The sterilization process operation of

                    Aseptic treatment,

   monitoring and validation

(The sterilization process operation of aseptic treatment, monitoring, validation of

 water, liquid and products of hospital, pharmaceutical, medical device, biologicals)

The right aseptic process treatment, monitoring, validation and application

of steam, dry heat, EO-gas and radiation sterilization application treatment

The correct aseptic treatment, monitoring and validation of autoclave, dry heat, EO- gas and radiation sterilization treatment and application are the factor and point to ensure the sterilized water, liquid and products up to the bacteria-free, germ-free of aseptic water, liquid and products for application or not

 

The factor of steam, dry heat, EO-gas, radiation sterilization

1. The pre-sterilization bacterial contaminations low than:100 CFU/ml

2. The sterilization effect of sterilization functional temperature, dosage,

  concentration and times being acted on the cooling point of sterilized

  water, liquid and products up to 8D (99.999999%) sterilization rate

3. The post-sterilization bacterial residues up to low than:10-6 CFU/ml

                        Standard sterilization formula:

     F = D x (Log A – Log B)

 

     Example: Autoclave: 121oC, 30 minutes sterilization

                                        If the sterilization factor are validated correctly, the sterilization

                              effect can be performed 8D (99.999999%) sterilization rate, the

                              bacterial residues up to low than10-6 CFU/ml

 

The conventional culture media are hard to be cultivate the bacterial contaminations of disinfected purified water, liquid and products with ClO2, NaClO, O3, formalin and other disinfectant, steriliant into the colony to monitor and validate the clear bacteria count contaminations

So most of customer are established the misconcept of disinfection and sterilization, and they are considered that all the bacteria, virus, fungi, mold and microorganisms are easy to be killed, disinfected and destroyed to die completely being transformed into the inactive organisms to do the bacteria free water, liquid, products simply and effectively

However, They are always found that the sterilized water, liquid and products after Steam, dry heat, EO-gas and radiation sterilization treatment are still contaminated many bacterial contaminations and can not destroy the microorganisms completely up to bacteria free simply and effectively, also suspected what problems to happen

 

1. most of customers are applied the standard sterilization procedure of

    steam, dry heat, EO-gas, radiation sterilization to sterilize, why can not

    destroy the bacterial residues down to low than10-6 CFU/ml

     a. autoclave sterilization procedure:  121oC, 30 minutes

     b. pasteurization sterilization procedure:  80~100 oC, 12~24 hours

 Pre-sterilized

 water

 liquid

 product

 

 

  ClO2

  NaClO

  formalin

 

 

 

 Pre-sterilized

  bacterial

 count

 

 

  autoclave

  dry heat,

  EO-gas

  radiation

 

 

 Post-sterilized

 water

 liquid

 product

                                                                  100 CFU/ml             sterilization rate       aseptic standard                                                                                                                                                                                                                                                                                                             the residues

                                                                                               ?                                 ?                      10-6 CFU/ml ? 

      [point]  1. the sterilization temperature, dosage, concentration of sterilization unit are not

                       same as the functional temperature, dosage, concentration being acted on the

                       sterilized water, liquid and products

                    2. not to make sure the cooling point, the functional temperature, concentration,

                       dosage being acted on the sterilized water, liquid and products up to expected

                       sterilization temperature, dosage, concentration or not, the expected functional

                       times at expected sterilization temperature, dosage, concentration, how to make

                       sure the clear sterilization rate to destroy the residues up to10-6 CFU/ml

      [analysis] 1. the conventional culture media are only to monitor and validate the bacteria

                          count up to 1 CFU/ml (10 0 CFU/ml)

                      2. the conventional culture media of membrane filter are only to monitor and

                          validate the bacteria count up to 0.01 CFU/ml (10 -2 CFU/ml)

 

 

2. most of customers are applied the 10 5 CFU/ml biological indicator as

    the aseptic indicator of sterilized water, liquid and products, however,

    when the sterilized biological indicator to be validated up to aseptically,

    the sterilized water, liquid, products are still contaminated with high

    contents of bacteria, virus, pyrogenic bacteria, fungi contaminations

 

 

    a. The sterilized biological indicator are monitored and validated at the positive

        bacterial reaction, it’s shown that the microorganisms of biological indicator

        are sterilized incompletely, and the sterilized water, liquid and products are

        sterilized incompletely too

 

    b. The sterilized biological indicator are monitored and validated at the negative

        bacterial reaction, it’s shown that the microorganisms of biological indicator

        are sterilized completely, and the same sterilized biological indicator point of

        sterilized water, liquid, products are sterilized at the same sterilization rate of

        the biological indicator being sterilized, not shown that all the sterilized water,

        liquid, products being sterilized at same sterilization rate

 

 Pre-sterilized

 water

 liquid

 product

 

 

  ClO2

  NaClO

  formalin

 

 

 

 Pre-sterilized

  bacterial

 count

 

 

  autoclave

  dry heat,

  EO-gas

  radiation

 

 

 Post-sterilized

 water

 liquid

 product

                                                                   100 CFU/ml              sterilization rate       aseptic standard

                                                                                                                                                                the residues  

 

                                                                                               ?                                     ?                    10-6 CFU/ml ?

      [point]  1. the sterilization validation of biological indicator are only applied to confirm

                       the lethal rate of sterilized water, liquid, products, not shown that the residues

             of sterilized water, liquid, products are sterilized up to aseptic or not

                    2. if the biological indicator are not validated the sterilization effect at the cooling

                       point, it can not be shown that all the sterilized water, liquid and products are

             sterilized at least over the same sterilization rate as the biological indicator

             being sterilized

 

      [analysis] 1. the high bacterial count of biological indicator are more easy to monitor and

                          validate the sterilized water, liquid and products being sterilized at more high

                          sterilization rate are sterilized up to aseptic or not

                      2. the conventional 105 CFU/ml 3M biological indicator are only confirmed and

                         validated the sterilized water, liquid and products being sterilized at 5D

                         (99.999%) sterilization rate

  

3. most of customers are applied the 10 5 CFU/ml biological indicator at

    the cooling point as the aseptic indicator of sterilized water, liquid and

    products, however, when the biological indicator to be validated up to

    aseptically, the sterilized water, liquid, products are still contaminated

    with high contents of bacteria, virus, fungi contaminations

    a. The sterilized biological indicator of cooling point are monitored and validated

        at the positive bacterial reaction, it’s shown that the organisms of biological

        indicator are sterilized incompletely, and the sterilized water, liquid, products

        are sterilized incompletely too

    b. The sterilized biological indicator of cooling point are monitored and validated

        at the negative bacterial reaction, it’s shown that the organisms of biological

        indicator are sterilized completely, and all the sterilized water, liquid, products

    are sterilized at least over the sterilization rate of the biological indicator being

    sterilized, but not shown that the sterilized water, liquid, products up to aspetic

 Pre-sterilized

 water

 liquid

 product

 

 

  ClO2

  NaClO

  formalin

 

 

 

 Pre-sterilized

  bacterial

 count

 

 

  autoclave

  dry heat,

  EO-gas

  radiation

 

 

 Post-sterilized

 water

 liquid

 product

                                                                   100 CFU/ml              sterilization rate       aseptic standard

                                                                                                                             cooling point         the residues

                                                                                                 ?                        5D (99.999%)        10-6 CFU/ml ?

      [point]  1. the validation of biological indicator at the cooling point are only applied to

                       confirm the lethal rate of sterilized water, liquid, products, not shown that the

             residues of sterilized water, liquid, products are sterilized up to aseptic or not

                    2. the lethal rate of cooling point of biological indicator validation are needed

                       to validate more high than the lethal rate of sterilized water, liquid, products

                       at the pre-sterilization and post-sterilization(the residues up to10-6 CFU/ml)

                       which are easy to sterilize the sterilized water, liquid, products up to aseptic

 

      [analysis] 1. the high bacterial count of biological indicator are more easy to monitor and

                          validate the sterilized water, liquid and products being sterilized at more high

                          sterilization rate are sterilized up to aseptic or not

                      2. the conventional 105 CFU/ml 3M biological indicator are only confirmed and

                         validated the sterilized water, liquid and products being sterilized at 5D

                         (99.999%) sterilization rate

 

4. most of customers are applied the standard sterilization procedure to

  monitor and validate the sterilization effect of cooling point up to the

  expected sterilization temperature, dosage, concentration and times for

  effective sterilization application, why the sterilized water, liquid and

  products are always found to be contaminated with high contents of

  bacteria, virus, fungi contaminations

 

    a. The expected sterilization temperature, dosage, concentration and times of

    cooling point validation are only approved that the sterilization effect can be

    performed 8D (99.999999%) sterilization rate, not validated that the sterilized

    water, liquid, products being sterilized up to aseptic free

 

    b. If the bacterial contaminations of pre-sterilized water, liquid, products can be

    controlled low than100 CFU/ml, the sterilized water, liquid, products are

    easy to be sterilized up to aseptic free

    c. If the bacterial contaminations of pre-sterilized water, liquid, products can not

    be controlled low than100 CFU/ml, the sterilized water, liquid, products are

    hard to be sterilized up to aseptic free

 

 Pre-sterilized

 water

 liquid

 product

 

 

  ClO2

  NaClO

  formalin

 

 

 

 Pre-sterilized

  bacterial

 count

 

 

  autoclave

  dry heat,

  EO-gas

  radiation

 

 

 Post-sterilized

 water

 liquid

 product

                                                                 100 CFU/ml            sterilization rate      aseptic standard

                                                                                                                          cooling point         the residues

                                                                                               ?                     8D (99.999999%)   10-6 CFU/ml ?

      [point]  1. the sterilization aseptic validation are needed to validate the residues of

                       sterilized water, liquid, products up to10-6 CFU/ml, the 8D sterilization rate

                       validation of expected sterilization temperature, dosage, concentration and

                       times being acted on the sterilized water, liquid, products are not enough to

                       approve the residues of sterilized water, liquid, products up to10-6 CFU/ml,

                    2. the sterilization effect of ClO2, NaClO, O3, formalin and other disinfectant,

                       steriliants are easy to be confused the bacterial residues of pre-disinfection

                       treatment up to low than100 CFU/ml,

 

      [analysis] 1. If the bacterial contaminations of pre-disinfection water, liquid and products

                          are monitored and validated low than100 CFU/ml, the post-sterilization

                          bacterial residues are easy to reduce down to low than10-6 CFU/ml

                      2. If the bacterial contaminations of pre-disinfection water, liquid and products

                          are monitored and validated high than100 CFU/ml, the post-sterilization

                          bacterial residues are hard to reduce down to low than10-6 CFU/ml

 

 

 

5. The disinfected water, liquid, products by the  disinfectant and steriliant

     of ClO2, NaClO,O3, formalin are easy to be monitored and validated up

     to aseptic free at conventional culture media, why not applied high

     dosage of ClO2, NaClO,O3, H2O2, formalin disinfectant and steriliant to

     replace the steam, dry heat, EO-gas, radiation sterilizer for effective

     sterilization application treatment

 

 

   a. after ClO2, NaClO,O3, H2O2, formalin disinfection treatment, the bacterial

          contaminations of sterilized water, liquid, products monitored and validated

          no colony growth at conventional culture media are easy to be validated up to

          bacteria free and aseptic free

 

   b. during ClO2, NaClO,O3, formalin disinfection treatment, the sterilized water,

          liquid, products will be generated one kind of toxic chemical to inhibit the

          microorganisms growth and kill the microorganisms to die, to ensure the

          sterilized water, liquid, products up to bacteria free and aseptic free

 

   c. the toxic chemical of ClO2, NaClO,O3, H2O2, formalin generated will be

         increased the anti-immune, anti-toxic and compatible reaction of human being

 Pre-sterilized

 water

 liquid

 product

 

 

 Pre-sterilized

  bacterial

 count

 

 

ClO2        NaClO formalin

Disinfectant, steriliant

 

 

 Post-sterilized

 water

 liquid

 product

                                                         100 CFU/ml                  sterilization dosage, time         aseptic standard

                                                                         ?                            higher dosage for                   10-6 CFU/ml

                                                                                                      higher sterilization rate          the residues?

                                                                                                                                                  No colony growth at

                                                                                                                                         High dosage disinfection

 

         [point]  1. not for the economic development country, rich people and live application

                    2. for poor country, society and people to survive the life and live

 

   

 The following correct sterilization process unit operation

of aseptic treatment, monitoring and validation for your reference and application

1. before sterilization, the correct sterilization unit operation of aseptic treatment,

    monitoring and validation to control the bacterial contaminations of pre-sterilized

    water, liquid, products down to low than 100 CFU/ml

 

2. during sterilization, the correct sterilization unit operation of aseptic treatment,

    monitoring and validation to sterilize the sterilized water, liquid, products at the

    clear expected sterilization rate up to 8D(99.999999%) sterilization effect under

    expected sterilization temperature, dosage, concentration and functional times

 

3. after sterilization, the correct sterilization unit operation of aseptic treatment,

    monitoring and validation to monitor and validate the bacterial residues of

    post-sterilization water, liquid, products down to low than10-6 CFU/ml up to

    aseptic free

 

 

. before sterilization, the correct sterilization unit operation of aseptic

    treatment, monitoring and validation to control the bacterial

     contaminations of pre-sterilized water, liquid, products down to low

       than100 CFU/ml

 

     1) The simple, economic, convenient way to control the bacterial contaminations

     of pre-sterilized water, liquid, products down to low than100 CFU/ml

 

          add the ClO2, NaClO,O3, H2O2, formalin disinfectant and steriliant into pre-sterilization

          water, liquid, products to kill and disinfect the bacterial contaminations of pre-sterilized

      water, liquid, products down to low than100 CFU/ml

 

          like SARS virus sterilization, it’s only applied the 1.0~1.5 ppm dosage of ClO2, NaClO

          disinfectant into city water treatment, the city water will be out of SARS virus infection

          effectively

 

          If the sterilization effect of ClO2, NaClO,O3, H2O2, formalin disinfectant and steriliants

          are clear, effective and without care the problems of toxic chemical generated, they will

          be widely used at the pre-sterilization water, liquid and products disinfection treatment

          of hospital, food, pharmaceutical, beverage, mineral water, cans food, medical device,

          biological products to reduce bacterial contaminations down to low than100 CFU/ml,

          even low than10 –2 ~ -6 CFU/ml up to aseptic free

 

 

          after ClO2, NaClO,O3, H2O2, formalin disinfectant and steriliants disinfection treatment,

          the correct bacteria residues are needed to be cultured, monitored and validated at the

          de-ClO2, NaClO,O3, H2O2, formalin disinfectant and steriliants treatment; If not, you

          will be found that the bacteria residues of post-sterilization water, liquid and products

          are always higher than 10 -6 CFU/ml

 

 

     2) The correct way to purify the bacterial contaminations of pre-sterilized water,

          liquid, products down to low than100 CFU/ml are very expensive, high

     costs and investment, and complicated job

 

 

          The following correct way of hospitals, pharmaceutical, medical device and biological

products are applied at autoclave, dry heat, EO-gas, radiation sterilization treatment to

          purify the bacterial contaminations of pre-sterilized water, liquid, products down to low

       than100 CFU/ml

 

 

       1. microbiological test, monitoring and validation:

 

 

           a.  3M aerobic count plate:           for water, liquid test

           b.  MW504 total bacteria count swab:  for water, liquid, products, powder test

 

 

       2. aseptic process treatment and application

 

           (needed to be established the concentration, screening, purification, separation and

            dilution design for reduce down bacterial contaminations effectively)

 

 

           a. water, liquid aseptic treatment: like bacteria free water, injection solutions

 RO water

 Distilled water

 injections

 

  0.45~0.2 micron

  membrane filter

 

 bacterial contaminations

 purification rate up to

 90~99%

 

           b. water, liquid aseptic treatment: like pyrogen free water, injection solutions

 RO water

 Distilled water

 injections

 

 

 

 5~8 D

 sterilization

 rate

 UV sterilizer

 

 

 0.45~0.2

 micron

 membrane

 filter

 

 

 bacterial

 contaminations

 purification rate

 up to99.999%

 

             c. needle, pipe, operation parts and accessory aseptic disinfection treatment:

 needle, pipe,

 operation parts

 

 

  ClO2, NaClO, O3,

   formalin disinfection

   cleaning tank

 

  Bacterial contaminations:

1.     low than100 CFU/ml

2.     high than100 CFU/ml

                                  1. if disinfection solutions are always aseptic, not bacterial contaminations

                                               the disinfected products will be low than 100 CFU/ml

                                          2. if disinfection solutions are not aseptic, with bacterial contaminations

                                               the disinfected products will be high than 100 CFU/ml

 

             d. needle, pipe, operation parts and accessory aseptic disinfection treatment:

 needle, pipe,

 operation parts

 

 

  ClO2, NaClO, O3,

   formalin disinfection

   cleaning tank

 

 cleaning rate:

 1. bacteria: 90~99%

 2. pyrogen: 90~99%

                                                                             

 

 

   0.45~0.2 micron filter

 

                                                         Keep filter cartridge at aseptic free

                      

             e. needle, pipe, operation parts and accessory aseptic disinfection treatment:

    5~8 D   UV

     sterilizer

 0.45~0.2 micron

 membrane filter

                                                                                                         

  needle, pipe,

 operation parts

 

 

  ClO2, NaClO, O3,

   formalin disinfection

   cleaning tank

 

 cleaning rate:

 1. bacteria: 90~99%

 2. pyrogen: 90~99%

                                                                            Keep disinfection cleaning solutions at pyrogen free

 

 

 

. during sterilization, the correct sterilization unit operation of aseptic

       treatment, monitoring and validation to sterilize the sterilized water,

       liquid and products at the clear expected sterilization rate up to 8D

       (99.999999%) sterilization effect under the clear expected sterilization

        temperature, dosage, concentration and functional times

 

 

       The correct autoclave, dry heat, EO-gas and radiation sterilization treatment

       and application are needed to validate the cooling point sterilization effect of

       autoclave, dry heat, EO-gas and radiation sterilizer, So the correct sterilization

       process unit operation are needed to do the following sterilization process

       monitoring and validation for effective sterilization treatment and application

 

 

      1. to monitor, confirm and validate the cooling point of sterilized water, liquid and products

      2. to monitor, confirm and validate the sterilization temperature, concentration and dosage

         of cooling point of sterilized water, liquid and products being functioned to the expected

         sterilization temperature, concentration and dosage or not

      3. to monitor, confirm and validate the sterilization functional time being acted on the

         cooling point after the cooling point sterilization temperature, concentration and dosage

     being functioned to the expected sterilization temperature, concentration and dosage

 

 

 

 

       The following chemical indicator, biological indicator for correct autoclave,

       dry heat, EO-gas and radiation sterilization unit operation of aseptic process

        treatment, monitoring and validation application

 

 

       1. self contained biological indicator: (economic, cheap, convenient)

 

            1)  bacterial count: 10 6 CFU/ml  for 6 D sterilization validation

            2)  kind: a. bacillus stearothermophilus for steam, autoclave sterilization application

                           b. bacillus subtilis for dry heat, EO-gas sterilization application

 

 

       2. spores strip of biological indicator:

 

            1)  bacterial count: 10 4~8 CFU/ml  for 4~8 D sterilization validation

            2)  kind: a. bacillus stearothermophilus for steam, autoclave sterilization application

                           b. bacillus subtilis for dry heat, EO-gas sterilization application

                           c. bacillus pumilus for radiation sterilization application

 

 

       3. chemical indicator: 121~250 oC to monitor the sterilization temperature

 

 

       4. radiation indicator:  to monitor the radiation sterilization dosage

 

       5. EO-gas test tube:  to monitor the EO-gas sterilization concentration

 

       6. process chemical indicator: to monitor the sterilization process temperature

                                                        and times:

 

           a. 121 oC, 30 minutes process chemical indicator

            b. 131 oC, 3 minutes process chemical indicator

 

 

 

please see next pages

 

Bright Glory enterprise,Co.Ltd/

SanDa membrane & Nano,Co.Ltd

5F-3, No.162, Sec. 4, Chunghsiao E. Road, Taipei, Taiwan          

Tel: 886-02-2731-8306        Fax: 886-02-2731-8221   

web site: www.bge.com.tw  web site: http://3w.bge.com.tw     Email: hong@bge.com.tw