Skip to main content

Aseptic Handling

  • Chapter
Practical Pharmaceutics

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. The rules governing medicinal products in the European Union. EU Legislation – Eudralex -Volume 4 Good manufacturing practice (GMP) Guidelines. Annex I. Manufacture of sterile medicinal products. March 2009. http://ec.europa.eu/health/documents/eudralex/vol-4/index_en.htm

  2. Guide to good practices for the preparation of medicinal products in Healthcare establishments. PIC/S Guide-010-04. March 2014. www.picscheme.org

  3. Parenteral Drug Association (2013) Recommended practice for manual aseptic processes. Technical report no. 62. www.pda.org

  4. Boom FA, Bouwman-Boer Y, Kruik-Kolloffel WJ, Pluim MAL, Rendering J, Simons KA (2005) Hoofdstuk GMP-Ziekenhuisfarmacie herzien. Verantwoordelijkheid voor aseptische handelingen buiten de ziekenhuisapotheek. Pharm Weekbl 140:350–352

    Google Scholar 

  5. Beaney AM, Goode J (2003) A risk assessment of the ward based preparation of parenteral medicines. Hosp Pharm 10:306–308

    Google Scholar 

  6. The United States Pharmacopeia USP 35 (2012) The United States Pharmacopeial Convention. Rockville. <797> Pharmaceutical compounding – sterile preparations

    Google Scholar 

  7. Beaney AM (2006) Quality assurance of aseptic preparation services on behalf of the NHS pharmaceutical quality assurance committee, 4th edn. Pharmaceutical Press, UK

    Google Scholar 

  8. Z3 Aseptic Handling (2013) In: GMP-Hospital, version 2013. Dutch Association of Hospital Pharmacists. http://www.nvza.nl

  9. Leitlinie ADKA (2013) Aseptische Herstellung und PrĂ¼fung applicationsfertiger Parenteralia. Krankenhauspharmazie 34:93–106

    Google Scholar 

  10. ASHP (2014) Guidelines on compounding sterile preparations. Am J Health-Syst Pharm 71:145–166

    Article  Google Scholar 

  11. National Patient Safety Agency (NPSA) (2008) Promoting safer use of injectable medicines. Patient safety alert 20. http://www.nrls.npsa.nhs.uk

  12. Ris JM, van Leeuwen RWF, Boom FA (2010) VTGM op de ICU: mind the steps! Pharm Weekblad 4:11–17

    Google Scholar 

  13. Beaney AM, Black A, Dobson C, Williamson S, Robinson M (2005) Development and application of a risk assessment tool to improve the safety of patients receiving intravenous medication. Hosp Pharm 12:150–154

    Google Scholar 

  14. van Grafhorst JP, Foudraine NA, Nooteboom F, Crombach WH, Oldenhof NJ, van Doorne H (2002) Unexpected high risk of contamination with staphylococci species attributable to standard preparation of syringes for continuous intravenous drug administration in a simulation model in intensive care units. Crit Care Med 30:833–836

    Article  PubMed  Google Scholar 

  15. Stucki C, Sautter AM, Jocelyne Favet J, Bonnabry P (2009) Microbial contamination of syringes during preparation: the direct influence of environmental cleanliness and risk manipulations on end-product quality. Am J Health-Syst Pharm 66:2032–2036

    Article  PubMed  Google Scholar 

  16. Sigward E, Fourgeaud M, Vazquez R, Guerrault-Moro MN, Brossard D, Crauste-Manciet S (2012) Aseptic simulation test challenged with microorganisms for validation of pharmacy operators. Am J Health-Syst Pharm 69:1218–1224

    Article  PubMed  Google Scholar 

  17. Schierl R, Hlandt AB, Nowak D (2009) Guidance values for surface monitoring of antineoplastic drugs in German pharmacies. Ann Occup Hyg 53:703–711

    Article  CAS  PubMed  Google Scholar 

  18. EU Occupational Safety and Health Agency. Directive 2010/32/EU – prevention from sharp injuries in the hospital and healthcare sector

    Google Scholar 

  19. Brouwers EE, Huitema AD, Bakker EN, Douma JW, Schimmel KJ, van Weringh G, de Wolf PJ, Schellens JHM, Beijnen JH (2007) Monitoring of platinum surface contamination in seven Dutch hospital pharmacies using inductively coupled plasma mass spectrometry. Int Arch Occup Environ Health 80(8):689–699

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Van der Aart AB, Klok H, Moes JR, Visser T (2005) Omgevingsmonitoring cytostatica. Contaminatie kan beneden detectielimiet worden gehouden. Pharm Weekbl 11:358–361

    Google Scholar 

  21. Murthough SM, Hiom SJ, Palmer M, Russel AD (2000) A survey of disinfectant use in hospital pharmacy aseptic preparation areas. Pharm J 264:446–448

    Google Scholar 

  22. Priscott PK, Yung Dai (2008) Disinfectants program. In: Prince R (ed) Microbiology in pharmaceutical Manufacturing, vol 2. Parenteral Drug Association, Bethesda

    Google Scholar 

  23. Akers J, Agelloo J (2001) Environmental monitoring: myths and misapplications. J Pharm Sci Tech 55:176–184

    CAS  Google Scholar 

  24. Cockroft MG, Hepworth D, Rhodes JC, Addison P, Beany AM (2001) Validation of liquid disinfection techniques for transfer of components into hospital pharmacy clean rooms. Hosp Pharm 8:226–232

    Google Scholar 

  25. Mehmi M, Marschall LJ, Lambert PA, Smith JC (2009) Evaluation of disinfecting procedures for aseptic transfer in hospital pharmacy departments. J Pharm Sci Tech 63:123–138

    CAS  Google Scholar 

  26. Technical Report no. 62 (2013) Recommended practices for manual aseptic processes. Parenteral Drug Association

    Google Scholar 

  27. The United States Pharmacopeia USP 35 (2012) The United States Pharmacopeial Convention. Rockville. <1116> Microbiological control and monitoring of aseptic processing environments

    Google Scholar 

  28. Werkgroep Microbiologie and Hygiëne (2013) Onderzoek vergelijk incubatietemperaturen. http://www.nvza.nl

  29. Postma DJ, Boom FA, Bijleveld YA, Touw DJ, Veenbaas T, Essink-Tjebbes CM, Verbrugge P (2012) Microbio: a web based program for processing and evaluation of microbiological controls on aseptic dispensing. Eur J Hosp Pharm 19:143

    Article  Google Scholar 

  30. Moldenhauer J (2011) Development and implementation of a program for environmental monitoring in the compounding Pharmacy. In: Moldenhauer J (ed) Environmental monitoring a comprehensive handbook, vol 5. Parenteral Drug Association, Bethesda

    Google Scholar 

  31. Boom FA, van Doorne H, Moes-ten Hove JE (2012) Microbiologische validatie van aseptische handelingen: wat zijn de criteria? Pharm Weekblad 6(6):90–94

    Google Scholar 

  32. Pharmaceutical Aseptic Services Committee (2005) Universal operator broth transfer validation, 7th edn. http://www.civas.co.uk

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frits Boom .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 KNMP and Springer International Publishing Switzerland

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15814-3_31

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15813-6

  • Online ISBN: 978-3-319-15814-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics