Introduction to Sterile Pharmaceutical Preparations – PST05208 Pharmaceutics Theory and Compounding

NTA Level 5 • Semester 2 • PST05208

Introduction to Sterile Pharmaceutical Preparations

Pharmaceutics Theory and Compounding • Source Session/Topic 1
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Session 1: Introduction to Sterile Pharmaceutical Preparations

Total Session Time: 120 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Define sterile pharmaceutical products.
• Explain categories of sterile pharmaceutical Products.
• List qualities of sterile pharmaceutical products.
• Explain the role of aseptic techniques in assuring quality in pharmaceutical production

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• LCD projector and computer
• Handout 1.1: Categories of Sterile Pharmaceutical products & medical devices

SESSION OVERVIEW

Activity/

Step Time Content

Method

1 05 Minutes Presentation Introduction, Learning Tasks

2 10 Minutes Presentation Definition of Sterile Pharmaceutical Products

25 Minutes Presentation Classification Categories of Sterile

3

Brainstorming Pharmaceutical Products

4 35 Minutes Presentation Qualities of Sterile Pharmaceutical Products

35 Minutes Presentation General Methods of Sterilizing Pharmaceutical

5

Buzzing Products

6 05 Minutes Presentation Key Points

7 05 Minutes Presentation Evaluation

1

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Definition of Sterile Pharmaceutical Products (10 minutes)

• Sterile pharmaceutical products refer to pharmaceutical products that are free from any viable

microorganisms, these are pharmaceutical products from which viable micro-organisms must be

totally absent.

• The production of sterile products requires special care and attention in order to eliminate

microbial and particulate contamination at all stages of manufacture and wherever possible also

includes a terminal sterilization process.

STEP 3: Categories of Sterile Pharmaceutical Products (25 minutes)

Activity: Brainstorming (10 minutes)

Ask students to brainstorm on the following question:

• What are the classification categories of sterile pharmaceutical products?

ALLOW few students to respond?

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• Not all pharmaceutical products need to be sterile. Sterility is insisted on the following products:

o Parenterally administered products e.g. injections, irrigations, ophthalmology products etc.

o Pharmaceutical products that come into direct contact with broken skin/mucous membrane or

internal organs e.g. certain instruments, sutures, surgical dressings etc.

• These products are required to be prepared and maintained in a sterile state until used.

Handout 1.1 Categories of Sterile Pharmaceutical products & medical devices

2

STEP 4: Qualities of Sterile Pharmaceutical Products (35 minutes)

Activity: Buzzing (10 minutes)

Ask students to brainstorm on the following question:

• What are the qualities of sterile pharmaceutical products?

ALLOW few students to respond?

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• All products intended for sterilization should be manufactured under clean conditions and

therefore will be of low microbial content (bio burden) prior to sterilization.

• Sterile formulations must meet the following standard of quality:

o Should be sterile

o Free from particulate contaminants

o Free from pyrogen

o Should be physically and chemically stable

o Should have the same pH as the blood; (isohydric means the same concentration of H+

(Hydrogen ions) or pH = 7.38

o Same Osmotic pressure as blood plasma (isotonic)

3

STEP 5: Role of Aseptic Technique in Assuring Quality in Pharmaceutical

Production (40 minutes)

Activity: Brainstorming (5minutes)

Ask students to brainstorm on the following question:

• What are the roles of aseptic techniques in assuring quality in pharmaceutical production?

ALLOW few students to respond?

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• This is a method of handling sterile materials by employing techniques, which minimize the

chances of microbial contamination in order to obtain the sterile products.

• The followings are the roles of aseptic techniques in assuring the quality in pharmaceutical

production;

o To minimize and reduce the risks of contamination

o To disinfect working area, equipment and ingredients in order to attain sterility

o To prevent access of viable micro-organisms and particulate contamination during preparation

and testing of pharmaceutical products

STEP 6: Key Points (5 minutes)

• Sterile formulations must meet the following standard of quality: remained sterile, free from

particulate contaminants, free from pyrogen, been physically and chemically stable, should have

the same pH as the blood and same Osmotic pressure as blood plasma (isotonic)

• The production of sterile products requires special care and attention in order to eliminate

microbial and particulate contamination at all stages of manufacture and wherever possible also

includes a terminal sterilization process.

STEP 7: Evaluation (5 minutes)

• What is sterile pharmaceutical products
• What are the roles of aseptic techniques in assuring quality in pharmaceutical production?

4

References

Senya, S. S., Mwasha, C. Y. S., Muyinga, A. M., Amiri, R. I., & Mauga, E. A. S. K. (2011). Tanzania

Pharmaceutical Handbook (2nd ed.). Dar es salaam.

A. J. Winfield, J. A. R., I. Smith. (2009). Pharmaceutical Practice (4th ed.) British

Britain, R. P. S. o. G. (1994). The Pharmaceutical Codex (12 ed.). London: London Pharmaceutical

Press.

5

Handout 1.1. Categories of Sterile Pharmaceutical products & medical devices

SN Types/Categories Examples

1. Injections • Intravenous infusions

• Intravenous additives
• Total Parenteral nutrition (TPN) fluids
• Small-volume injections
• Small-volume oily injections

2. Non-injectable sterile fluids • Non-injectable water, (Sterile water for

irrigation)

• Urological irrigation solutions,
• Peritoneal dialysis solutions,
• Haemodialysis solutions,
• Inhaler solutions

3. Ophthalmic preparations • Eye drops

• Eye lotions
• Eye ointments
• Contact lens solutions
• Wetting solutions
• Cleaning solutions
• Soaking solutions

4. Intravenous additives • Potassium chloride

• Lidocaine (lignocaine)

These are sterile drugs or additives

• Heparin

regularly added to infusions

• certain vitamins

immediately before administration.

• Antimalarial injection, eg. Quinine injection
• Antibiotics.

5. Surgical dressings • Paraffin gauze dressing

• Semipermeable adhesive dressing
• Absorbent cotton wool
• Elastic adhesive dressing
• Plastic wound dressings

6

• Absorbent cotton gauze
• Gauze pads
• Absorbent viscose wadding
6. Implants • Small, sterile cylinders of drug, E.g.

Hormones.

Defn: Implants are small, sterile

cylinders of drug, inserted beneath

the skin or into muscle tissue to

provide slow absorption and

prolonged action therapy.

7. Absorbable haemostats • Oxidized cellulose

• Absorbable gelatin sponge

Defn: consist of a soft pad of solid

• Human fibrin foam

material packed around and over the

• Calcium alginate.

wound that can be left in situ and

absorbed by body tissues over a

period of time, usually up to 6 weeks

and to act as a matrix for complete

blood clotting.

8. Surgical ligatures and sutures Sterilized surgical catgut

Defn: These are strands of material This consists of absorbable strands of collagen

used to tie off blood or other vessels derived from mammalian tissue, particularly the

(ligature) and to stitch wounds intestines of sheep.

(suture) in surgery.

Non–absorbable Sutures and ligatures; e.g.

linen, nylon, silk and polypropylene

9. Instruments and equipment Instruments that may be required in a sterile condition

includes syringes (glass or plastic disposable), needles,

giving sets, metal surgical instruments (e.g.

scalpels, scissors, forceps), rubber gloves, catheters,

etc

Equipment such as pressure transducers,

pacemakers, kidney dialysis equipment, incubators,

Respirator parts, medical devices and endoscopes.

7

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