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中国药典微生物检测翻译稿Appendix XI J Microbial Limit Test Metho...

中国药典微生物检测翻译稿Appendix XI J Microbial Limit Test Metho...
中国药典微生物检测翻译稿Appendix XI J Microbial Limit Test Metho...

Appendix XI J Microbial Limit Test Method

The tests for microbial limit are designed for non-sterile products and their APIs, excipients to determine the microbial contamination, including tests for bacteria count, mold count and the test for specified micro-organisms.

The microbial limit test should be performed in the 100-Class clean area with one-direction air flow introduced in, which settled in the 10000-Class clean environment. And all the tests should strictly comply with sterile technique to protect recontamination. The cleanliness of the one-direction air flow area, working bench and the environment should be validated based upon current national criteria on Test Method for Airborne Particles, Airborne Microbe and Settling Microbe in Clean Room (area) of the Pharmaceutical Industry regularly.

If the substances to be examined have surface-active agents, neutralizing agents or inactivators, their efficacy and absence of influence for micro-organisms must be demonstrated.

The culturing temperature for bacteria is 30~35?C; for molds and yeasts 23~28?C; and for specified micro-organisms 35~37?C,unless otherwise prescribed.

The results should be reported in 1g, 1ml, 10g, 10ml or 10cm2.

Test Amount

Test amount is the amount of the sample to be examined once (in g, ml or cm2).

The test amount is normally 10g or 10ml, unless otherwise prescribed for chemical films 100 cm2; for expensive or micro-packaged drugs, reduced test amount is acceptable. The sample to be examined for Salmonella another 10g or 10ml is required.

While testing, sample from more than 2 minimum packages, for films at least 4 sheets.

Generally speaking, randomly sample 3 times of the test amount (more than two minimum packages).

Preparation of Test Solution

The suitable method for test solution preparation depends upon the physical and biological characteristics of the substance. If the preparation introduces water bath for heating, the temperature shouldn’t exceed 45?C. As soon as the test solution is prepared, the culture medium should be added within 1 hour.

Unless otherwise prescribed, the common preparation methods are presented as follows.

1.Liquid products

Take 10ml of the sample, add in sterile buffered sodium chloride-peptone solution pH 7.0 to 100ml, and mix well to obtain 1 in 10 dilution. For oils, add in suitable quantity of sterile polysorbate 80 to evenly-disperse the test solution; and for water-soluble liquid products, mixed sample concentrate can be used as test solution.

2.Solid, semisolid or viscous products

Take 10g of the sample, add in sterile buffered sodium chloride-peptone solution pH 7.0 to 100ml, and mix well with homogenizer or other suitable methods, to obtain 1 in 10 dilution. Add in suitable quantity of sterile polysorbate 80 and properly heat with water bath to disperse the sample evenly.

3.Products prepared by special procedures

(1) Water-insoluble products

Method 1 Take 5g (or 5ml) of the sample, and add to the beaker in which there is dissolved sterile mixture(temperature not more than 45?C) containing 5g of Tween 80, 3g of glyceryl monostearate and 10g of polysorbate 80. Stir to be mass with sterile glass rod. Then slowly add in 45?C sterile buffered sodium chloride-peptone solution pH 7.0 to 100ml, while stirring. Emulsify completely to obtain 1 in 20 dilution.

Method 2 Take 10g of the sample, and add to the suitable container in which there are 20ml of sterile isopropyl myristate (refer to the Sterility Test in Appendix XI H Sterility Test for preparation methods) and sterile glass balls. If necessary, increase the amount of isopropyl myristate used. Shake and vibrate to dissolve completely. Then add in 45?C sterile buffered sodium chloride-peptone solution pH 7.0 to 100ml, vibrate for 5~10 minutes to extract, and stand still to laminate the water and oil. Take the water layer as 1 in 10 dilution.

(2) Films products

Take 100 cm2 of the sample, cut into pieces, add in 100ml of sterile buffered sodium chloride-peptone solution pH 7.0 (If necessary increase the amount added), soak, and vibrate to obtain 1 in 10 dilution.

(3) Enteric or colonic targeting products

Take 10g of the sample, add in sterile phosphate buffer solution pH 6.8 ( for enteric targeting products) or sterile phosphate buffer solution pH 7.6 ( for colonic targeting products) to 100ml, and place in 45?C water bath. Shake and vibrate to dissolve, and obtain 1 in 10 dilution.

(4) Aerosol and Spray products

Take specified amount of the sample, freeze in freezing room for about 1hour. Take out and sterilize the open part of the sample quickly. Drill a small hole with sterile steel awl in the sterilize part, and settle in room temperature. Gently rotate the container to release all the propellants slowly. Then suck all th products out with sterile syringe, add to the suitable quantity of sterile buffered sodium chloride-peptone solution pH 7.0 (If water-insoluble component exists, add in suitable quantity of sterile polysorbate 80), and mix well. Take the sample equals to contain 10g or 10ml of the products, dilute to obtain 1 in 10 dilution

(5) Products with antimicrobial activity

If the products to be examined have antimicrobial activity, the test should be performed after removing the activity. Common methods following:

①Culture medium dilution

Transfer specified amount of the test solution to a great quantity of culture medium to reduce the sample content per unit volume, till the antimicrobial activity is removed. When performing bacteria, molds and yeasts count, take 2ml of test solution with the same dilution level. Transfer each 1ml of the test solution to different dishes with equal quantity, pour in agar culture medium, mix well, allow to solidify, incubate and count. The sum of the number of Colony forming Units from each dish with the 1 ml test solution transferred to is namely the CFU per ml test solution. Calculate the average CFU for each ml, and report CFU following the counting rule of plate-count method; When performing the test for specified micro-organisms, increase the amount of enrichment medium used.

②Micro-organisms accumulating by Centrifuging and precipitating

Take a quantity of the test solution, centrifuge at 3000r /min for 20 minutes (if precipitate exists, centrifuge at 500r/min for 5 minutes firstly, and then take the supernatant to further centrifuge), discard the supernatant, take 2ml of the accumulated solution at the bottom, and add in diluent to original volume.

③Membrane filtration

Refer to the Membrane filtration in the Section of Bacteria, Molds and Yeasts Counts.

④Neutralization

For the products containing mercurial, arsenics or antiseptics which inhibit micro-organisms, proper neutralizing agents or inactivating agents can be chose to remove their antimicrobial activity. The neutralizing agents or inactivating agents

can add in the diluent or culture medium used.

Bacteria, Molds and Yeasts Count

Validation of the Count Methods

While establishing the test methods of the microbial limit for the product, the validation of the bacteria, molds and yeasts count methods should be performed to assure that the applied method is suitable for testing the bacteria, molds and yeasts in the product. If the components in product or the test conditions are changed, which will possibly influence the test results, the method should be revalidated.

Perform the validation following the methods and requirements in Preparation of Test Solution and Bacteria, Molds and Yeasts Count. For each of the micro-organism listed, separate tests for recovery should be performed.

Strains

The strain used to validate are not more than 5 passages (the freeze-dry strain removed from the microbiological culture collection center is defined as 0 generation), and maintained using suitable culture maintenance techniques to ensure their biological characteristics.

Escherichia coli [CMCC (B) 44 102]

Staphylococcus aureus [CMCC (B) 26 003]

Bacillus subtilis[CMCC (B) 63 501]

Candida albicans[CMCC (F) 98 001]

Aspergillus niger[CMCC (F) 98 003]

Preparation of Test Strains

Inoculate the Nutrient broth or Nutrient Agar with the fresh culture materials of Escherichia coli, Saphylococcus aureus, Bacillus subtilis , and incubate for 18~24 hours; Inoculate the Modified Martin Broth or Modified Martin Agar with the fresh culture materials of Candida albicans, and incubate for 24~48 hours. Use 0.9% sterile sodium chloride solution, prepare the test suspension containing 50~100 CFU per ml with the above culture materials. Inoculate the Modified Martin Agar slant with the fresh culture materials of Aspergillus niger, and incubate for 5~7 days. Add in 3~5ml of 0.9% sterile sodium chloride solution to wash out the spores. Then suck the spores suspension (use the sterile capillary with thin sterile cotton or gauze at its port to filter mycelium) to sterile test tube, and prepare the test suspension containing 50~100 CFU per ml using 0.9% sterile sodium chloride solution.

Validation Method

At least three separate parallel tests should be performed for validation, and calculate

the recovery for each micro-organism for each test respectively.

(1)Test group

Plate count method: take 1ml of test solution with the possible minimum dilution level and 50~100 CFU of test micro-organism, add to the dish respectively, immediately pour agar medium in. 2 parallel dishes are prepared for each micro-organism, and calculate the CFU following the plate-count method. Membrane filtration method: take specified quantity of test solution with the possible minimum dilution level, filter, rinse and add 50~100 CFU of micro-organism into the final diluent used to rinse, filer, and calculate the CFU following the membrane filtration method.

(2)Micro-organism group

To determine the number of CFU for the test micro-organism added.

(3)Test control group

Take specified quantity of test solution, and determine the number of CFU in test solution.

(4)Diluent control group

If dispersing,emulsifying, neutralizing, centrifuging or membrane filtering are introduced in the preparation of test solution, diluent control group should be added to observe the influence on the micro-organisms. Use the chosen diluent in place of test solution, add in test micro-organism to obtain the final strain concentration of 50~100 CFU per ml. Determine the number of CFU with the same preparation methods and CFU count methods as the test group.

Interpretation of the Results

In the three separate parallel tests, the recovery for diluent control group (the percentage for mean counts of diluent control group of the results obtained with micro-organism group) should be all not less than 70%. If the recovery for test group (mean counts of test group minus the results obtained with test control group, and the percentage for this value of the results from micro-organism group) should be all not less than 70%, the test solution preparation methods and count methods can be used to test bacteria, molds and yeasts counts in product; If any result obtained from test group is less than 70%, Culture medium dilution, Micro-organisms accumulating by Centrifuging and precipitating, Membrane filtration, Neutralization or a combination of the above measures should be used to remove the antimicrobial activity, and revalidate the methods.

The validation can be performed while the bacteria, molds and yeasts counts are testing.

Test Methods

The test methods include plate-count method and membrane filtration method.. When testing, use the validated count method to test the bacteria, molds and yeasts counts.

Take the well-mixed test solution prepared with validated methods, and dilute with sterile buffered sodium chloride-peptone solution pH 7.0 to obtain 1 in 10, 1 in 102 and 1 in 103 dilutions.

1. Plate-count method

Using this method, 2~3 suitable test solutions with consecutive dilution level should be chosen.

For dishes 90mm in diameter, add to the sterile dish 1ml of the test solution and 15~20ml of Nutrient Agar Medium or Rose Bengal Medium or Yeast Extract Peptone Dextrose Agar Medium at not more than 45?C, mix well, allow to solidify and incubate upside down. Prepare for each medium at least 2 dishes for each level of dilution.

Negative Control

Add to the sterile dish 1ml of the chosen diluent and the medium, allow to solidify and incubate upside down. Prepare for each medium 2dishes. There must be no growth of micro-organisms.

Incubating and Counting

Unless otherwise prescribed, incubate the bacteria for 48 hours, count the CFU every day, and normally report the results at 48 hours; incubate the molds and yeasts for 72 hours, count the CFU every day, and normally report the results at 48 hour; prolong the incubating period to 5~7 days if necessary, count and report then. The plates on which the colonies grow up and appear laminar are unsuitable to count. After counting, calculate the mean number of CFU for each dilution level, and report the results following the rule. If the numbers of CFU on the two plates for the same dilution level are not less than 15, the difference between plates shouldn’t be more than 1 time.

Generally, Nutrient Agar Medium is used for bacteria counting; Rose Bengal Medium for molds and yeasts; Yeast Extract Peptone Dextrose Agar Medium for yeasts. Under special conditions, if colonies of molds and yeasts are detected on Nutrient Agar Medium, or colonies of bacteria on Rose Bengal Medium, they are counted separately. And then compare the colonies number of molds and yeasts detected on Nutrient Agar Medium, or colonies of bacteria on Rose Bengal Medium to that of molds and yeasts on Rose Bengal Medium or bacteria on Nutrient Agar Medium, and take the higher results.

For the liquid products containing honey, bee milk, use Rose Bengal Medium to determine molds, and Yeast Extract Peptone Dextrose Agar Medium to determine yeasts, and the calculate the sum.

CFU Count Reporting Rule

It is acceptable to chose the dilution level with 30~300 mean CFU of bacteria, yeasts, 30~100 of molds to be the criteria to report the results (keep two effective numbers).

(1) If the number of CFU count for only one dilution level conforms to the previous described criteria, multiply the mean number of CFU count by dilution factor to report the results.

(2) If the numbers of CFU counts for two dilution levels conform to the previous described criteria, the results depend on the ratio (multiply the number of CFU count by dilution factor and then calculate the quotient of the value from higher dilution level to that from lower one). If the ratio is not more than 2, multiply the numbers of CFU counts by dilution factor, and then calculate the average as the reported results. If the ratio is more than 2 but not more than 5, multiply the number of CFU count obtained from the lower dilution level by dilution factor to report the results. If the ratio is more than 5, or the colonies from higher dilution level are more or equal to that from lower one, which is abnormal, firstly find out the cause and then perform the testing. Revalidate the methods if necessary.

(3) If the mean number of CFU count for each dilution level is less than 30, multiply the number of CFU count obtained from the lowest dilution level by dilution factor to report the results.

(4) if no growth of micro-organisms on the plate for each dilution level, or only the growth on the plate for lowest dilution level but the mean number of CFU count is less than 1, multiply <1 by dilution factor to report the results.

2. membrane filtration method

Use membrane filters having a nominal pore size not greater than 0.45μm, and diameter about 50mm. The type of filter material is chosen such that the bacteria-retaining efficiency is not affected by the components of the sample to be examined and the diluent chosen. Before using, sterilize the filters and membranes properly. The integrality of the used membrane before and after filtering should be ensured. For the water-soluble sample, filter a small quantity of diluent to moisten the membrane. For oil sample, the membranes and filters should be dry enough. To obtain the maximum filtering efficiency of the membrane, please ensure that the test solution and diluent cover the whole surface of the membrane. After filtering test solution, rinse the membrane with diluent. Each time 100ml of diluent is used for each membrane. The total filtration amount for each membrane should be controlled to protect the micro-organisms from injury.

Take the quantity of test solution which equals to 1g or 1ml of sample on each filtration membrane, add to suitable quantity of diluent, mix well and filter. If the micro-organisms in 1g or 1ml of sample is too much, choose the 1ml of the test solution with suitable dilution level, and filter. Rinse the filtration membrane with sterile buffered sodium chloride-peptone solution pH 7.0, the methods should follow the related section in Validation. After rinsing, transfer the membrane to the Nutrient Agar Medium or Rose Bengal Medium or Yeast Extract Peptone Dextrose Agar Medium plates with the micro-organisms side up. Then incubate. For each medium, at least one membrane is used.

Negative Control

Take 1ml of the chosen diluent, perform the testing as previous described for membrane filtration as negative control. There must be no growth of micro-organisms.

Incubating and Counting

Incubating conditions and counting methods are the same as the plate-count methods. Not more than 100 CFU on each membrane.

CFU Count Reporting Rule

Report the results for the number of CFU in 1g or 1ml of the sample; if there is no growth on the membrane, report as <1(for each membrane, filer 1g or 1ml of the sample), or <1 multiplied by the dilution factor.

Test for Specified Micro-organisms

Validation of Test Method for Specified Micro-organisms

While establishing the test methods of the microbial limit for the product, the validation of test for specified micro-organism should be performed to assure that the applied method is suitable for testing the specified micro-organism in the product. If the components in product or the test conditions are changed, which will possibly influence the test results, the method should be revalidated.

While validating, select the corresponding validating strain according to the specified micro-organism listed in the criteria of Microbial Limit. For example, to validate coliform group Escherichia coli is used as validating strain. Validation should be performed according to the rules of test solution preparation and specified micro-organism test methods and the following requirements.

Strains

The requirements is the same as that in the validation of Bacteria, Molds and Yeasts Count method.

Escherichia coli [CMCC(B) 44 102]

Staphylococcus aureus [CMCC (B) 26 003]

Salmonella paratyphi B [CMCC (B) 50 094]

Pseudomonas aeruginosa [CMCC (B) 10 104]

Clostridium sporogenes [CMCC (B) 64 941]

Preparation of Test Strains

Inoculate the Nutrient broth or Nutrient Agar Medium with the fresh culture materials of Escherichia coli, Staphylococcus aureus, Salmonella paratyphi B, Pseudomonas aeruginosa, and Fluid Thioglycollate Medium with the fresh culture materials of Clostridium sporogenes. Incubate for 18~24 hours; Use 0.9% sterile sodium chloride solution, prepare the test suspension containing 10~100 CFU per ml.

Validation Method

(1)Test group

Take specified quantity of the test solution and 10~100 CFU test micro-organism, add to the enrichment medium, determine according to the corresponding test methods for specified micro-organism. Using membrane filtration method, take specified quantity of test solution, filter, rinse and add micro-organism into the final diluent used to rinse, filer, then add in enrichment medium or take out the membrane and transfer to enrichment medium.

(2)Negative micro-organism control group

The purpose is to validate the specificity of the method. Detailed procedures are the same as test group, to validate E. coli , Coliform, Salmonella, S. aureus is used as negative control; to validate S. aureus, P. aeruginosa, Clostridium, E. coli is used. There must be no growth of the negative micro-organisms.

Interpretation of the Results

There must be no growth of the negative micro-organisms in the negative micro-organism control group. If there is growth in the test group, the test solution preparation and specified micro-organism test methods can be performed; if there is no growth, Culture medium dilution, Micro-organisms accumulating by Centrifuging and precipitating, Membrane filtration, Neutralization or a combination of the above measures should be used to remove the antimicrobial activity, and revalidate the methods.

The validation can be performed while the specified micro-organisms are testing. Test methods

Test for specified micro-organism should be performed with the validated methods, and the actual used quantity of enrichment medium should be also according to the validation.

Positive Control Test

Positive control should be tested, while performing the test for specified micro-organisms in the products. The inoculums’volume is 10~100 CFU, the procedures are the same as the test for specified micro-organisms. There must be growth in positive control test.

Negative Control Test

Take 10ml of the diluent, perform the testing as test for specified micro-organisms. There must be no growth in negative control test.

(1) Escherichia coli

Take 10ml of the test solution (equal to 1g, 1ml, 10cm2of the sample), inoculate directly or after treating to Lactose Bile Medium, and incubate for 18~24hours. Prolong to 48 hours if necessary.

Inoculate 0.2ml of above culture materials to the test tube containing 5ml of MUG medium, incubate, and observe under 366nm ultraviolet light at 5-hour, 24-hour. Meanwhile use the MUG medium without inoculation as control. If the medium show fluorescence, record as MUG positive; or MUG negative. After observation, add several drops of Indole TS along the tube wall, if the rosy red appears, record as Indole positive; the original color of the TS remains, record as Indole negative. The results for control must be MUG negative and Indole negative.

MUG positive and Indole positive, indicate the presence of E. coli in the sample; MUG negative and Indole negative indicate the absence of E. coli; if MUG positive and Indole negative, or MUG negative and Indole positive, inoculate and scratch the culture materials from Lactose Bile Medium to plate with Eosin Methylene Blue Agar or MacConkey agar medium, and incubate or 18~24 hours.

If there is no growth of micro-organism on the plate, or the colonies characteristic on the plate not conform to those listed in Table 1, then indicate the absence of E. coli in the sample. If the characteristic conform to or are similar to those listed in Table 1, isolating, purification, dyeing for microscope observation and other suitable biochemical tests should be used to confirm if the micro-organism is E. coli.

(2) Coliform

Take three tubes containing suitable quantity (not less than 10ml) of Lactose Bile Medium, add in 1ml of 1 in 10 diluted test solution, 1 in 100 diluted test solution (containing 0.01g or 0.01ml of sample), 1 in 1000 diluted test solution (containing 0.001g or 0.001ml of sample) respectively, add 1ml of diluent into another Lactose Bile Medium tube as negative control. Incubate for 18~24 hours.

If no growths of micro-organism in Lactose Bile Medium tube, or the growths of micro-organism without acid and gas released can indicate the absence of Coliform; if acid and gas can be detected, inoculate and scratch the culture materials from tubes to the plates with Eosin Methylene Blue Agar or MacConkey agar medium, and incubate or 18~24 hours.

If there is no growth of micro-organism on the plate, or the colonies characteristic on the plate not conform to those listed in Table 2 or it is belong to Non- Gram-negative no-spores rod bacteria, then indicate the absence of E. coli in the sample. If the characteristic conform to or are similar to those listed in Table 1, and be determined as Gram-negative rod, the confirmation test should be performed.

Confirmation Test

Provoke 4~5 doubted colonies from the isolation medium as previous described, inoculate to Lactose Fermentation Tubes, and incubate for 24~48hours. If acid and gas can be detected, can indicate the presence of Coliform, or the absence of Coliform.

Based upon the tubes number detected Coliform, and report the Coliform CFU numbers in 1g or 1ml of the sample following Table 3.

(3) Salmonella

Transfer 10g or 10ml of sample, directly or after treating to the suitable quantity (not less than 200ml) of Nutrient broth , mix well with homogenizer or other suitable method, and incubate for 18~24 hours.

Inoculate 1 ml of the above culture materials to 10ml of TTB medium, and incubate for 18~24houre. Then separately inoculate and scratch to the plated with DHL (or SS ) Medium and MacC (or EMB) Medium, and incubate for 18~24 hours ( prolong to 40~48 hours if necessary). If there is no growth of micro-organism on the plate, or the colonies characteristic on the plate not conform to those listed in Table 4, then indicate the absence of Salmonella.

If the characteristic conform to or are similar to those listed in Table 4, with inoculating needle provoke 2~3 colonies and to TSI deep slant, both inoculate to the surface and puncture in the deep slant. Incubate for 18~24 hours, if no red appears on the slant and no yellow appears at the bottom; or yellow appears on the slant and no black appears at the bottom, then indicate the absence of Salmonella in the sample. Otherwise, perform suitable biochemical tests and serum coagulation tests to confirm if the micro-organism is Salmonella.

(4) Pseudomonas aeruginosa

Take 10ml of the test solution (equal to 1g, 1ml, 10cm2of the sample), inoculate directly or after treating to suitable quantity (not less than 100ml) of Lactose Bile Medium, and incubate for 18~24hours. Inoculate and scratch the above culture

materials to the plate with Cetrimide Agar Medium and incubate for 18~24hours.

The typical colony for Pseudomonas aeruginosa is flat, amorphous, the edge is diffused and the surface is moist, grey-white. There is blue-green pigment diffused around. If there is no growth of micro-organism on the plate, or the colonies characteristic on the plate not conform to those listed above, then can indicate the absence of Pseudomonas aeruginosa in the sample. If the characteristic conform to or are similar to those listed above, provoke 2~3 colonies and inoculate to Nutrient Agar slant, and incubate for 18~24 hours. Take the slant culture materials, Gram-dye, observe by microscope and perform Oxidase test.

Oxidase Test

Place clean filter paper into the plate. Take the slant culture materials and spread on the paper. Drip fresh-prepared 1 % N,N-Dimethyl-p-Phenylenediamine Dihydrochloride TS. If the culture materials appear pink and then turn purple red gradually, recognize as Oxidase test positive, or the negative.

If the materials is the non Gram negative no-spores rod bacteria or the Oxidase Test shows negative, then can indicate the absence of Pseudomonas aeruginosa in the sample. Otherwise Pyocyanin Test should be performed.

Pyocyanin Test

Inoculate the slant culture materials on the slant with the PDP agar medium, incubate for 24 hours, add 3~5ml of Chloroform into the tube, stir medium to pieces, shake and mix well. Stand still for a while, transfer the chloroform phase into another tube, add in 1ml of 1 mol/L hydrochloric acid, shake, stand still for a while and observe. If the hydrochloric acid solution appears pink, recognize as the Pyocyanin test positive, or the negative. Meanwhile prepare a slant of PDP agar medium without inoculation with the same methods as negative control, of which the results should be negative.

If the above doubted micro-organism is Gram-negative rod, and both the Oxidase test and Pyocyanin test shows positive, then can indicate the presence of Pseudomonas aeruginosa. If the above doubted micro-organism is Gram-negative rod, and both the Oxidase test and Pyocyanin test shows negative, then suitable biochemical tests should be performed to confirm if the micro-organism is Pseudomonas aeruginosa. (5) Staphylococcus aureus

Take 10ml of the test solution (equal to 1g, 1ml, 10cm2of the sample), inoculate directly or after treating to suitable quantity (not less than 100ml) of Sodium (Potassium) Tellurite broth (or Nutrient broth) Medium, and incubate for 18~24hours, prolong to 48hours if necessary. Inoculate and scratch the above culture materials to the plate with Egg Yolk Salt Agar Medium (or Mannitol Salt Agar Medium) and incubate for 24~72hours. If there is no growth of micro-organism on the plate, or the colonies characteristic on the plate not conform to those listed in Table 5, then indicate the absence of Staphylococcus aureus in the sample.

If the characteristic conform to or are similar to those listed in Table 5, provoke 2~3 colonies and inoculate to Nutrient Agar slant, and incubate for 18~24 hours. Take the slant culture materials, Gram-dye, inoculate in Nutrient Broth Medium and perform Plasma Coagulase test.

Plasma Coagulase test

Take 3 sterilized testing tubes, add in 0.5ml of the mixture of plasma and sterile water (1:1), then add in 0.5ml of the Nutrient Broth with doubted micro-organism (or the strain suspension prepared with the Nutrient Agar slant culture materials), 0.5ml of he Nutrient Broth with Staphylococcus aureus (or the strain suspension prepared with the Nutrient Agar slant culture materials), 0.5ml of Nutrient broth or 0.9% sterile Sodium Chloride solution, which namely the test tube, the positive control tube and the negative control tube. Incubate these three tubes in the meantime; observe after 3 hours to 24 hours. The plasma in negative control tube should flow smoothly, the one in positive control tube should coagulate, and if the plasma in test tube coagulate recognize as Plasma Coagulase Test positive, or the negative. If the results of positive or negative control tubes do not conform to the criteria, prepare plasma and perform the test again.

If the above doubted micro-organism is non Gram positive coccus, and the plasma coagulase test shows negative, can indicate the absence of Staphylococcus aureus in the sample.

(6) Clostridium

Take 10ml of the test solution (equal to 1g, 1ml of the sample), two portions. Maintain one of the portions at 80?C for 10 minutes and cool down quickly. Then inoculate the two portions of the test solution directly or after treating to 100ml of 0.1% fresh Cooked Meat Medium. Incubate the medium tubes under anaerobic conditions for 72~96hours. If there is no turbid, gas given off, meat disappeared, smelly gas and other appearances, can indicate the absence of the Clostridium. Otherwise, inoculate 0.2ml of the above culture materials on the plate with Columbia Agar Medium containing Gentamycin, and incubate under anaerobic conditions for 48~72hours. If there is no growth of micro-organism on the plate, can indicate the absence of Clostridium in the sample; if there is growth of micro-organism on the plate, provoke 2~3 colonies, Gram dye and perform Catalase Test.

Catalase Test

Place the colonies on the above plates onto the clean glass slide, and drip 3% Hydrogen peroxide TS, if there are bubbles appearing on the surface of the colony recognize as Catalase Test positive, or the negative.

If the above doubted micro-organism is Gram-positive Clostridium, with or without oval or global spores, and the Catalase test shows negative, can indicate the presence of Clostridium; or, indicate the absence of the Clostridium in the sample.

Interpretation of the Results

When the presence of specified micro-organism or other pathogens is detected in the sample, the results is valid on this time, no need to test again.

If any item of the bacteria, molds and yeasts counts in the sample do not conform to the specification, sample at random from the same batch, perform the test again separately for two times. Report the CFU number with the mean value of the three results.

If the molds and yeasts are detected in the ocular products for eye, there must be no growth of micro-organism for the results from the two times of re-test, only which can indicate that the molds and yeasts counts numbers conform to the criteria for the products.

If the test results for bacteria, molds and yeasts and specified micro-organisms all conform to the criteria for the products, can indicate the products conform to the specification; any item out of criteria will indicate that the products out of specification.

Diluents

After the diluent is prepared, sterilize with the validated procedures.

1. Sterile Buffered Sodium Chloride-peptone Solution pH 7.0

Refer to Sterility Test (Appendix XI H).

2. Sterile Phosphate Buffer Solution pH 6.8 or Sterile Phosphate Buffer Solution pH 7.6

Prepare following Buffer (Appendix XV D), filter, discharge and sterilize.

3. Sterile 0.9% Sodium Chloride Solution

Weigh 9.0g of Sodium Chloride, dissolve and add water to 1000ml, filer, discharge and sterilize.

Culture Medium and Preparation Methods

Prepare the culture medium according to the following formulas, or use the dehydrated medium produced following the formulas. After preparing, sterilize with the validated procedures.

1. Nutrient Agar Medium, Nutrient Broth Medium, Fluid Thioglycollate Medium, Modified Martin Broth or Modified Martin Agar Medium

Refer to Sterility Test (Appendix XI H).

2. Rose Bengal Agar

Peptone 5.0 g

Glucose 10.0 g

Potassium dihydrogen phosphate 1.0 g

Magnesium sulfate 0.5 g

Rose Bengal sodium 0.0133 g

Agar 14.0 g

Water 1000 mL

Mix all the ingredients except for glucose and rose bengal sodium, dissolve with gentle heat and filter, then add glucose and rose bengal sodium, repackage and sterilize.

3. Yeast Peptone Dextrose Agar (YPD)

Peptone 10.0 g

Yease 5.0g

Glucose 20.0 g

Agar 14.0 g

Water 1000 mL

Mix all the ingredients except for glucose, dissolve with gentle heat and filter, then add glucose, repackage and sterilize.

4. Bile Lactose Broth (YPD)

Peptone 20.0 g

Lactose 5.0 g

Sodium chloride 5.0 g

Dipotassium hydrogen phosphate 4.0 g

Potassium dihydrogen phosphate 1.3 g

Ox bile salt 2.0g

(or sodium deoxycholate) (0.5 g)

Water 1000 mL

Mix all the ingredients except for lactose and ox bile salt or sodium deoxycholate, dissolve with gentle heat, adjust the pH to 7.4 ± 0.2 after sterilization, boil out and filter, then add lactose and bile salt or sodium deoxycholate, repackage and sterilize.

5. Bile Lactose Broth (YPD)

Take 1000 mL of non-sterilized Bile Lactose Broth, add 25 mL of 0.04% bromcresol purple indicator, discharge into the tubes with small inverted tubes basing on the required volume and sterilize. The inverted tubes should be suitable to observer the gas releasing.

6. Eosin-Methyleneblue Agar Medium (EMB)

Nutrient agar medium 100 mL

20% lactose solution 5 mL

Eosin sodium indicating solution 2 mL

Methylene blue indicating solution 1.3 to 1.6 mL

Thaw the nutrient agar medium, cool to 60℃, add other three sterilized solutions, mix well and pour into plate.

7. MacConkey Agar Medium (MacC)

Peptone 20.0 g

Lactose 10.0 g

Ox bile salt 5.0g

Sodium chloride 5.0 g

1% neutral red indicating solution 3 mL

Agar 14.0 g

Water 1000 mL

Mix all the ingredients except for lactose, 1% neutral red indicating solution, ox bile salt and agar, dissolve with gentle heat, adjust the pH to 7.2 ± 0.2 after sterilization, add agar, thaw with heat, add other ingredients, shake well, repackage and sterilize. Cool to 60℃ and pour into plate.

8. 4-methylumbelliferyl-β-D-glu-curonide medium

Peptone 10.0 g

Manganess sulfate 0.5 mg

Zinc sulfate 0.5 mg

Magnesium sulfate 0.1 g

Sodium chloride 5.0 g

Calcium chloride 50 mg

Potassium dihydrogen phosphate (anhydrous) 0.9 g

Dipotassium hydrogen phosphate (anhydrous) 6.2 g

Sodium sulfite 40 mg

Sodium deoxycholate 1.0 g

MUG 75 mg

Water 1000 mL

Mix all the ingredients except for MUG, dissolve with gentle heat, adjust the pH to 7.3 ± 0.1 after sterilization, add MUG, repackage as 5 mL per tube and sterilize.

9. Triple Sugar Iron Agar medium

Peptone 10.0 g

Beef extract powder 5.0 g

Lactose 10.0 g

Saccharose 10.0 g

Glucose 1.0 g

Sodium chloride 5.0 g

Ferrous sulfate 0.2 g

Sodium thiosulfate 0.2 g

0.2% phenolsulfonphthalein indicating solution 12.5 mL

Agar 12.0 g

Water 1000 mL

Mix all the ingredients except for the three sugar, 0.2% phenolsulfonphthalein indicating solution and agar, dissolve with gentle heat, adjust the pH to 7.3 ± 0.1 after sterilization, add agar, thaw with heat, add other ingredients, shake well, repackage and sterilize to prepare high and low (2~3cm) short slant .

10. Tetrathionate Broth Base

Peptone 5.0 g

Ox bile salt 1.0g

Calcium carbonate 10.0 g

Sodium thiosulfate 30.0 g

Water 1000 mL

Mix all the ingredients, dissolve with gentle heat and sterilize.

Take above medium, add 0.2 mL of iodine TS and 0.1 mL of light green TS per 10mL medium, and mix well.

11. Salmonella-Shigella agar

Peptone 5.0 g

Beef extract powder 5.0 g

Lactose 10.0 g

Ox bile salt 8.5 g

Natrium citricum 8.5 g

Ferric ammoniun citrate 1.0 g

Sodium thiosulfate 8.5 g

Neutral red indicating solution 3 mL

Light green TS 0.33 mL

Agar 16.0 g

Water 1000 mL

Mix all the ingredients except for lactose, neutral red indicating solution and agar, dissolve with gentle heat, adjust the pH to 7.2 ± 0.1 after sterilization, filter, add agar

and thaw with heat, add other ingredients, shake well, repackage and sterilize. Cool to 60℃ and pour into plate.

12. Deoxycholate Hydrogen Sulfide Lactose Agar (DHL)

Peptone 10.0 g

Beef extract powder 3.0 g

Lactose 10.0 g

Saccharose 10.0 g

Sodium deoxycholate 1.0 g

Sodium thiosulfate 2.3 g

Natrium citricum 1.0 g

Ferric ammoniun citrate 1.0 g

Neutral red indicating solution 3 mL

Agar 16.0 g

Water 1000 mL

Mix all the ingredients except for sugars, indicating solution and agar, dissolve with gentle heat, adjust the pH to 7.2 ± 0.1 after sterilization, add agar and thaw with heat, add other ingredients, shake well, cool to 60℃ and pour into plate.

13. Cetrimide Agar Medium

Peptone 10.0 g

Beef extract powder 3.0 g

Sodium chloride 5.0 g

Cetrimide 0.3 g

Agar 14.0 g

Water 1000 mL

Mix all the ingredients except for agar, dissolve with gentle heat, adjust the pH to 7.5 ± 0.1 after sterilization, add agar and thaw with heat, repackage and sterilize, cool to 60℃ and pour into plate.

14. Tellurite Broth Medium

Add 0.2 mL newly prepared 1% sodium (potassium) telluite TS into 100 mL of sterilized nutrient broth medium, mix well.

15. Egg-yolk Salt Agar

Peptone 6.0 g

Beef extract powder 1.0 g

Sodium chloride 30.0 g

10% egg-yolk solution 100 mL

Agar 14.0 g

Water 650 mL

Mix all the ingredients except for 10% egg-yolk solution, dissolve with gentle heat, adjust the pH to 7.6 ±0.1 after sterilization, sterilize and cool to 60℃, add 10% egg-yolk solution with aseptic technique, shake well and pour into plate.

Preparation of 10% egg-yolk solution Take out the yolk from a fresh egg with aseptic technique, add it into 100 mL of 10% sterilized sodium chloride solution, shake well.

16. Mannitol Salt Agar

Peptone 10.0 g

Beef extract powder 1.0 g

Mannitol 10.0 g

Sodium chloride 75.0 g

Phenolsulfonphthalein indicating solution 2.5 mL

Agar 14.0 g

Water 1000 mL

Mix all the ingredients except for mannitol, phenolsulfonphthalein indicating solution and agar, dissolve with gentle heat, adjust the pH to 7.4 ± 0.2 after sterilization, add agar and thaw with heat, filter, repackage and sterilize, cool to 60℃and pour into plate.

17. Lactose Broth

Peptone 20.0 g

0.04% bromocresol purple indicating solution 25 mL

Lactose 10.0 g

Water 1000 mL

Mix all the ingredients except for 0.04% bromocresol purple indicating solution, dissolve with gentle heat, adjust the pH to 7.2 ±0.2 after sterilization, add the indicating solution, repackage into tubes with small inverted tubs as 3 mL per tube, and sterilize.

18. Pyocyanin Detection Medium (PDP)

Peptone 20.0 g

Magnesium chloride (anhydrous) 1.4 g

Potassium chloride (anhydrous) 10.0 g

Glycerin 10 mL

Agar 14.0 g

Water 1000 mL

Mix peptone, magnesium chloride, potassium chloride and water, dissolve with gentle heat, adjust the pH to 7.3 ± 0.1 after sterilization, add glycerin and agar, thaw and mix well, repackage into tubes, sterilize and prepare slants.

19. Cooked Meat Medium

Preparation of meat particles Take fresh beef, remove fat and tendon, boil with distilled water for 10 minutes. Cut into little particles of 5 mm3, weigh and add distilled water with a ratio of 1:3 (meat: distilled water), put at 4 to 10℃ for 18 to 20 hours, boil for 1 hour, filter with white cloth (filtrate is 1:3 beef dip). Wash the filter residue with tap water twice, add quantum satis of sodium hydrate solution, stir and

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