Overview of Standards
WHO
The World Health Organization (WHO) stipulates that the preparation and production of sterile products be in clean areas. Personnel, equipment and materials must enter and leave through controlled airlocks, while air supplies must pass through efficient filters. There should be separate areas for preparing components, containers and closures, product preparation, filling and sterilization. The WHO divides manufacturing methods into two categories. It differentiates between sterilizing products at the end of processes and those that are aseptic.
Finally, the organization describes four grades of cleanliness. Grade A is a local zone for high-risk operations. Grade B is applied in aseptic preparation and filling, hence the background environment for the Grade A zone. Grades C and D are not as critical and are typical of closed systems.
FDA
In Title 21 of the Code of Federal Regulations (CFR), the American Food and Drug Administration (FDA) regulates medical manufacturers' quality management systems. Current good manufacturing practice (CGMP) regulations are referenced in Parts 210 and 211. Part 210 specifies drug processing, packing and holding, while 211 details finished products.
The rules published in Part 11 deal with electronic documentation, records and signatures. Since Part 11’s inception in 1997, electronic systems and computing capability have progressed immensely. Nonetheless, more than two decades later, the principles of CFR 21 Part 11 still apply.
ISO 14644
This ISO (International Organization for Standardization) standard offers direction on how to measure, interpret and apply the results of particle deposition or obscuration rates on vulnerable surfaces in cleanrooms. It also details how to control contamination and reduce risk levels.
EU GMP
Published in 2008 and updated in 2020 and 2023, the European Union's Good Manufacturing Practice standards (or EU GMP) Annex 1 mentions essential elements of monitoring such as particles, microbiological count, temperature and relative humidity. In addition, its detailed guidance covers formal risk analysis, alerts and action limits. GMP lists various production methodologies, including blow, fill and seal. In addition, it compares terminally sterilized and aseptic preparation techniques. Other topics covered include pharmaceutical quality systems (PQS) and quality control (QC) requirements.
In addition to advising a contamination control strategy (CCS) for each facility, the guide promotes a holistic approach to detect seemingly independent events, consider common causes, and implement appropriate corrective and preventive actions (CAPA) as necessary. EU Annex 11 includes detailed guidelines for computerized systems and their requirements for validation and qualification.
USP 1116
Published in the US Pharmacopeia Convention, USP 1116 covers microbial contamination control in aseptic processing within healthcare industry environments. Its information and recommendations apply to some medical devices, sterile pharmaceutical products, intermediates, and excipients.
This publication recognizes that failures in aseptic processing environments present a higher potential risk to patient safety than manufacturing operations such as equipment and component preparation, non-sterile products and processing of terminally sterilized products. The content describes how advanced aseptic processes avoid direct intervention with open product containers or exposed product contact surfaces, even if operators wear conventional cleanroom protective clothing.
How to Apply Compliant Cleanroom Standards
Given that the multiple guidelines and recommendations can be confusing – and in some cases even conflicting – companies that operate sterile product manufacturing facilities should pay particular attention to regional protocols for:
- Regular risk assessments and proactive management.
- Use of effective CCS, root cause, and CAPA measures.
- Optimization of monitoring systems to detect environmental contamination.
- Deployment of experienced staff.
Control strategies ought to cover the detailed management of plants and processes alike. For best results, the management of equipment, facilities, and personnel requires a commitment to continuous improvement.
Differences Between Standards
Cleanroom norms differ between the US and the EU, even though their recommendations are critical within GMP. Well-known examples include the different EU and FDA requirements relating to terminal sterilization and aseptic processes. Similar disparities apply to airborne particles greater than 5.0μmin size.
In some cases, possible misunderstandings may even pose safety risks. For instance, during the drafting of amendments to the regulations, engineering specialists questioned language relating to the functionality of and emergency escape mechanisms for interlocking doors and airlocks. In their view, the wording was imprecise.