Professional Documents
Culture Documents
1 INTRODUCTION
The tests described hereafter will allow determination of the absence or limited occurrence of specified micro-organisms that may be detected under the
conditions described.
The tests are designed primarily to determine whether a substance or preparation complies with an established specification for microbiological quality.
When used for such purposes, follow the instructions given below, including the number of samples to be taken, and interpret the results as stated below.
Alternative microbiological procedures, including automated methods, may be used, provided that their equivalence to the Pharmacopoeia method has
been demonstrated.
2 GENERAL PROCEDURES
If the product to be examined has antimicrobial activity, this is insofar as possible removed or neutralised as described in general chapter 2.6.12.
If surface-active substances are used for sample preparation, their absence of toxicity for micro-organisms and their compatibility with inactivators used
must be demonstrated as described in general chapter 2.6.12.
3 GROWTH-PROMOTING AND INHIBITORY PROPERTIES OF THE MEDIA, SUITABILITY OF THE TEST AND NEGATIVE
CONTROLS
The ability of the test to detect micro-organisms in the presence of the product to be tested must be established. Suitability must be confirmed if a change
in testing performance, or the product, which may affect the outcome of the test is introduced.
Use standardised stable suspensions of test strains or prepare them as stated below. Seed lot culture maintenance techniques (seed-lot systems) are
used so that the viable micro-organisms used for inoculation are not more than 5 passages removed from the original master seed-lot.
Grow each of the bacterial test strains separately in casein soya bean digest broth or on casein soya bean digest agar at 30-35 °C for 18-24 h. Grow the
test strain for Candida albicans separately on Sabouraud-dextrose agar or in Sabouraud-dextrose broth at 20-25 °C for 2-3 days.
— Staphylococcus aureus such as ATCC 6538, NCIMB 9518, CIP 4.83 or NBRC 13276;
— Pseudomonas aeruginosa such as ATCC 9027, NCIMB 8626, CIP 82.118 or NBRC 13275;
— Escherichia coli such as ATCC 8739, NCIMB 8545, CIP 53.126 or NBRC 3972;
— Salmonella enterica subsp. enterica serovar Typhimurium, such as ATCC 14028 or, as an alternative, Salmonella enterica subsp. enterica serovar
Abony such as NBRC 100797, NCTC 6017 or CIP 80.39;
— Candida albicans such as ATCC 10231, NCPF 3179, IP 48.72 or NBRC 1594.
Use buffered sodium chloride-peptone solution pH 7.0 or phosphate buffer solution pH 7.2 to make test suspensions. Use the suspensions within 2 h or
within 24 h if stored at 2-8 °C.
3-1-2 Clostridia
Use Clostridium sporogenes such as ATCC 11437 (NBRC 14293, NCIMB 12343, CIP 100651) or ATCC 19404 (NCTC 532 or CIP 79.03) or NBRC 14293.
Grow the clostridial test strain under anaerobic conditions in reinforced medium for clostridia at 30-35 °C for 24-48 h. As an alternative to preparing and
then diluting down a fresh suspension of vegetative cells of Cl. sporogenes, a stable spore suspension is used for test inoculation. The stable spore
suspension may be maintained at 2-8 °C for a validated period.
To verify testing conditions, a negative control is performed using the chosen diluent in place of the test preparation. There must be no growth of micro-
organisms. A negative control is also performed when testing the products as described in section 4. A failed negative control requires an investigation.
Test each batch of ready-prepared medium and each batch of medium prepared either from dehydrated medium or from ingredients.
Test for bile-tolerant gram-negative Enterobacteria enrichment broth- Growth promoting E. coli
bacteria Mossel P. aeruginosa
Inhibitory S. aureus
Inhibitory S. aureus
Test for Salmonella Rappaport Vassiliadis Salmonella Growth promoting Salmonella enterica subsp. enterica
enrichment broth serovar Typhimurium or Salmonella
enterica subsp. enterica serovar
Abony
Inhibitory S. aureus
Xylose, lysine, deoxycholate agar Growth promoting + indicative Salmonella enterica subsp. enterica
serovar Typhimurium or Salmonella
enterica subsp. enterica serovar
Abony
Inhibitory E. coli
Test for Staphylococcus aureus Mannitol salt agar Growth promoting + indicative S. aureus
Inhibitory E. coli
Test for clostridia Reinforced medium for clostridia Growth promoting Cl. sporogenes
Test for Candida albicans Sabouraud dextrose broth Growth promoting C. albicans
Test for growth promoting properties, liquid media Inoculate a portion of the appropriate medium with a small number (not more than 100 CFU) of the
appropriate micro-organism. Incubate at the specified temperature for not more than the shortest period of time specified in the test. Clearly visible growth
of the micro-organism comparable to that previously obtained with a previously tested and approved batch of medium occurs.
Test for growth promoting properties, solid media Perform the surface-spread method, inoculating each plate with a small number (not more than
100 CFU) of the appropriate micro-organism. Incubate at the specified temperature for not more than the shortest period of time specified in the test.
Growth of the micro-organism comparable to that previously obtained with a previously tested and approved batch of medium occurs.
Test for inhibitory properties, liquid or solid media Inoculate the appropriate medium with at least 100 CFU of the appropriate micro-organism.
Incubate at the specified temperature for not less than the longest period of time specified in the test. No growth of the test micro-organism occurs.
Test for indicative properties Perform the surface-spread method, inoculating each plate with a small number (not more than 100 CFU) of the
appropriate micro-organism. Incubate at the specified temperature for a period of time within the range specified in the test. Colonies are comparable in
appearance and indication reactions to those previously obtained with a previously tested and approved batch of medium.
For each product to be tested, perform the sample preparation as described in the relevant paragraph in section 4. Add each test strain at the time of
mixing, in the prescribed growth medium. Inoculate the test strains individually. Use a number of micro-organisms equivalent to not more than 100 CFU in
the inoculated test preparation.
Perform the test as described in the relevant paragraph in section 4 using the shortest incubation period prescribed.
The specified micro-organisms must be detected with the indication reactions as described in section 4.
Any antimicrobial activity of the product necessitates a modification of the test procedure (see 4-5-3 of general chapter 2.6.12).
If for a given product the antimicrobial activity with respect to a micro-organism for which testing is prescribed cannot be neutralised, then it is to be
assumed that the inhibited micro-organism will not be present in the product.
4 TESTING OF PRODUCTS
Prepare a sample using a 1 in 10 dilution of not less than 1 g of the product to be examined as described in general chapter 2.6.12, but using casein soya
bean digest broth as the chosen diluent, mix and incubate at 20-25 °C for a time sufficient to resuscitate the bacteria but not sufficient to encourage
multiplication of the organisms (usually 2 h but not more than 5 h).
Unless otherwise prescribed, use the volume corresponding to 1 g of the product, as prepared in 4-1-1, to inoculate enterobacteria enrichment broth-
Mossel. Incubate at 30-35 °C for 24-48 h. Subculture on plates of violet red bile glucose agar. Incubate at 30-35 °C for 18-24 h.
4-1-3-1 Selection and subculture. Inoculate suitable quantities of enterobacteria enrichment broth-Mossel with the preparation as described under 4-1-1
and/or dilutions of it containing respectively 0.1 g, 0.01 g and 0.001 g (or 0.1 mL, 0.01 mL and 0.001 mL) of the product to be examined. Incubate at 30-
35 °C for 24-48 h. Subculture each of the cultures on a plate of violet red bile glucose agar. Incubate at 30-35 °C for 18-24 h.
4-1-3-2 Interpretation. Growth of colonies constitutes a positive result. Note the smallest quantity of the product that gives a positive result and the largest
quantity that gives a negative result. Determine from Table 2.6.13.-2 the probable number of bacteria.
+ + + > 103
- - - < 10
Prepare a sample using a 1 in 10 dilution of not less than 1 g of the product to be examined as described in general chapter 2.6.12, and use 10 mL or the
quantity corresponding to 1 g or 1 mL to inoculate a suitable amount (determined as described under 3-4) of casein soya bean digest broth, mix and
incubate at 30-35 °C for 18-24 h.
Shake the container, transfer 1 mL of casein soya bean digest broth to 100 mL of MacConkey broth and incubate at 42-44 °C for 24-48 h. Subculture on a
plate of MacConkey agar at 30-35 °C for 18-72 h.
4-2-3 Interpretation
Growth of colonies indicates the possible presence of E. coli. This is confirmed by identification tests.
The product complies with the test if no colonies are present or if the identification tests are negative.
4-3 SALMONELLA
Prepare the product to be examined as described in general chapter 2.6.12, and use the quantity corresponding to not less than 10 g or 10 mL to inoculate
a suitable amount (determined as described under 3-4) of casein soya bean digest broth, mix and incubate at 30-35 °C for 18-24 h.
Transfer 0.1 mL of casein soya bean digest broth to 10 mL of Rappaport Vassiliadis Salmonella enrichment broth and incubate at 30-35 °C for 18-24 h.
Subculture on plates of xylose, lysine, deoxycholate agar. Incubate at 30-35 °C for 18-48 h.
4-3-3 Interpretation
The possible presence of Salmonella is indicated by the growth of well-developed, red colonies, with or without black centres. This is confirmed by
identification tests.
The product complies with the test if colonies of the types described are not present or if the confirmatory identification tests are negative.
Prepare a sample using a 1 in 10 dilution of not less than 1 g of the product to be examined as described in general chapter 2.6.12, and use 10 mL or the
quantity corresponding to 1 g or 1 mL to inoculate a suitable amount (determined as described under 3-4) of casein soya bean digest broth and mix. When
testing transdermal patches, filter the volume of sample corresponding to 1 patch of the preparation described under 4-5-1 in general chapter 2.6.12
through a sterile filter membrane and place in 100 mL of casein soya bean digest broth. Incubate at 30-35 °C for 18-24 h.
4-4-3 Interpretation
Growth of colonies indicates the possible presence of P. aeruginosa. This is confirmed by identification tests.
The product complies with the test if colonies are not present or if the confirmatory identification tests are negative.
Prepare a sample using a 1 in 10 dilution of not less than 1 g of the product to be examined as described in general chapter 2.6.12, and use 10 mL or the
quantity corresponding to 1 g or 1 mL to inoculate a suitable amount (determined as described under 3-4) of casein soya bean digest broth and mix. When
testing transdermal patches, filter the volume of sample corresponding to 1 patch of the preparation described under 4-5-1 in general chapter 2.6.12
through a sterile filter membrane and place in 100 mL of casein soya bean digest broth. Incubate at 30-35 °C for 18-24 h.
Subculture on a plate of mannitol salt agar and incubate at 30-35 °C for 18-72 h.
4-5-3 Interpretation
The possible presence of S. aureus is indicated by the growth of yellow/white colonies surrounded by a yellow zone. This is confirmed by identification
tests.
The product complies with the test if colonies of the types described are not present or if the confirmatory identification tests are negative.
4-6 CLOSTRIDIA
Prepare a sample using a 1 in 10 dilution (with a minimum total volume of 20 mL) of not less than 2 g or 2 mL of the product to be examined as described
in general chapter 2.6.12. Divide the sample into 2 portions of at least 10 mL. Heat 1 portion at 80 °C for 10 min and cool rapidly. Do not heat the other
portion.
Use 10 mL or the quantity corresponding to 1 g or 1 mL of the product to be examined of both portions to inoculate suitable amounts (determined as
described under 3-4) of reinforced medium for clostridia. Incubate under anaerobic conditions at 30-35 °C for 48 h. After incubation, make subcultures from
each container on Columbia agar and incubate under anaerobic conditions at 30-35 °C for 48-72 h.
4-6-3 Interpretation
The occurrence of anaerobic growth of rods (with or without endospores) giving a negative catalase reaction indicates the presence of clostridia. This is
confirmed by identification tests.
The product complies with the test if colonies of the types described are not present or if the confirmatory identification tests are negative.
Prepare the product to be examined as described in general chapter 2.6.12, and use 10 mL or the quantity corresponding to not less than 1 g or 1 mL to
inoculate 100 mL of Sabouraud-dextrose broth and mix. Incubate at 30-35 °C for 3-5 days.
4-7-3 Interpretation
Growth of white colonies may indicate the presence of C. albicans. This is confirmed by identification tests.
The product complies with the test if such colonies are not present or if the confirmatory identification tests are negative.
The following solutions and culture media have been found to be satisfactory for the purposes for which they are prescribed in the test for microbial
contamination in the Pharmacopoeia. Other media may be used provided that their suitability can be demonstrated.
Stock buffer solution Place 34 g of potassium dihydrogen phosphate in a 1000 mL volumetric flask, dissolve in 500 mL of purified water, adjust to
pH 7.2 ± 0.2 with sodium hydroxide, dilute to 1000.0 mL with purified water and mix. Dispense into containers and sterilise. Store at 2-8 °C.
Phosphate buffer solution pH 7.2 Prepare a mixture of stock buffer solution and purified water (1:800 V/V) and sterilise.
Adjust the pH so that after sterilisation it is 7.3 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Agar 15.0 g
Adjust the pH so that after sterilisation it is 7.3 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Sabouraud-dextrose agar
Dextrose 40.0 g
Mixture of peptic digest of animal tissue and pancreatic digest of casein (1:1) 10.0 g
Agar 15.0 g
Purified water 1000 mL
Adjust the pH so that after sterilisation it is 5.6 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Dextrose 20.0 g
Agar 15.0 g
Adjust the pH so that after sterilisation it is 5.6 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Sabouraud-dextrose broth
Dextrose 20.0 g
Mixture of peptic digest of animal tissue and pancreatic digest of casein (1:1) 10.0 g
Adjust the pH so that after sterilisation it is 5.6 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Brilliant green 15 mg
Adjust the pH so that after heating it is 7.2 ± 0.2 at 25 °C. Heat at 100 °C for 30 min and cool immediately.
Agar 15.0 g
Neutral red 30 mg
Crystal violet 2 mg
Adjust the pH so that after heating it is 7.4 ± 0.2 at 25 °C. Heat to boiling; do not heat in an autoclave.
MacConkey broth
Pancreatic digest of gelatin 20.0 g
Bromocresol purple 10 mg
Adjust the pH so that after sterilisation it is 7.3 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
MacConkey agar
Agar 13.5 g
Crystal violet 1 mg
Adjust the pH so that after sterilisation it is 7.1 ± 0.2 at 25 °C. Boil for 1 min with constant shaking then sterilise in an autoclave using a validated cycle.
Dissolve, warming gently. Sterilise in an autoclave using a validated cycle, at a temperature not exceeding 115 °C. The pH is to be 5.2 ± 0.2 at 25 °C after
heating and autoclaving.
Xylose 3.5 g
L-Lysine 5.0 g
Sucrose 7.5 g
Phenol red 80 mg
Agar 13.5 g
Sodium deoxycholate 2.5 g
Adjust the pH so that after heating it is 7.4 ± 0.2 at 25 °C. Heat to boiling, cool to 50 °C and pour into Petri dishes. Do not heat in an autoclave.
Cetrimide agar
Cetrimide 0.3 g
Agar 13.6 g
Glycerol 10.0 mL
Heat to boiling for 1 min with shaking. Adjust the pH so that after sterilisation it is 7.2 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
D-Mannitol 10.0 g
Agar 15.0 g
Heat to boiling for 1 min with shaking. Adjust the pH so that after sterilisation it is 7.4 ± 0.2 at 25 °C. Sterilise in an autoclave using a validated cycle.
Peptone 10.0 g
Agar 0.5 g
Columbia agar
Hydrate the agar, dissolve by heating to boiling with continuous stirring. If necessary, adjust the pH so that after sterilisation it is 7.3 ± 0.2 at 25 °C. Sterilise
in an autoclave using a validated cycle. Allow to cool to 45-50 °C; add, where necessary, gentamicin sulfate corresponding to 20 mg of gentamicin base
and pour into Petri dishes.
1 INTRODUCTION
The tests described hereafter will allow quantitative enumeration of mesophilic bacteria and fungi that may grow under aerobic conditions.
The tests are designed primarily to determine whether a substance or preparation complies with an established specification for microbiological quality.
When used for such purposes follow the instructions given below, including the number of samples to be taken, and interpret the results as stated below.
The methods are not applicable to products containing viable micro-organisms as active ingredients.
Alternative microbiological procedures, including automated methods, may be used, provided that their equivalence to the Pharmacopoeia method has
been demonstrated.
2 GENERAL PROCEDURES
Carry out the determination under conditions designed to avoid extrinsic microbial contamination of the product to be examined. The precautions taken to
avoid contamination must be such that they do not affect any micro-organisms that are to be revealed in the test.
If the product to be examined has antimicrobial activity, this is insofar as possible removed or neutralised. If inactivators are used for this purpose, their
efficacy and their absence of toxicity for micro-organisms must be demonstrated.
If surface-active substances are used for sample preparation, their absence of toxicity for micro-organisms and their compatibility with inactivators used
must be demonstrated.
3 ENUMERATION METHODS
Use the membrane filtration method or the plate-count methods, as prescribed. The most-probable-number (MPN) method is generally the least accurate
method for microbial counts, however, for certain product groups with a very low bioburden, it may be the most appropriate method.
The choice of method is based on factors such as the nature of the product and the required limit of micro-organisms. The chosen method must allow
testing of a sufficient sample size to judge compliance with the specification. The suitability of the method chosen must be established.
4 GROWTH PROMOTION TEST, SUITABILITY OF THE COUNTING METHOD AND NEGATIVE CONTROLS
Suitability must be confirmed if a change in testing performance, or the product, which may affect the outcome of the test is introduced.
Use standardised stable suspensions of test strains or prepare them as stated below. Seed lot culture maintenance techniques (seed-lot systems) are
used so that the viable micro-organisms used for inoculation are not more than 5 passages removed from the original master seed-lot. Grow each of the
bacterial and fungal test strains separately as described in Table 2.6.12.-1.
Micro-organism Preparation of test Growth promotion Suitability of counting method in the presence
strain of the product
Total aerobic Total yeasts and Total aerobic Total yeasts and
microbial count moulds count microbial count moulds count
Staphylococcus aureus Casein soya bean Casein soya bean Casein soya bean
such as: digest agar or casein digest agar and casein digest agar/MPN casein
ATCC 6538 soya bean digest broth soya bean digest broth soya bean digest broth
- -
NCIMB 9518 30-35 °C ≤ 100 CFU ≤ 100 CFU
CIP 4.83 18-24 h 30-35 °C 30-35 °C
NBRC 13276 ≤ 3 days ≤ 3 days
Pseudomonas Casein soya bean Casein soya bean Casein soya bean
aeruginosa digest agar or casein digest agar and casein digest agar/MPN casein
such as: soya bean digest broth soya bean digest broth soya bean digest broth
ATCC 9027 30-35 °C ≤ 100 CFU - ≤ 100 CFU -
NCIMB 8626 18-24 h 30-35 °C 30-35 °C
CIP 82.118 ≤ 3 days ≤ 3 days
NBRC 13275
Bacillus subtilis such Casein soya bean Casein soya bean Casein soya bean
as: digest agar or casein digest agar and casein digest agar/MPN casein
ATCC 6633 soya bean digest broth soya bean digest broth soya bean digest broth
- -
NCIMB 8054 30-35 °C ≤ 100 CFU ≤ 100 CFU
CIP 52.62 18-24 h 30-35 °C 30-35 °C
NBRC 3134 ≤ 3 days ≤ 3 days
Candida albicans Sabouraud-dextrose Casein soya bean Sabouraud-dextrose Casein soya bean Sabouraud-dextrose
such as: agar or Sabouraud- digest agar agar digest agar agar
ATCC 10231 dextrose broth 20-25 °C ≤ 100 CFU ≤ 100 CFU ≤ 100 CFU ≤ 100 CFU
NCPF 3179 2-3 days 30-35 °C 20-25 °C 30-35 °C 20-25 °C
IP 48.72 ≤ 5 days ≤ 5 days ≤ 5 days ≤ 5 days
NBRC 1594 MPN: not applicable
Aspergillus brasiliensis Sabouraud-dextrose Casein soya bean Sabouraud-dextrose Casein soya bean Sabouraud-dextrose
such as: agar or potato-dextrose digest agar agar digest agar agar
ATCC 16404 agar ≤ 100 CFU ≤ 100 CFU ≤ 100 CFU ≤ 100 CFU
IMI 149007 20-25 °C 30-35 °C 20-25 °C 30-35 °C 20-25 °C
IP 1431.83 5-7 days, or until good ≤ 5 days ≤ 5 days ≤ 5 days ≤ 5 days
NBRC 9455 sporulation is achieved MPN: not applicable
Use buffered sodium chloride-peptone solution pH 7.0 or phosphate buffer solution pH 7.2 to make test suspensions; to suspend A. brasiliensis spores,
0.05 per cent of polysorbate 80 may be added to the buffer. Use the suspensions within 2 h or within 24 h if stored at 2-8 °C. As an alternative to preparing
and then diluting a fresh suspension of vegetative cells of A. brasiliensis or B. subtilis, a stable spore suspension is prepared and then an appropriate
volume of the spore suspension is used for test inoculation. The stable spore suspension may be maintained at 2-8 °C for a validated period of time.
4-3 NEGATIVE CONTROL
To verify testing conditions, a negative control is performed using the chosen diluent in place of the test preparation. There must be no growth of micro-
organisms. A negative control is also performed when testing the products as described in section 5. A failed negative control requires an investigation.
Test each batch of ready-prepared medium and each batch of medium, prepared either from dehydrated medium or from the ingredients described.
Inoculate portions/plates of casein soya bean digest broth and casein soya bean digest agar with a small number (not more than 100 CFU) of the micro-
organisms indicated in Table 2.6.12.-1, using a separate portion/plate of medium for each. Inoculate plates of Sabouraud-dextrose agar with a small
number (not more than 100 CFU) of the micro-organisms indicated in Table 2.6.12.-1, using a separate plate of medium for each. Incubate in the
conditions described in Table 2.6.12.-1.
For solid media, growth obtained must not differ by a factor greater than 2 from the calculated value for a standardised inoculum. For a freshly prepared
inoculum, growth of the micro-organisms comparable to that previously obtained with a previously tested and approved batch of medium occurs. Liquid
media are suitable if clearly visible growth of the micro-organisms comparable to that previously obtained with a previously tested and approved batch of
medium occurs.
The method for sample preparation depends upon the physical characteristics of the product to be tested. If none of the procedures described below can
be demonstrated to be satisfactory, an alternative procedure must be developed.
Water-soluble products Dissolve or dilute (usually a 1 in 10 dilution is prepared) the product to be examined in buffered sodium chloride-peptone
solution pH 7.0, phosphate buffer solution pH 7.2 or casein soya bean digest broth. If necessary, adjust to pH 6-8. Further dilutions, where necessary, are
prepared with the same diluent.
Non-fatty products insoluble in water Suspend the product to be examined (usually a 1 in 10 dilution is prepared) in buffered sodium chloride-peptone
solution pH 7.0, phosphate buffer solution pH 7.2 or casein soya bean digest broth. A surface-active agent such as 1 g/L of polysorbate 80 may be added
to assist the suspension of poorly wettable substances. If necessary, adjust to pH 6-8. Further dilutions, where necessary, are prepared with the same
diluent.
Fatty products Dissolve in isopropyl myristate, sterilised by filtration or mix the product to be examined with the minimum necessary quantity of sterile
polysorbate 80 or another non-inhibitory sterile surface-active agent, heated if necessary to not more than 40 °C, or in exceptional cases to not more than
45 °C. Mix carefully and if necessary maintain the temperature in a water-bath. Add sufficient of the pre-warmed chosen diluent to make a 1 in 10 dilution
of the original product. Mix carefully whilst maintaining the temperature for the shortest time necessary for the formation of an emulsion. Further serial
tenfold dilutions may be prepared using the chosen diluent containing a suitable concentration of sterile polysorbate 80 or another non-inhibitory sterile
surface-active agent.
Fluids or solids in aerosol form Aseptically transfer the product into a membrane filter apparatus or a sterile container for further sampling. Use either
the total contents or a defined number of metered doses from each of the containers tested.
Transdermal patches Remove the protective cover sheets (‘release liners') of the transdermal patches and place them, adhesive side upwards, on
sterile glass or plastic trays. Cover the adhesive surface with a sterile porous material, for example sterile gauze, to prevent the patches from sticking
together, and transfer the patches to a suitable volume of the chosen diluent containing inactivators such as polysorbate 80 and/or lecithin. Shake the
preparation vigorously for at least 30 min.
Add to the sample prepared as described above (4-5-1) and to a control (with no test material included) a sufficient volume of the microbial suspension to
obtain an inoculum of not more than 100 CFU. The volume of the suspension of the inoculum should not exceed 1 per cent of the volume of diluted
product.
To demonstrate acceptable microbial recovery from the product, the lowest possible dilution factor of the prepared sample must be used for the test. Where
this is not possible due to antimicrobial activity or poor solubility, further appropriate protocols must be developed. If inhibition of growth by the sample
cannot otherwise be avoided, the aliquot of the microbial suspension may be added after neutralisation, dilution or filtration.
The number of micro-organisms recovered from the prepared sample diluted as described in 4-5-2 and incubated following the procedure described in 4-5-
4, is compared to the number of micro-organisms recovered from the control preparation.
If growth is inhibited (reduction by a factor greater than 2), then modify the procedure for the particular enumeration test to ensure the validity of the results.
Modification of the procedure may include, for example, (1) an increase in the volume of the diluent or culture medium, (2) incorporation of specific or
general neutralising agents into the diluent, (3) membrane filtration, or (4) a combination of the above measures.
Neutralising agents Neutralising agents may be used to neutralise the activity of antimicrobial agents (Table 2.6.12.-2). They may be added to the
chosen diluent or the medium preferably before sterilisation. If used, their efficacy and their absence of toxicity for micro-organisms must be demonstrated
by carrying out a blank with neutraliser and without product.
If no suitable neutralising method can be found, it can be assumed that the failure to isolate the inoculated organism is attributable to the microbicidal
activity of the product. This information serves to indicate that the product is not likely to be contaminated with the given species of the micro-organism.
However, it is possible that the product only inhibits some of the micro-organisms specified herein, but does not inhibit others not included amongst the test
strains or for which the latter are not representative. Then, perform the test with the highest dilution factor compatible with microbial growth and the specific
acceptance criterion.
Aldehydes Glycine
Mercurials Thioglycollate
For each of the micro-organisms listed, separate tests are performed. Only micro-organisms of the added test strain are counted.
4-5-4-1 Membrane filtration. Use membrane filters having a nominal pore size not greater than 0.45 µm. The type of filter material is chosen such that the
bacteria-retaining efficiency is not affected by the components of the sample to be investigated. For each of the micro-organisms listed, one membrane
filter is used.
Transfer a suitable amount of the sample prepared as described under 4-5-1 to 4-5-3 (preferably representing 1 g of the product, or less if large numbers of
CFU are expected) to the membrane filter, filter immediately and rinse the membrane filter with an appropriate volume of diluent.
For the determination of total aerobic microbial count (TAMC), transfer the membrane filter to the surface of casein soya bean digest agar. For the
determination of total combined yeasts/moulds count (TYMC), transfer the membrane to the surface of Sabouraud-dextrose agar. Incubate the plates as
indicated in Table 2.6.12.-1. Perform the counting.
4-5-4-2 Plate-count methods. Perform plate-count methods at least in duplicate for each medium and use the mean count of the result.
For Petri dishes 9 cm in diameter, add to the dish 1 mL of the sample prepared as described under 4-5-1 to 4-5-3 and 15-20 mL of casein soya bean digest
agar or Sabouraud-dextrose agar, both media being at not more than 45 °C. If larger Petri dishes are used, the amount of agar medium is increased
accordingly. For each of the micro-organisms listed in Table 2.6.12.-1, at least 2 Petri dishes are used. Incubate the plates as indicated in Table 2.6.12.-1.
Take the arithmetic mean of the counts per medium and calculate the number of CFU in the original inoculum.
For Petri dishes 9 cm in diameter, add 15-20 mL of casein soya bean digest agar or Sabouraud-dextrose agar at about 45 °C to each Petri dish and allow
to solidify. If larger Petri dishes are used, the volume of the agar is increased accordingly. Dry the plates, for example in a laminar-air-flow cabinet or an
incubator. For each of the micro-organisms listed in Table 2.6.12.-1, at least 2 Petri dishes are used. Spread a measured volume of not less than 0.1 mL of
the sample prepared as described under 4-5-1 to 4-5-3 over the surface of the medium. Incubate and count as prescribed under 4-5-4-2-1
4-5-4-3 Most-probable-number (MPN) method. The precision and accuracy of the MPN method is less than that of the membrane filtration method or the
plate-count method. Unreliable results are obtained particularly for the enumeration of moulds. For these reasons the MPN method is reserved for the
enumeration of TAMC in situations where no other method is available. If the use of the method is justified, proceed as follows.
Prepare a series of at least 3 serial tenfold dilutions of the product as described under 4-5-1 to 4-5-3. From each level of dilution, 3 aliquots of 1 g or 1 mL
are used to inoculate 3 tubes with 9-10 mL of casein soya bean digest broth. If necessary, a surface-active agent such as polysorbate 80 or an inactivator
of antimicrobial agents may be added to the medium. Thus, if 3 levels of dilution are prepared, 9 tubes are inoculated.
Incubate all tubes at 30-35 °C for not more than 3 days. If reading of the results is difficult or uncertain owing to the nature of the product to be examined,
subculture in the same broth, or in casein soya bean digest agar, for 1-2 days at the same temperature and use these results. Determine the most
probable number of micro-organisms per gram or millilitre of the product to be examined from Table 2.6.12.-3.
When verifying the suitability of the membrane filtration method or the plate-count method, a mean count of any of the test organisms not differing by a
factor greater than 2 from the value of the control defined in 4-5-2 in the absence of the product must be obtained. When verifying the suitability of the MPN
method the calculated value from the inoculum must be within 95 per cent confidence limits of the results obtained with the control.
If the above criteria cannot be met for one or more of the organisms tested with any of the described methods, the method and test conditions that come
closest to the criteria are used to test the product.
5 TESTING OF PRODUCTS
Unless otherwise prescribed, use 10 g or 10 mL of the product to be examined taken with the precautions referred to above. For fluids or solids in aerosol
form, sample 10 containers. For transdermal patches, sample 10 patches.
The amount to be tested may be reduced for active substances that will be formulated in the following conditions: the amount per dosage unit (e.g. tablet,
capsule, injection) is less than or equal to 1 mg or the amount per gram or millilitre (for preparations not presented in dose units) is less than 1 mg. In these
cases, the amount to be tested is not less than the amount present in 10 dosage units or 10 g or 10 mL of the product.
0 0 0 <3 0-9.4
0 0 1 3 0.1-9.5
0 1 0 3 0.1-10
0 1 1 6.1 1.2-17
0 2 0 6.2 1.2-17
0 3 0 9.4 3.5-35
Observed combinations of numbers of tubes showing growth in each set
1 0 0 3.6 0.2-17
1 0 1 7.2 1.2-17
1 0 2 11 4-35
1 1 0 7.4 1.3-20
1 1 1 11 4-35
1 2 0 11 4-35
1 2 1 15 5-38
1 3 0 16 5-38
2 0 0 9.2 1.5-35
2 0 1 14 4-35
2 0 2 20 5-38
2 1 0 15 4-38
2 1 1 20 5-38
2 1 2 27 9-94
2 2 0 21 5-40
2 2 1 28 9-94
2 2 2 35 9-94
2 3 0 29 9-94
2 3 1 36 9-94
3 0 0 23 5-94
3 0 1 38 9-104
3 0 2 64 16-181
3 1 0 43 9-181
3 1 1 75 17-199
3 1 2 120 30-360
3 1 3 160 30-380
3 2 0 93 18-360
3 2 1 150 30-380
3 2 2 210 30-400
3 2 3 290 90-990
3 3 0 240 40-990
3 3 1 460 90-1980
3 3 2 1100 200-4000
Observed combinations of numbers of tubes showing growth in each set
3 3 3 > 1100
For materials used as active substances where sample quantity is limited or batch size is extremely small (i.e. less than 1000 mL or 1000 g), the amount
tested shall be 1 per cent of the batch unless a lesser amount is prescribed or justified and authorised.
For products where the total number of entities in a batch is less than 200 (e.g. samples used in clinical trials), the sample size may be reduced to 2 units,
or 1 unit if the size is less than 100.
Select the sample(s) at random from the bulk material or from the available containers of the preparation. To obtain the required quantity, mix the contents
of a sufficient number of containers to provide the sample.
Use a filtration apparatus designed to allow the transfer of the filter to the medium. Prepare the sample using a method that has been shown suitable as
described in section 4 and transfer the appropriate amount to each of 2 membrane filters and filter immediately. Wash each filter following the procedure
shown to be suitable.
For the determination of TAMC, transfer one of the membrane filters to the surface of casein soya bean digest agar. For the determination of TYMC,
transfer the other membrane to the surface of Sabouraud-dextrose agar. Incubate the plate of casein soya bean digest agar at 30-35 °C for 3-5 days and
the plate of Sabouraud-dextrose agar at 20-25 °C for 5-7 days. Calculate the number of CFU per gram or per millilitre of product.
When examining transdermal patches, filter 10 per cent of the volume of the preparation described under 4-5-1 separately through each of 2 sterile filter
membranes. Transfer one membrane to casein soya bean digest agar for TAMC and the other membrane to Sabouraud-dextrose agar for TYMC.
Prepare the sample using a method that has been shown to be suitable as described in section 4. Prepare for each medium at least 2 Petri dishes for each
level of dilution. Incubate the plates of casein soya bean digest agar at 30-35 °C for 3-5 days and the plates of Sabouraud-dextrose agar at 20-25 °C for 5-
7 days. Select the plates corresponding to a given dilution and showing the highest number of colonies less than 250 for TAMC and 50 for TYMC. Take the
arithmetic mean per culture medium of the counts and calculate the number of CFU per gram or per millilitre of product.
Prepare the sample using a method that has been shown to be suitable as described in section 4. Prepare at least 2 Petri dishes for each medium and
each level of dilution. For incubation and calculation of the number of CFU proceed as described for the pour-plate method.
Prepare and dilute the sample using a method that has been shown to be suitable as described in section 4. Incubate all tubes at 30-35 °C for 3-5 days.
Subculture if necessary, using the procedure shown to be suitable. Record for each level of dilution the number of tubes showing microbial growth.
Determine the most probable number of micro-organisms per gram or millilitre of the product to be examined from Table 2.6.12.-3.
The total aerobic microbial count (TAMC) is considered to be equal to the number of CFU found using casein soya bean digest agar; if colonies of fungi are
detected on this medium, they are counted as part of the TAMC. The total combined yeasts/mould count (TYMC) is considered to be equal to the number
of CFU found using Sabouraud-dextrose agar; if colonies of bacteria are detected on this medium, they are counted as part of the TYMC. When the TYMC
is expected to exceed the acceptance criterion due to the bacterial growth, Sabouraud-dextrose agar containing antibiotics may be used. If the count is
carried out by the MPN method the calculated value is the TAMC.
The recommended solutions and media are described in general chapter 2.6.13.
Where the test for mycoplasmas is prescribed for a master cell bank, for a working cell bank, for a virus seed lot or for control cells, both the culture
method and the indicator cell culture method are used. Where the test for mycoplasmas is prescribed for a virus harvest, for a bulk vaccine or for the final
lot (batch), the culture method is used. The indicator cell culture method may also be used, where necessary, for screening of media.
Nucleic acid amplification techniques (NAT) may be used as an alternative to one or both of the other methods after suitable validation.
CULTURE METHOD
The test is carried out using a sufficient number of both solid and liquid media to ensure growth in the chosen incubation conditions of small numbers of
mycoplasmas that may be present in the product to be examined. Liquid media must contain phenol red. The range of media chosen is shown to have
satisfactory nutritive properties for at least the micro-organisms shown below. The nutritive properties of each new batch of medium are verified for the
appropriate micro-organisms in the list. When testing for mycoplasmas in the product to be examined, at least 1 of the following species will be included as
a positive control:
— Acholeplasma laidlawii (vaccines for human and veterinary use where an antibiotic has been used during production);
— Mycoplasma gallisepticum (where avian material has been used during production or where the vaccine is intended for use in poultry);
— Mycoplasma pneumoniae (vaccines for human use) or other suitable species of D-glucose fermenter such as Mycoplasma fermentans;
— Mycoplasma synoviae (where avian material has been used during production or where the vaccine is intended for use in poultry).
The test strains are field isolates having undergone a limited number of subcultures (not more than 15), and are stored frozen or freeze-dried. After cloning,
the strains are identified as being of the required species by comparison with type cultures, for example:
Acholeplasma laidlawii BRP, Mycoplasma fermentans BRP, Mycoplasma hyorhinis BRP, Mycoplasma orale BRP and Mycoplasma synoviae BRP are
suitable for use as low-passage reference strains.
INCUBATION CONDITIONS
Incubate liquid media in tightly stoppered containers at 35-38 °C. Incubate solid media in microaerophilic conditions (nitrogen containing 5-10 per cent of
carbon dioxide and sufficient humidity to prevent desiccation of the agar surface) at 35-38 °C.
NUTRITIVE PROPERTIES
Carry out the test for nutritive properties for each new batch of medium Inoculate the chosen media with the appropriate test micro-organisms; use
not more than 100 CFU per 60 mm diameter plate containing 9 mL of solid medium and per 100 mL container of liquid medium; use a separate plate and
container for each species of micro-organism. Incubate the media and make subcultures from 0.2 mL of liquid medium to solid medium at the specified
intervals (see below under Test for mycoplasmas in the product to be examined). The solid medium complies with the test if adequate growth is found for
each test micro-organism (growth obtained does not differ by a factor greater than 5 from the value calculated with respect to the inoculum). The liquid
medium complies with the test if growth on agar plates subcultured from the broth is found for at least 1 subculture for each test micro-organism.
INHIBITORY SUBSTANCES
The test for inhibitory substances is carried out once for a given product and is repeated whenever there is a change in production method that may affect
the detection of mycoplasmas.
To demonstrate absence of inhibitory substances, carry out the test for nutritive properties in the presence and absence of the product to be examined. If
growth of a test micro-organism occurs more than 1 subculture sooner in the absence of the product to be examined than in its presence, or if plates
directly inoculated with the product to be examined have fewer than 1/5 of the number of colonies of those inoculated without the product to be examined,
inhibitory substances are present and they must be neutralised or their effect otherwise countered, for example by passage in substrates not containing
inhibitors or dilution in a larger volume of medium before the test. If dilution is used, larger medium volumes may be used or the inoculum volume may be
divided among several 100 mL flasks. The effectiveness of the neutralisation or other process is checked by repeating the test for inhibitory substances
after neutralisation.
Inoculate 10 mL of the product to be examined per 100 mL of each liquid medium. If it has been found that a significant pH change occurs upon the
addition of the product to be examined, the liquid medium is restored to its original pH value by the addition of a solution of either sodium hydroxide or
hydrochloric acid. Inoculate 0.2 mL of the product to be examined on each plate of each solid medium. Incubate liquid media for 20-21 days. Incubate solid
media for not less than 14 days, except those corresponding to the 20-21 day subculture, which are incubated for 7 days. At the same time incubate an
uninoculated 100 mL portion of each liquid medium and agar plates, as a negative control. On days 2-4 after inoculation, subculture each liquid medium by
inoculating 0.2 mL on at least 1 plate of each solid medium. Repeat the procedure between the 6th and 8th days, again between the 13th and 15th days and
again between the 19th and 21st days of the test. Observe the liquid media every 2 or 3 days and if a colour change occurs, subculture. If a liquid medium
shows bacterial or fungal contamination, the test is invalid. The test is valid if at least 1 plate per medium and per inoculation day can be read. Include in
the test positive controls prepared by inoculation of not more than 100 CFU of at least 1 test micro-organism on agar medium or into broth medium. Where
the test for mycoplasmas is carried out regularly and where possible, it is recommended to use the test micro-organisms in regular rotation. The test micro-
organisms used are those listed under Choice of culture media.
INTERPRETATION OF RESULTS
At the end of the prescribed incubation period, examine all inoculated solid media microscopically for the presence of mycoplasma colonies. The product
complies with the test if growth of typical mycoplasma colonies has not occurred. The product does not comply with the test if growth of typical
mycoplasma colonies has occurred on any of the solid media. The test is invalid if 1 or more of the positive controls do not show growth of mycoplasmas
on at least 1 subculture plate. The test is invalid if 1 or more of the negative controls show growth of mycoplasmas. If suspect colonies are observed, a
suitable validated method may be used to determine whether they are due to mycoplasmas.
The following media are recommended. Other media may be used, provided that their ability to sustain the growth of mycoplasmas has been demonstrated
on each batch in the presence and absence of the product to be examined.
Adjust to pH 7.8.
Solid medium
Prepare as described above replacing beef heart infusion broth by beef heart infusion agar containing 15 g/L of agar.
Liquid medium
Mix the solutions of β-nicotinamide adenine dinucleotide and cysteine hydrochloride and after 10 min add to the other ingredients. Adjust to pH 7.8.
Solid medium
Liquid medium
Hanks' balanced salt solution (modified) (4) 800 mL
Distilled water 67 mL
Bacitracin 250 mg
Meticillin 250 mg
Adjust to pH 7.40-7.45.
Solid medium
DEAE-dextran 200 mg
Mix well and sterilise by autoclaving. Cool to 100 °C. Add to 1740 mL of liquid medium as described above.
Peptone 10 g
Sodium chloride 5g
Sterilise by autoclaving.
Biotin 100 mg
i-Inositol 200 mg
Nicotinamide 100 mg
Riboflavine 10 mg
Chlorine 0
Copper 8 ppm
Proteose peptone 10 g
Glucose monohydrate 2g
Sodium chloride 5g
Beef-heart infusion 50 g
Peptone 10 g
Sodium chloride 5g
If for viral suspensions the interpretation of results is affected by marked cytopathic effects, the virus may be neutralised using a specific antiserum that has
no inhibitory effects on mycoplasmas or a cell culture substrate that does not allow growth of the virus may be used. To demonstrate the absence of
inhibitory effects of serum, carry out the positive control tests in the presence and absence of the antiserum.
Use Vero cells or another cell culture (for example, the production cell line) that is equivalent in effectiveness for detecting mycoplasmas. Test the
effectiveness of the cells to be used by applying the procedure shown below and inoculating not more than 100 CFU or CFU-like micro-organisms of
suitable reference strains of M. hyorhinis and M. orale. The following strains have been found to be suitable:
The indicator cells must be subcultured without an antibiotic before use in the test.
TEST METHOD
1. Seed the indicator cell culture at a suitable density (for example, 2 × 104 to 2 × 105 cells/mL, 4 × 103 to 2.5 × 104 cells/cm2) that will yield confluence
after 3 days of growth. Inoculate 1 mL of the product to be examined into the cell culture vessel and incubate at 35-38 °C.
2. After at least 3 days of incubation, when the cells have grown to confluence, make a subculture on cover slips in suitable containers or on some other
surface (for example, chambered slides) suitable for the test procedure. Seed the cells at low density so that they reach 50 per cent confluence after 3-
5 days of incubation. Complete confluence impairs visualisation of mycoplasmas after staining and must be avoided.
3. Remove the medium and rinse the indicator cells with phosphate buffered saline pH 7.4 R, then add a suitable fixing solution (a freshly prepared mixture
of 1 volume of glacial acetic acid R and 3 volumes of methanol R is suitable when bisbenzimide R is used for staining).
4. Remove the fixing solution and wash the cells with sterile water R. Dry the slides completely if they are to be stained more than 1 h later (particular care
is needed for staining of slides after drying owing to artefacts that may be produced).
5. Add a suitable DNA stain and allow to stand for a suitable time (bisbenzimide working solution R and a standing time of 10 min are suitable).
7. Mount each coverslip, where applicable (a mixture of equal volumes of glycerol R and phosphate-citrate buffer solution pH 5.5 R is suitable for
mounting). Examine by fluorescence (for bisbenzimide stain a 330 nm/380 nm excitation filter and an LP 440 nm barrier filter are suitable) at
400 × magnification or greater.
8. Compare the microscopic appearance of the test cultures with that of the negative and positive controls, examining for extranuclear fluorescence.
Mycoplasmas produce pinpoints or filaments over the indicator cell cytoplasm. They may also produce pinpoints and filaments in the intercellular spaces.
Multiple microscopic fields are examined according to the protocol established during validation.
INTERPRETATION OF RESULTS
The product to be examined complies with the test if fluorescence typical of mycoplasmas is not present. The test is invalid if the positive controls do not
show fluorescence typical of mycoplasmas. The test is invalid if the negative controls show fluorescence typical of mycoplasmas.
NAT (2.6.21) may be used for detection of mycoplasmas by amplification of nucleic acids extracted from a test sample with specific primers that reveal the
presence of the target nucleic acid. NAT indicate the presence of a particular nucleic acid sequence and not necessarily the presence of viable
mycoplasmas. A number of different techniques are available. This general chapter does not prescribe a particular method for the test. The procedure
applied must be validated as described, taking account of the guidelines presented at the end of this section. Where a commercial kit is used, certain
elements of the validation may be carried out by the manufacturer and information provided to the user but it must be remembered that full information on
the primers may not be available and that production of the kit may be modified or discontinued.
NAT are applied where prescribed in a monograph. They may also be used instead of the culture method and the indicator cell culture method after
suitable validation.
Direct NAT Can be applied in the presence of cytotoxic material and where a rapid method is needed.
Cell-culture enrichment followed by NAT The test sample and a suitable cell substrate (as described under the indicator cell-culture method) are
cultured together for a suitable period; the nucleic acids are then extracted from cells and supernatant and used for detection by NAT.
VALIDATION
Reference standards are required at various stages during validation and for use as controls during routine application of the test. The reference standards
may be mycoplasmas or nucleic acids.
For validation of the limit of detection, the following species represent an optimal selection in terms of the frequency of occurrence as contaminants and
phylogenetic relationships:
— A. laidlawii;
— M. fermentans;
— M. hyorhinis (where cell-culture enrichment is used, a fastidious strain such as ATCC 29052 is included);
— M. orale;
— M. pneumoniae or M. gallisepticum;
— Mycoplasma arginini;
— Spiroplasma citri (where there is use of or exposure to insect or plant material during production).
Demonstration of specificity requires the use of a suitable range of bacterial species other than mycoplasmas. Bacterial genera with close phylogenetic
relation to mycoplasmas are most appropriate for this validation; these include Clostridium, Lactobacillus and Streptococcus.
Comparability studies for use of NAT as an alternative method For each mycoplasma test species:
— as an alternative to the culture method: the NAT test system must be shown to detect 10 CFU/mL;
— as an alternative to the indicator cell culture method: the NAT test system must be shown to detect 100 CFU/mL;
or an equivalent limit of detection in terms of the number of copies of mycoplasma nucleic acid in the test sample (using suitable reference standards of
mycoplasma nucleic acid).
CONTROLS
Internal controls
Internal controls are necessary for routine verification of absence of inhibition. The internal control may contain the primer binding-site, or some other
suitable sequence may be used. It is preferably added to the test material before isolating the nucleic acid and therefore acts as an overall control
(extraction, reverse transcription, amplification, detection).
External controls
The external positive control contains a defined number of target-sequence copies or CFUs from 1 or more suitable species of mycoplasma chosen from
those used during validation of the test conditions. 1 of the positive controls is set close to the positive cut-off point to demonstrate that the expected
sensitivity is achieved. The external negative control contains no target sequence but does not necessarily represent the same matrix as the test article.
INTERPRETATION OF RESULTS
The primers used may also amplify non-mycoplasmal bacterial nucleic acid, leading to false positive results. Procedures are established at the time of
validation for dealing with confirmation of positive results, where necessary.
VALIDATION OF NUCLEIC ACID AMPLIFICATION TECHNIQUES (NAT) FOR THE DETECTION OF MYCOPLASMAS:
GUIDELINES
1 SCOPE
Nucleic acid amplification techniques (NAT) are either qualitative or quantitative tests for the presence of nucleic acid. For the detection of mycoplasma
contamination of various samples such as vaccines and cell substrates, qualitative tests are adequate and may be considered to be limit tests.
These guidelines describe methods to validate qualitative nucleic acid amplification analytical procedures for assessing mycoplasma contamination. They
may also be applicable for real-time NAT used as limit tests for the control of contaminants.
The 2 characteristics regarded as the most important for validation of the analytical procedure are the specificity and the detection limit. In addition, the
robustness of the analytical procedure should be evaluated.
For the purpose of this document, an analytical procedure is defined as the complete procedure from extraction of nucleic acid to detection of the amplified
products.
Where commercial kits are used for part or all of the analytical procedure, documented validation points already covered by the kit manufacturer can
replace validation by the user. Nevertheless, the performance of the kit with respect to its intended use has to be demonstrated by the user (e.g. detection
limit, robustness, cross-detection of other classes of bacteria).
— a complementary test (for example, for cytotoxic viral suspensions) or for in-process control purposes;
— an alternative method to replace an official method (indicator cell culture method or culture method).
These guidelines will thus separate these 2 objectives by presenting first a guideline for the validation of the NAT themselves, and second, a guideline for a
comparability study between NAT and official methods.
2-1 Specificity
Specificity is the ability to unequivocally assess target nucleic acid in the presence of components that may be expected to be present.
The specificity of NAT is dependent on the choice of primers, the choice of probe (for analysis of the final product) and the stringency of the test conditions
(for both the amplification and detection steps).
The ability of the NAT to detect a large panel of mycoplasma species will depend on the choice of primers, probes and method parameters. This ability
should be demonstrated using characterised reference panels (e.g. reference strains provided by the EDQM). Since NAT systems are usually based on a
mix of primers, the theoretical analysis of primers and probes by comparison with databases is not recommended, because interpretation of the results
may be quite complex and may not reflect the experimental results.
Moreover, as it is likely that the primers will detect other bacterial species, the potential cross-detection should be documented in the validation study.
Bacterial genera such as gram-positive bacteria with close phylogenetic relation to mycoplasmas are most appropriate for this validation; these include
Clostridium, Lactobacillus and Streptococcus. However, this is not an exhaustive list and species to be tested will depend on the theoretical ability (based
on primers/probes sequences) of the NAT system to detect such other species.
Based on the results from this validation of the specificity, if a gap in the specificity of the method is identified (such as detection of non-mycoplasmal
bacterial nucleic acid), an appropriate strategy must be proposed in the validation study to allow interpretation of positive results on a routine basis. For
example, a second test may be performed using an alternative method without this specificity gap or using an official method.
The detection limit of an individual analytical procedure is the lowest amount of target nucleic acid in a sample that can be detected but not necessarily
quantitated as an exact value.
For establishment of the detection limit, a positive cut-off point should be determined for the nucleic acid amplification analytical procedure. The positive
cut-off point (as defined in general chapter 2.6.21) is the minimum number of target sequence copies per volume of sample that can be detected in 95 per
cent of test runs. This positive cut-off point is influenced by the distribution of mycoplasmal genomes in the individual samples being tested and by factors
such as enzyme efficiency, and can result in different 95 per cent cut-off values for individual analytical test runs.
To determine the positive cut-off point, a dilution series of characterised and calibrated (either in CFUs or nucleic acid copies) in-house working strains or
EDQM standards should be tested on different days to examine variation between test runs.
For validation of the limit of detection, the following species represent an optimal selection in terms of the frequency of occurrence as contaminants and
phylogenetic relationships:
— A. laidlawii;
— M. fermentans;
— M. hyorhinis;
— M. orale;
— M. pneumoniae or M. gallisepticum;
— M. arginini;
— S. citri (where there is use of or exposure to insect or plant material during production).
For each strain, at least 3 independent 10-fold dilution series should be tested, with a sufficient number of replicates at each dilution to give a total number
of 24 test results for each dilution, to enable a statistical analysis of the results.
For example, a laboratory may test 3 dilution series on different days with 8 replicates for each dilution, 4 dilution series on different days with 6 replicates
for each dilution, or 6 dilution series on different days with 4 replicates for each dilution. In order to keep the number of dilutions at a manageable level, a
preliminary test should be performed to obtain a preliminary value for the positive cut-off point (i.e. the highest dilution giving a positive signal). The range
of dilutions can then be chosen around the predetermined preliminary cut-off point. The concentration of mycoplasmas (CFUs or copies) that can be
detected in 95 per cent of test runs can then be calculated using an appropriate statistical evaluation.
These results may also serve to evaluate the variability of the analytical procedure.
2-3 Robustness
The robustness of an analytical procedure is a measure of its capacity to remain unaffected by small but deliberate variations in method parameters, and
provides an indication of its reliability during normal usage.
The evaluation of robustness should be considered during the development phase. It should show the reliability of the analytical procedure with respect to
deliberate variations in method parameters. For NAT, small variations in the method parameters can be crucial. However, the robustness of the method can
be demonstrated during its development when small variations in the concentrations of reagents (e.g. MgCl2, primers or deoxyribonucleotides) are tested.
Modifications of extraction kits or extraction procedures as well as different thermal cycler types may also be evaluated.
NAT may be used instead of official methods (indicator cell culture method and/or culture method). In this case a comparability study should be carried out.
This comparability study should include mainly a comparison of the respective detection limits of the alternative method and official methods. However,
specificity (mycoplasma panel detected, putative false positive results) should also be considered.
— if the alternative method is proposed to replace the culture method, the NAT system must be shown to detect 10 CFU/mL for each mycoplasma test
species described in paragraph 2-2;
— if the alternative method is proposed to replace the indicator cell culture method, the NAT system must be shown to detect 100 CFU/mL for each
mycoplasma test species described in paragraph 2-2
For both cases, suitable standards calibrated for the number of nucleic acid copies and the number of CFUs may be used for establishing that these
acceptability criteria are reached. The relation between CFUs and nucleic acid copies for the reference preparations should be previously established to
compare the performance of the alternative NAT method with the performance of the official methods.
— perform the NAT alternative method in parallel with the official method(s) to evaluate simultaneously the detection limit of both methods using the
same samples of calibrated strains;
— compare the performance of the NAT alternative method using previously obtained data from official method validation. In this case, calibration of
standards used for both validations as well as their stabilities should be documented carefully.
Comparability study reports should describe all the validation elements described in section 2 (specificity, limit of detection and variability, as well as
robustness) in order to assess all the advantages and/or disadvantages of the alternative NAT method compared to official methods.
4. Mycobacteria
If the sample to be examined may be contaminated by micro-organisms other than mycobacteria, treat it with a suitable decontamination solution, such as
acetylcysteine-sodium hydroxide solution or sodium laurilsulfate solution.
Inoculate 0.2 mL of the sample in triplicate onto each of 2 suitable solid media (Löwenstein-Jensen medium and Middlebrook 7H10 medium are considered
suitable). Inoculate 0.5 mL in triplicate into a suitable liquid medium. Incubate all media at 37 °C for 56 days.
Establish the fertility of the media in the presence of the preparation to be examined by inoculation of a suitable strain of a Mycobacterium sp. such as
BCG and if necessary use a suitable neutralising substance.
If contaminating micro-organisms develop during the first 8 days of incubation, repeat the test and carry out at the same time a bacteriological sterility test.
If at the end of the incubation time no growth of mycobacteria occurs in any of the test media, the preparation complies with the test.
INTRODUCTION
A strategy for testing extraneous agents in viral vaccines must be developed based on a risk assessment following the principles of viral contamination risk
detailed in general chapter 5.1.7. Viral safety. This strategy includes a full package of suitable tests that are able to detect different families of extraneous
agents that may infect the source of virus strains including cell substrates and raw material of animal or plant origin. It also takes into account the capacity
of the manufacturing process to remove or inactivate viruses. The list of tests summarised in Table 2.6.16.-1 must be adapted depending on the
extraneous agents that have the potential to contaminate the product: for in vitro tests, the risk assessment may allow, with the agreement of the
competent authority, the use of other permissive cell lines or molecular biology methods depending on the manufacturing process and the incubation
temperature for the growth of particular viruses. If in vivo tests are more relevant than in vitro tests for the detection of some adventitious viruses (e.g.
suckling mice for the vesicular stomatitis virus and fertilised SPF eggs for the influenza virus) the decision to maintain or to introduce such in vivo assays in
a testing strategy must be justified by the risk assessment.
New, sensitive molecular methods with broad detection capabilities are available. These new approaches include high-throughput sequencing (HTS)
methods, nucleic acid amplification techniques (NAT) (e.g. polymerase chain reaction (PCR), reverse transcriptase PCR (RT-PCR), product-enhanced
reverse transcriptase (PERT) assays) for whole virus families or random-priming methods (associated or not with sequencing), hybridisation to
oligonucleotide arrays, and mass spectrometry with broad-spectrum PCR. These methods may be used either as an alternative to in vivo tests and specific
NAT or as a supplement/alternative to in vitro culture tests based on the risk assessment and with the agreement of the competent authority.
In tests that require prior neutralisation of the virus, use specific antibodies of non-human, non-simian origin; if the virus has been propagated in avian
tissues, the antibodies must also be of non-avian origin. To prepare antiserum, use an immunising antigen produced in cell cultures from a species different
from that used for the production of the vaccine and free from extraneous agents. Where the use of SPF eggs is prescribed, the eggs are obtained from a
flock free from specified pathogens (5.2.2).
TEST METHODS
Relevant tests for extraneous agents to be carried out at various production stages are indicated in Table 2.6.16.-1 using the methods described below,
based on the risk assessment.
Take samples at the time of harvesting, and if not tested immediately, keep at a temperature below -40 °C.
Table 2.6.16.-1. – Relevant tests for extraneous agents at various production stages
Mycoplasmas + + - -
Spiroplasmas(1) + - - -
Mycobacteria + + - -
Avian viruses(3) + + - -
Insect viruses(5) + + - -
Haemadsorbing viruses - - + -
Each virus seed lot and virus harvest complies with the test for sterility (2.6.1).
Mycoplasmas (2.6.7)
Each virus seed lot and virus harvest complies with the test for mycoplasmas.
Spiroplasmas
Spiroplasmas may be introduced into virus seed lots through contamination of raw materials of plant origin or when insect cell lines are used for virus
propagation. When appropriate, virus seed lots are demonstrated to be free of spiroplasmas using a validated method approved by the competent
authority. NAT methods for detection of mycoplasmas (2.6.7) may be used to detect spiroplasmas after validation and agreement from the competent
authority.
Mycobacteria (2.6.2)
A 2.7 mL sample of each virus seed lot and each virus harvest is tested for the presence of Mycobacterium spp. by culture methods known to be sensitive
for the detection of these organisms. NAT (2.6.21) may be used as an alternative, provided such an assay is validated and shown to be comparable to the
culture method.
Suckling mice
Each virus seed lot is tested in suckling mice if the risk assessment indicates that this test provides a risk mitigation taking into account the overall testing
package. Inoculate no fewer than 20 suckling mice, each less than 24 h old, intracerebrally with 0.01 mL and intraperitoneally with at least 0.1 mL of the
virus seed lot. Observe the suckling mice daily for at least 4 weeks. Carry out an autopsy of all suckling mice that die after the first 24 h of the test or that
show signs of illness, and examine for evidence of viral infection by direct macroscopical observation. The virus seed lot passes the test if no suckling mice
show evidence of infection attributable to the seed lot. The test is not valid unless at least 80 per cent of the original inoculated suckling mice survive the
observation period.
Avian viruses
Each virus seed lot propagated in avian tissues and each virus harvest propagated in primary avian tissues is tested for avian viruses if the risk
assessment indicates that this test provides a risk mitigation taking into account the overall testing package. Neutralise a sample equivalent to 100 human
doses of vaccine or 10 mL, whichever is the greater. Using 0.5 mL per egg, inoculate a group of fertilised SPF eggs, 9-11 days old, by the allantoic route
and a second group, 5-7 days old, into the yolk sac. Incubate for 7 days. The virus seed lot or harvest complies with the test if the allantoic and yolk sac
fluids show no sign of the presence of any haemagglutinating agent and if all embryos and chorio-allantoic membranes examined for gross pathology, are
normal. The test is not valid unless at least 80 per cent of the inoculated eggs survive for 7 days.
For each virus seed lot, each virus harvest and each production cell culture (control cells or control eggs), tests for other extraneous agents must be
carried out based on a risk assessment. The origin of the cell substrate and virus strain, as well as the potential extraneous agents that may be
inadvertently introduced during production processes or through the use of animal-or plant-derived raw materials, must be taken into account when
choosing suitable permissive cells.
For each virus seed lot and virus harvest, neutralised samples, equivalent (unless otherwise prescribed) to 500 human doses of vaccine or 50 mL,
whichever is the greater, are tested for the presence of extraneous agents by inoculation into continuous simian and human cell cultures. If the virus is
grown in simian or human cells, the neutralised virus harvest is tested on a separate culture of these cells. If the virus is grown in a mammalian cell system
other than simian or human, or in avian cells, cells of that species, but from a separate batch, are also inoculated. The cells are incubated at 36 ± 1 °C and
observed for a period of 14 days. If the production cell culture is maintained at a temperature other than 36 ± 1 °C, a supplementary test for extraneous
agents is carried out at the production temperature using the same type of cells used for growth of the virus. A subculture of 14 days is carried out followed
by a haemadsorbing test. The virus seed lot or harvest passes the tests if none of the cell cultures show evidence of the presence of any extraneous
agents after 14 and 28 days of incubation, and no evidence of any haemadsorbing viruses after 28 days. The test is not valid unless at least 80 per cent of
the cell cultures remain viable.
Insect viruses
Each virus seed lot and virus harvest propagated in insect cells is tested for insect viruses. Neutralised samples, equivalent (unless otherwise prescribed)
to 500 human doses of vaccine or 50 mL, whichever is the greater, are tested for the presence of extraneous agents by inoculation into at least 1 cell
culture different from that used in production and permissible to insect viruses, and that also allows detection of human arboviruses (e.g. BHK-21). The
choice of cells is approved by the competent authority and takes into account the origin of the production cells and the likely contaminants that may be
detected by the chosen cells. The cells are incubated at an appropriate temperature and observed for a period of 14 days. A subculture of 14 days is
carried out followed by a haemadsorbing test. The virus seed lot or harvest passes the tests if none of the cell cultures show evidence of the presence of
any extraneous agents after 14 and 28 days of incubation, and no evidence of any haemadsorbing virus after 28 days. The test is not valid unless at least
80 per cent of the cell cultures remain viable.
Where cell cultures are used for virus production, examine the control cells microscopically for the absence of any virus causing cytopathic degeneration
throughout the incubation time of the inoculated production cell cultures or for no less than 14 days beyond the time of inoculation of the production
vessels, whichever is the longer. The test is not valid unless at least 80 per cent of the control cell cultures survive to the end of the observation period.
At 14 days or at the time of the last virus harvest, whichever is the longer, pool the supernatant fluids from the control cells and examine for the presence of
extraneous agents over a period of 14 days as described above for the virus seed lot and the virus harvest by inoculation of relevant cell cultures
depending on the type of cells used for virus growth.
Haemadsorbing viruses
Where cell cultures are used for virus production, a microscopic examination of the control cells is carried out as described above for the test for
extraneous agents in cell cultures. At 14 days or at the time of the last virus harvest, whichever is the longer, examine no fewer than 25 per cent of the
control cultures for the presence of haemadsorbing viruses by the addition of guinea-pig red blood cells. If the test for haemadsorbing viruses is not
feasible, carry out a test for haemagglutinating viruses. If the guinea-pig red blood cells have been stored, they shall have been stored at 5 ± 3 °C for not
more than 7 days. Read half of the cultures after incubation at 5 ± 3 °C for 30 min and the other half after incubation at 20-25 °C for 30 min. No evidence of
haemadsorbing agents is found.
Where eggs are used for virus production, examine 0.25 mL of the allantoic fluid from each control egg for haemagglutinating agents by mixing directly with
chicken red blood cells and after a passage in SPF eggs carried out as follows: inoculate a 5 mL sample of the pooled amniotic fluids from the control eggs
in 0.5 mL volumes into the allantoic cavity and into the amniotic cavity of SPF eggs. The control eggs comply with the test if no evidence of the presence of
haemagglutinating agents is found in either test.
In addition, inoculate 5 mL samples of the pooled amniotic fluids from the control eggs into suitable permissive cells including human, simian and avian
cells. Observe the cell cultures for 14 days at a suitable incubation temperature. The control eggs comply with the test if no evidence of the presence of
extraneous agents is found. The test is not valid unless 80 per cent of the inoculated cultures survive to the end of the observation period.
For each virus propagated in primary avian cell tissues or in eggs, the production cell culture (control cells or control eggs) is tested for avian leucosis
viruses in accordance with general chapter 2.6.24. When cell cultures are used for virus production, a microscopic examination of the control cells is
carried out as described above for the test for extraneous agents prior to the test for avian leucosis viruses. At 14 days or at the time of the last virus
harvest, whichever is the longer, carry out the test for avian leucosis viruses on DF1 cells or leucosis-free chick-embryo cell cultures with amplification
through 5 passages using at least 5 mL of the supernatant fluid from the control cells or at least 10 mL of a sample of the pooled amniotic fluids from the
control eggs. PERT assay end-point can be used after DF1 amplification for detection of exogenous avian retroviruses (including avian leucosis virus). For
specific detection of avian leucosis virus, several end-points can be used such as immunostaining, enzyme-linked immunosorbent assay (ELISA) or
complement fixation for avian leucosis (COFAL). Control cells or control eggs comply with the test if there is no evidence of the presence of any avian
leucosis virus.
Based on a risk assessment related to the manufacturing process, each virus seed lot and each virus harvest may be tested by NAT (2.6.21) for specific
viruses that are not detected by conventional in vivo or cell culture assays.
With the agreement of the competent authority, broad molecular methods (e.g. high-throughput sequencing) may be used either as an alternative to in vivo
tests and specific NAT, or as a supplement/alternative to in vitro culture tests based on the risk assessment.
Both NAT (2.6.21) and broad molecular methods are carried out with or without prior amplification in suitable permissive cells. In cases of positive results
with either broad molecular methods or NAT, a follow-up investigation must be conducted to determine whether detected nucleic acids are due to the
presence of infectious extraneous agents and/or are known to constitute a risk to human health.
1 This chapter has undergone pharmacopoeial harmonisation. See chapter 5.8 Pharmacopoeial harmonisation.