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why revision needed
The revision to the BUD limits were established based on a risk-based approach since it is difficult to predict the stability and microbial susceptibility for all the different types of nonsterile and sterile preparations.
NEW concept
Water activity
water activity
assess the susceptibility of a nonsterile preparation to microbial contamination and the potent for degradation due to hydrolysis.
revised 797 - NON-preserved aqueous dosage form
14 days
revised 797 -Preserved aqueous dosage form =
35 days
revised 797 - NON-aqueous ORAL liquids =
90days
revised 797 - OTHER NON-aqueous dosage form =
180days
New factors for consideration when establishing BUDs
changed the categorization of compounded sterile preparations from microbial contamination levels to Category 1 and Category CSPs. Additionally, Category 3 CSPs were added.
Category 1 and 2:
distinguished based on the conditions under which they are made, the probability for microbial growth, and the period within which they must be used.
Category 1 VS category 2
Category 1 = CSPs must be prepared in an ISO class 5 or better primary engineering control (PEC) that may be placed in an unclassified segregated compounding area (SCA) and have shorter BUDs
Category 2 = CSPs must be prepared in a cleanroom suite and have longer BUDs.
Category 3
LONGER BUDs than the limits set for category 2 up to a maximum of 180days when compounded in accordance with all category 3 CSP requirements – undergo sterile testing, supplemented by endotoxin testing when applicable, more requirements than Category 2 – personal qualification, use of sterile garb, use of sporicidal disinfectants, frequency of environmental monitoring, and stability determination.
[T/F]
Longer BUD limits are permitted in certain specified circumstances based on additional requirements in engineering controls, environmental monitoring, and release testing.
TRUE
Category 1 - storage periods and BUD
<_ 12 hours at CRT (Controlled Room Temperature)
<_ 24 hours in a refrigerator
Category 2 - storage periods and BUDs
Aseptically processed, NO sterility testing, ONE or MORE NONSTERILE starting components
1 day at CRT
4 days in a refrigerator
45 days in a freezer
Category 2 - storage periods and BUDs
Aseptically processed, NO sterility testing, ONLY sterile stating components
4 days at CRT
10 days in a refrigerator
45 days in a freezer
Gowns wore during sterile compounding are considered a component of
PPE
Personal Protective Equipment
which USP chapter sets the legal standard for sterile compounding
a. USP 800
b. USP 700
c. USP 795
d. USP 797
D
The revised chapter USP 797 changed the categorization of compounded sterile preparations (CSPs) from microbial contamination risk levels (ex. low-, medium-, and high-risk level) [SELECT ALL]
a. category 1
b. category 2
c. category 3
d. category 4
A,B,C
According to USP category 1 compounded sterile products have a BUD at controlled room temperature of
LESS than 12 hours
The category CSPs that must be prepared in an ISO class 5 or better primary engineering control (PEC) that may be placed in an unclassified segregated compounding area (SCA) and have shorter BUDs is
Category 1
In the revised USP 797, additional requirements for
personnel qualification, use of sterile garb, use of sporicidal disinfectants, frequency of environmental monitoring, stability determination