisions |
|
|
494 | (1) |
|
15 A Who Has Responsibility for Quality? |
|
|
495 | (10) |
|
15.5 Product and Process Planning |
|
|
496 | (3) |
|
15.6 Quality and Documentation in Drug Manufacturing |
|
|
499 | (1) |
|
|
500 | (1) |
|
|
501 | (4) |
|
16 Practical Guide for Microbiological QA/QC of Non-sterile Pharmaceuticals Manufacturing for EU |
|
|
505 | (14) |
|
|
|
505 | (1) |
|
16.2 General Requirements |
|
|
506 | (2) |
|
16.3 Audit Assessment Tools of a Microbiological Laboratory |
|
|
508 | (6) |
|
|
508 | (1) |
|
16.3.2 Organization and Personnel |
|
|
509 | (1) |
|
|
|
|
510 | (1) |
|
|
511 | (1) |
|
16.3.6 Microbiological Methods |
|
|
512 | (1) |
|
|
512 | (1) |
|
|
513 | (1) |
|
16.3.9 Reference Cultures |
|
|
514 | (1) |
|
16.4 Regulatory Audits in the Microbiology Department |
|
|
514 | (2) |
|
|
516 | (1) |
|
|
517 | (2) |
|
17 Which Microbiological Tests Can Better Be Performed In-house and What Can Be Easily Outsourced |
|
|
519 | (20) |
|
|
|
|
519 | (3) |
|
17.2 Advantages and Disadvantages of Outsourcing |
|
|
522 | (2) |
|
17.2.1 Specialization and Know-How in Analytical Testing |
|
|
522 | (1) |
|
17.2.2 Challenges for Outsourcing |
|
|
523 | (1) |
|
17.3 Business Case and Hidden Costs |
|
|
524 | (4) |
|
17.3.1 The New Challenges in Pharmaceutical Environment |
|
|
524 | (1) |
|
17.3.2 Outsourcing to Strengthen the Core Business |
|
|
525 | (1) |
|
17.3.3 Which Testing May Be Outsourced |
|
|
526 | (1) |
|
17.3.4 Sample Hold Time and Transport |
|
|
527 | (1) |
|
|
528 | (1) |
|
17.5 Quality Agreement Between the Contract Laboratory and the Requesting Company |
|
|
529 | (3) |
|
17.5.1 Regulatory Environment |
|
|
529 | (1) |
|
17.5.2 Regulatory Aspects and Contents of a Modern Quality Agreement |
|
|
529 | (3) |
|
17.6 Auditing Contract Laboratories |
|
|
532 | (1) |
|
|
532 | (3) |
|
17.7.1 Example 1: Implementation of a New Technology - Qualification and Validation |
|
|
532 | (1) |
|
17.7.2 Example 2: System Suitability Test, Setup of Test for Microbiological Quality |
|
|
533 | (1) |
|
17.7.3 Example 3: Setup Environmental Monitoring for Microbial Contamination |
|
|
534 | (1) |
|
|
535 | (1) |
|
|
536 | (3) |
Index |
|
539 | |