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在医院环境中,对机器人进行无菌配制注射用非危险药物的微生物学验证。

Microbiological validation of a robot for the sterile compounding of injectable non-hazardous medications in a hospital environment.

机构信息

Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.

Loccioni Humancare, Moie di Maiolati Spontini, Spontini, Italy.

出版信息

Eur J Hosp Pharm. 2020 Mar;27(e1):e63-e68. doi: 10.1136/ejhpharm-2018-001757. Epub 2019 Feb 4.

Abstract

OBJECTIVES

To design and execute a comprehensive microbiological validation protocol to assess a brand-new sterile compounding robot in a hospital pharmacy environment, according to ISO and EU GMP standards.

METHODS

Qualification of the Class-A inner environment of the robot was performed through microbial air and surface quality assessment utilising contact plates, swabs and particulate matter monitoring. To evaluate the effectiveness of the microbial decontamination process (UV rays) challenge test against , , spores and was used. The challenge Media Fill test was used to validate the aseptic processing.

RESULTS

After 3 hours, no microorganisms retained viability. Monitoring inside the equipment evidenced complete absence of microorganisms. The Media Fill test was always negative.

CONCLUSIONS

According to our results, the APOTECAunit meets the requirements for advanced aseptic processing in the hospital pharmacies and the pharmaceutical industry in general, providing advantages in terms of safety for patients compared with conventional procedures of parenteral preparation production. The protocol has demonstrated to be a comprehensive and valuable tool in validating, from a microbial point of view, a sterile-compounding technology. This study might represent an important benchmark in developing a contamination control strategy, as required, for example, in the Performance Qualification of the GMP in the case of drug manufacturing.

摘要

目的

根据 ISO 和欧盟 GMP 标准,设计并执行全面的微生物验证方案,以评估医院药房环境中的全新无菌配药机器人。

方法

利用接触平板、拭子和颗粒物监测,对机器人的 A 级内部环境进行了资格认证,以评估微生物空气和表面质量。为了评估微生物去污过程(紫外线)对 、 、 孢子和 的有效性,使用了挑战测试。挑战介质灌装测试用于验证无菌处理。

结果

3 小时后,没有微生物保持存活能力。设备内部监测表明完全没有微生物。介质灌装测试始终为阴性。

结论

根据我们的结果,APOTECAunit 满足医院药房和一般制药行业高级无菌处理的要求,与传统的肠外制剂生产程序相比,为患者提供了安全性优势。该方案已被证明是从微生物角度验证无菌混合技术的全面而有价值的工具。本研究可能代表了在制定污染控制策略方面的一个重要基准,例如在药品生产中,GMP 的性能确认需要这样的策略。

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