Abstract
Aseptic handling is the process to enable sterile products to be made ready to administer, using closed systems. The starting materials are sterile and must be kept sterile during the process. This chapter describes the conditions to do so (sterility assurance). The most important points are trained staff wearing special clothes and sterile gloves, working ‘non touch in a Grade A zone (LAF cabinet, safety cabinet or isolator) and using materials and equipment with a low bioburden.
If antineoplastics (cytostatics) are involved requirements are not only to protect the product against contamination of micro-organisms, but also to protect the operator and the environment from these hazardous medicines.
Microbiological checks are carried out firstly to see if staff are sufficiently skilled in aseptic activities, secondly to determine the microbial risk from the environment and thirdly to validate the aseptic procedures.
This chapter does not cover the situation where medicines that cannot be sterilised in their final container are sterilised by aseptic filtration.
Based upon the chapter 25 Aseptisch Werken by Frits Boom, Hans van Doorne and Marco Prins in the 2009 edition of Recepteerkunde.
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Boom, F., Beaney, A. (2015). Aseptic Handling. In: Bouwman-Boer, Y., Fenton-May, V., Le Brun, P. (eds) Practical Pharmaceutics. Springer, Cham. https://doi.org/10.1007/978-3-319-15814-3_31
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