Running a lab doesn’t just mean performing
experiments and getting results. One of the many important aspects of being a
properly functioning lab includes verifying the performance of lab procedures,
and staying up-to-date with regulatory affairs. One of the many ways SteriLabs
ensures the effectiveness of their testing procedures is with media fill
testing.
What is
media fill testing?
Media fill testing, also known as aseptic
process simulation, is a technique used to assess the effectiveness of aseptic
techniques used by staff performing microbiological processes. It is required
by various standards and licenses, such as a Drug Establishment License (DEL),
to give evidence of good manufacturing practices (GMP). Health Canada issued
various guiding documents for GMP, including the details for media fill testing
found under Annex 1 to the Good
manufacturing practices guide - Manufacture of sterile drugs (GUI-0119) (Health
Canada, 2024). This document is
referenced in the Drug GMP and DEL
Enforcement Policy (POL-0004), used to guide companies when applying for a
DEL (Health Canada, 2025).
In general, media fill requires testing some
of the procedures that a lab uses, and analyzing if the staff is properly
following aseptic techniques for that procedure. For example, at SteriLabs,
direct inoculation of medical devices and membrane filtration are the
procedures most commonly used for sterility testing, as per USP <71>, so
those are the techniques that are simulated for media fill testing.
What
are the steps to performing media fill testing?
Media fill requires performing a technique
such as direct inoculation or membrane filtration for sterility testing,
omitting the use of samples, and instead using sterile media and controls. The
staff member being tested will prepare sterile media, such as tryptic soy broth
(TSB) or tryptic soy agar (TSA), and any other necessary sterile reagents, such
as Fluid A, a rinsing reagent used for membrane filtration. The process is
started by transferring any necessary tools or reagents to a biological safety
cabinet (BSC).
To perform the test for direct inoculation,
sterile bags are filled with sterile TSB (as if part of a sterility test),
following aseptic procedures. Membrane filtration is performed in a similar
manner, using sterile Fluid A as a rinsing agent to be pumped through a
membrane filter by a vacuum pump, instead of using a sample. This membrane
filter can then be plated onto TSA (see Figure 1), or placed into a tube
containing TSB.
In addition, the inclusion of positive and
negative controls are necessary to validate the results, and ensure that the
experiment and materials are functioning properly. All bags are incubated at
32-35˚C for 14 days, before observing any results.
What do
the results mean?
The target is to observe no microbial growth
in the samples, resulting in a passed test. If growth is observed (turbidity in
liquid media or colony formation on solid media), this indicates that the
sample has been contaminated during the procedure simulation, and aseptic
techniques are not being followed. If a test fails, there must be an
investigation into the cause of the contamination, appropriate actions to
correct any errors in processing and the test must be successfully repeated a
minimum of three times before continuing any related procedures.
Media fill testing is one of many ways to give
evidence of good manufacturing practices in a laboratory. Additional tests such
as glove print testing or environmental monitoring may also be performed to
demonstrate the verification of aseptic processing in a laboratory space. When
applying for a DEL, the test results may be included to demonstrate that a lab
complies with GMP and validated aseptic techniques. Ultimately, passing a media
fill test demonstrates that the lab staff are effectively following aseptic
techniques, which allows clients to place trust in their work. It shows their
commitment to product sterility, regulatory compliance, and ultimately, patient
safety.
Figure 1. Media fill test performed through membrane filtration showing no growth after the incubation period.
References:
Health Canada. (2024, May 21). Annex 1 to the Good manufacturing practices
guide - Manufacture of sterile drugs (GUI-0119).
https://publications.gc.ca/collections/collection_2024/sc-hc/H139-49-2024-eng.pdf
Health Canada. (2025, January 21). Good manufacturing practices guide for drug
products (GUI-0001). Canada.ca.
https://www.canada.ca/en/health-canada/services/drugs-health-products/compliance-enforcement/good-manufacturing-practices/guidance-documents/gmp-guidelines-0001/document.html#appc02
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