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USP 39 Microbiological Tests / á61ñ Microbiological Examination 117

á61ñ MICROBIOLOGICAL EXAMINATION OF NONSTERILE

PRODUCTS: MICROBIAL ENUMERATION TESTS

INTRODUCTION

The tests described hereafter will allow quantitative enumeration of mesophilic bacteria and fungi that may grow under
aerobic conditions.
The tests are designed primarily to determine whether a substance or preparation complies with an established specification
for microbiological quality. When used for such purposes, follow the instructions given below, including the number of sam-
ples to be taken, and interpret the results as stated below.
The methods are not applicable to products containing viable microorganisms as active ingredients.
Alternative microbiological procedures, including automated methods, may be used, provided that their equivalence to the
Pharmacopeial method has been demonstrated.

GENERAL PROCEDURES

Carry out the determination under conditions designed to avoid extrinsic microbial contamination of the product to be ex-
amined. The precautions taken to avoid contamination must be such that they do not affect any microorganisms that are to

General Chapters
be revealed in the test.
If the product to be examined has antimicrobial activity, this is, insofar as possible, removed or neutralized. If inactivators are
used for this purpose, their efficacy and their absence of toxicity for microorganisms must be demonstrated.
If surface-active substances are used for sample preparation, their absence of toxicity for microorganisms and their compati-
bility with any inactivators used must be demonstrated.

ENUMERATION METHODS

Use the Membrane Filtration method or one of the Plate-Count Methods, as directed. The Most-Probable-Number (MPN) Meth-
od is generally the least accurate method for microbial counts; however, for certain product groups with very low bioburden, it
may be the most appropriate method.
The choice of a method is based on factors such as the nature of the product and the required limit of microorganisms. The
method chosen must allow testing of a sufficient sample size to judge compliance with the specification. The suitability of the
chosen method must be established.

GROWTH PROMOTION TEST, SUITABILITY OF THE COUNTING METHOD AND NEGATIVE

CONTROLS

General Considerations

The ability of the test to detect microorganisms in the presence of product to be tested must be established.
Suitability must be confirmed if a change in testing performance or a change in the product that may affect the outcome of
the test, is introduced.

Preparation of Test Strains

Use standardized stable suspensions of test strains or prepare as stated below. Seed-lot culture maintenance techniques
(seed-lot systems) are used so that the viable microorganisms used for inoculation are not more than five passages removed
from the original master seed-lot. Grow each of the bacterial and fungal test strains separately as described in Table 1.

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118 á61ñ Microbiological Examination / Microbiological Tests USP 39

Table 1. Preparation and Use of Test Microorganisms

Suitability of Counting Method in
Growth Promotion the Presence of Product
Preparation of Test Total Aerobic Total Yeasts and Total Aerobic Total Yeasts and
Microorganism Strain Microbial Count Molds Count Microbial Count Molds Count
Staphylococcus aureus such Soybean–Casein Digest Soybean–Casein Di- Soybean–Casein Di-
as ATCC 6538, NCIMB Agar or Soybean–Casein gest Agar and Soy- gest Agar/MPN
9518, CIP 4.83, or NBRC Digest Broth bean–Casein Digest Soybean–Casein
13276 30°–35° Broth Digest Broth
18–24 hours £100 cfu £100 cfu
30°–35° 30°–35°
£3 days £3 days
Pseudomonas aeruginosa Soybean–Casein Digest Soybean–Casein Di- Soybean–Casein Di-
such as ATCC 9027, Agar or Soybean–Casein gest Agar and Soy- gest Agar/MPN
NCIMB 8626, CIP 82.118, Digest Broth bean–Casein Digest Soybean–Casein
or NBRC 13275 30°–35° Broth Digest Broth
18–24 hours £100 cfu £100 cfu
30°–35° 30°–35°
£3 days £3 days
Bacillus subtilis such as ATCC Soybean–Casein Digest Soybean–Casein Di- Soybean–Casein Di-
6633, NCIMB 8054, CIP Agar or Soybean–Casein gest Agar and Soy- gest Agar/MPN
52.62, or NBRC 3134 Digest Broth bean–Casein Digest Soybean–Casein
General Chapters

30°–35° Broth Digest Broth

18–24 hours £100 cfu £100 cfu
30°–35° 30°–35°
£3 days £3 days
Candida albicans such as Sabouraud Dextrose Agar or Soybean–Casein Di- Sabouraud Soybean–Casein Di- Sabouraud
ATCC 10231, NCPF 3179, Sabouraud Dextrose Broth gest Agar Dextrose Agar gest Agar Dextrose Agar
IP 48.72, or NBRC 1594 20°–25° £100 cfu £100 cfu £100 cfu £100 cfu
2–3 days 30°–35° 20°–25° 30°–35° 20°–25°
£5 days £5 days £5 days £5 days
MPN: not applica-
ble
Aspergillus brasiliensis such Sabouraud Dextrose Agar or Soybean–Casein Di- Sabouraud Soybean–Casein Di- Sabouraud
as ATCC 16404, IMI Potato–Dextrose Agar gest Agar Dextrose Agar gest Agar Dextrose Agar
149007, IP 1431.83, or 20°–25° 5–7 days, or until £100 cfu £100 cfu £100 cfu £100 cfu
NBRC 9455 good sporulation is ach- 30°–35° 20°–25° 30°–35° 20°–25°
ieved £5 days £5 days £5 days £5 days
MPN: not applica-
ble

Use Buffered Sodium Chloride–Peptone Solution pH 7.0 or Phosphate Buffer Solution pH 7.2 to make test suspensions; to sus-
pend A. brasiliensis spores, 0.05% of polysorbate 80 may be added to the buffer. Use the suspensions within 2 hours, or within
24 hours if stored between 2° and 8°. As an alternative to preparing and then diluting a fresh suspension of vegetative cells of
A. brasiliensis or B. subtilis, a stable spore suspension is prepared and then an appropriate volume of the spore suspension is
used for test inoculation. The stable spore suspension may be maintained at 2° to 8° for a validated period of time.

Negative Control

To verify testing conditions, a negative control is performed using the chosen diluent in place of the test preparation. There
must be no growth of microorganisms. A negative control is also performed when testing the products as described under
Testing of Products. A failed negative control requires an investigation.

Growth Promotion of the Media

Test each batch of ready-prepared medium and each batch of medium prepared either from dehydrated medium or from
the ingredients described.
Inoculate portions/plates of Soybean–Casein Digest Broth and Soybean–Casein Digest Agar with a small number (not more
than 100 cfu) of the microorganisms indicated in Table 1, using a separate portion/plate of medium for each. Inoculate plates
of Sabouraud Dextrose Agar with a small number (not more than 100 cfu) of the microorganisms indicated in Table 1, using a
separate plate of medium for each. Incubate according to the conditions described in Table 1.
For solid media, growth obtained must not differ by a factor greater than 2 from the calculated value for a standardized
inoculum. For a freshly prepared inoculum, growth of the microorganisms comparable to that previously obtained with a pre-
viously tested and approved batch of medium occurs. Liquid media are suitable if clearly visible growth of the microorganisms
comparable to that previously obtained with a previously tested and approved batch of medium occurs.

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USP 39 Microbiological Tests / á61ñ Microbiological Examination 119

Suitability of the Counting Method in the Presence of Product

PREPARATION OF THE SAMPLE

The method for sample preparation depends on the physical characteristics of the product to be tested. If none of the pro-
cedures described below can be demonstrated to be satisfactory, a suitable alternative procedure must be developed.
Water-Soluble Products—Dissolve or dilute (usually a 1 in 10 dilution is prepared) the product to be examined in Buffered
Sodium Chloride–Peptone Solution pH 7.0, Phosphate Buffer Solution pH 7.2, or Soybean–Casein Digest Broth. If necessary, adjust
to a pH of 6 to 8. Further dilutions, where necessary, are prepared with the same diluent.
Nonfatty Products Insoluble in Water—Suspend the product to be examined (usually a 1 in 10 dilution is prepared) in
Buffered Sodium Chloride–Peptone Solution pH 7.0, Phosphate Buffer Solution pH 7.2, or Soybean–Casein Digest Broth. A surface-
active agent such as 1 g per L of polysorbate 80 may be added to assist the suspension of poorly wettable substances. If neces-
sary, adjust to a pH of 6 to 8. Further dilutions, where necessary, are prepared with the same diluent.
Fatty Products—Dissolve in isopropyl myristate sterilized by filtration, or mix the product to be examined with the mini-
mum necessary quantity of sterile polysorbate 80 or another noninhibitory sterile surface-active reagent heated, if necessary, to
not more than 40° or, in exceptional cases, to not more than 45°. Mix carefully and if necessary maintain the temperature in a
water bath. Add a sufficient quantity of the prewarmed chosen diluent to make a 1 in 10 dilution of the original product. Mix
carefully, while maintaining the temperature for the shortest time necessary for the formation of an emulsion. Further serial 10-
fold dilutions may be prepared using the chosen diluent containing a suitable concentration of sterile polysorbate 80 or anoth-
er noninhibitory sterile surface-active reagent.

General Chapters
Fluids or Solids in Aerosol Form—Aseptically transfer the product into a membrane filter apparatus or a sterile container
for further sampling. Use either the total contents or a defined number of metered doses from each of the containers tested.
Transdermal Patches—Remove the protective cover sheets (“release liners”) of the transdermal patches and place them,
adhesive side upwards, on sterile glass or plastic trays. Cover the adhesive surface with a suitable sterile porous material (e.g.,
sterile gauze) to prevent the patches from sticking together, and transfer the patches to a suitable volume of the chosen di-
luent containing inactivators such as polysorbate 80 and/or lecithin. Shake the preparation vigorously for at least 30 minutes.

INOCULATION AND DILUTION

Add to the sample prepared as directed above and to a control (with no test material included) a sufficient volume of the
microbial suspension to obtain an inoculum of not more than than 100 cfu. The volume of the suspension of the inoculum
should not exceed 1% of the volume of diluted product.
To demonstrate acceptable microbial recovery from the product, the lowest possible dilution factor of the prepared sample
must be used for the test. Where this is not possible due to antimicrobial activity or poor solubility, further appropriate proto-
cols must be developed. If inhibition of growth by the sample cannot otherwise be avoided, the aliquot of the microbial sus-
pension may be added after neutralization, dilution, or filtration.

NEUTRALIZATION/REMOVAL OF ANTIMICROBIAL ACTIVITY

The number of microorganisms recovered from the prepared sample diluted as described in Inoculation and Dilution and in-
cubated following the procedure described in Recovery of Microorganisms in the Presence of Product, is compared to the number
of microorganisms recovered from the control preparation.
If growth is inhibited (reduction by a factor greater than 2), then modify the procedure for the particular enumeration test
to ensure the validity of the results. Modification of the procedure may include, for example,
(1) An increase in the volume of the diluent or culture medium;
(2) Incorporation of a specific or general neutralizing agents into the diluent;
(3) Membrane filtration; or
(4) A combination of the above measures.
Neutralizing Agents—Neutralizing agents may be used to neutralize the activity of antimicrobial agents (see Table 2). They
may be added to the chosen diluent or the medium preferably before sterilization. If used, their efficacy and their absence of
toxicity for microorganisms must be demonstrated by carrying out a blank with neutralizer and without product.
Table 2. Common Neutralizing Agents/Methods forInterfering Substances
Potential Neutralizing
Interfering Substance Agents/Method
Glutaraldehyde, mercurials Sodium hydrogen sulfite (Sodium bisulfite)
Phenolics, alcohol, aldehydes, sorbate Dilution
Aldehydes Glycine
Quaternary ammonium compounds (QACs), parahydroxybenzoates (par- Lecithin
abens), bis-biguanides
QACs, iodine, parabens Polysorbate

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120 á61ñ Microbiological Examination / Microbiological Tests USP 39

Table 2. Common Neutralizing Agents/Methods forInterfering Substances (Continued)

Potential Neutralizing
Interfering Substance Agents/Method
Mercurials Thioglycollate
Mercurials, halogens, aldehydes Thiosulfate
EDTA (edetate) Mg or Ca ions

If no suitable neutralizing method can be found, it can be assumed that the failure to isolate the inoculated organism is at-
tributable to the microbicidal activity of the product. This information serves to indicate that the article is not likely to be con-
taminated with the given species of the microorganism. However, it is possible that the product inhibits only some of the mi-
croorganisms specified herein, but does not inhibit others not included among the test strains or those for which the latter are
not representative. Then, perform the test with the highest dilution factor compatible with microbial growth and the specific
acceptance criterion.

RECOVERY OF MICROORGANISMS IN THE PRESENCE OF PRODUCT

For each of the microorganisms listed, separate tests are performed. Only microorganisms of the added test strain are coun-
ted.
Membrane Filtration—Use membrane filters having a nominal pore size not greater than 0.45 mm. The type of filter mate-
rial is chosen in such a way that the bacteria-retaining efficiency is not affected by the components of the sample to be investi-
General Chapters

gated. For each of the microorganisms listed, one membrane filter is used.
Transfer a suitable quantity of the sample prepared as described under Preparation of the Sample, Inoculation and Dilution,
and Neutralization/Removal of Antimicrobial Activity (preferably representing 1 g of the product, or less if large numbers of cfu
are expected) to the membrane filter, filter immediately, and rinse the membrane filter with an appropriate volume of diluent.
For the determination of total aerobic microbial count (TAMC), transfer the membrane filter to the surface of the Soybean–
Casein Digest Agar. For the determination of total combined yeasts and molds count (TYMC), transfer the membrane to the
surface of the Sabouraud Dextrose Agar. Incubate the plates as indicated in Table 1. Perform the counting.
Plate-Count Methods—Perform plate-count methods at least in duplicate for each medium, and use the mean count of
the result.
Pour-Plate Method—For Petri dishes 9 cm in diameter, add to the dish 1 mL of the sample prepared as described under
Preparation of the Sample, Inoculation and Dilution, and Neutralization/Removal of Antimicrobial Activity and 15 to 20 mL of Soy-
bean–Casein Digest Agar or Sabouraud Dextrose Agar, both media maintained at not more than 45°. If larger Petri dishes are
used, the amount of agar medium is increased accordingly. For each of the microorganisms listed in Table 1, at least two Petri
dishes are used.
Incubate the plates as indicated in Table 1. Take the arithmetic mean of the counts per medium, and calculate the number
of cfu in the original inoculum.
Surface-Spread Method—For Petri dishes 9 cm in diameter, add 15 to 20 mL of Soybean–Casein Digest Agar or Sabouraud
Dextrose Agar at about 45° to each Petri dish, and allow to solidify. If larger Petri dishes are used, the volume of the agar is
increased accordingly. Dry the plates, for example, in a laminar-airflow cabinet or in an incubator. For each of the microorgan-
isms listed in Table 1, at least two Petri dishes are used. Spread a measured volume of not less than 0.1 mL of the sample,
prepared as directed under Preparation of the Sample, Inoculation and Dilution, and Neutralization/Removal of Antimicrobial Activ-
ity over the surface of the medium. Incubate and count as directed for Pour-Plate Method.
Most-Probable-Number (MPN) Method—The precision and accuracy of the MPN Method is less than that of the Mem-
brane Filtration method or the Plate-Count Method. Unreliable results are obtained particularly for the enumeration of molds.
For these reasons, the MPN Method is reserved for the enumeration of TAMC in situations where no other method is available.
If the use of the method is justified, proceed as follows.
Prepare a series of at least three serial 10-fold dilutions of the product as described for Preparation of the Sample, Inoculation
and Dilution, and Neutralization/Removal of Antimicrobial Activity. From each level of dilution, three aliquots of 1 g or 1 mL are
used to inoculate three tubes with 9 to 10 mL of Soybean–Casein Digest Broth. If necessary a surface-active agent such as poly-
sorbate 80, or an inactivator of antimicrobial agents may be added to the medium. Thus, if three levels of dilution are pre-
pared, nine tubes are inoculated.
Incubate all tubes at 30° to 35° for not more than 3 days. If reading of the results is difficult or uncertain owing to the nature
of the product to be examined, subculture in the same broth or in Soybean–Casein Digest Agar for 1 to 2 days at the same
temperature, and use these results. From Table 3, determine the most probable number of microorganisms per g or mL of the
product to be examined.

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USP 39 Microbiological Tests / á61ñ Microbiological Examination 121

Table 3. Most-Probable-Number Values of Microorganisms

Observed
Combinations MPN per g or 95%
of Numbers of Tubes per mL of Confidence
Showing Growth in Each Set Product Limits
Number of g or mL of Product per Tube
0.1 0.01 0.001
0 0 0 <3 0–9.4
0 0 1 3 0.1–9.5
0 1 0 3 0.1–10
0 1 1 6.1 1.2–17
0 2 0 6.2 1.2–17
0 3 0 9.4 3.5–35
1 0 0 3.6 0.2–17
1 0 1 7.2 1.2–17
1 0 2 11 4–35
1 1 0 7.4 1.3–20
1 1 1 11 4–35
1 2 0 11 4–35

General Chapters
1 2 1 15 5–38
1 3 0 16 5–38
2 0 0 9.2 1.5–35
2 0 1 14 4–35
2 0 2 20 5–38
2 1 0 15 4–38
2 1 1 20 5–38
2 1 2 27 9–94
2 2 0 21 5–40
2 2 1 28 9–94
2 2 2 35 9–94
2 3 0 29 9–94
2 3 1 36 9–94
3 0 0 23 5–94
3 0 1 38 9–104
3 0 2 64 16–181
3 1 0 43 9–181
3 1 1 75 17–199
3 1 2 120 30–360
3 1 3 160 30–380
3 2 0 93 18–360
3 2 1 150 30–380
3 2 2 210 30–400
3 2 3 290 90–990
3 3 0 240 40–990
3 3 1 460 90–1980
3 3 2 1100 200–4000
3 3 3 >1100

RESULTS AND INTERPRETATION

When verifying the suitability of the Membrane Filtration method or the Plate-Count Method, a mean count of any of the test
organisms not differing by a factor greater than 2 from the value of the control defined in Inoculation and Dilution in the ab-
sence of product must be obtained. When verifying the suitability of the MPN Method, the calculated value from the inoculum
must be within 95% confidence limits of the results obtained with the control.
If the above criteria cannot be met for one of more of the organisms tested with any of the described methods, the method
and test conditions that come closest to the criteria are used to test the product.

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122 á61ñ Microbiological Examination / Microbiological Tests USP 39

TESTING OF PRODUCTS

Amount Used for the Test

Unless otherwise directed, use 10 g or 10 mL of the product to be examined taken with the precautions referred to above.
For fluids or solids in aerosol form, sample 10 containers. For transdermal patches, sample 10 patches.
The amount to be tested may be reduced for active substances that will be formulated in the following conditions: the
amount per dosage unit (e.g., tablet, capsule, injection) is less than or equal to 1 mg, or the amount per g or mL (for prepara-
tions not presented in dose units) is less than 1 mg. In these cases, the amount of sample to be tested is not less than the
amount present in 10 dosage units or 10 g or 10 mL of the product.
For materials used as active substances where the sample quantity is limited or batch size is extremely small (i.e., less than
1000 mL or 1000 g), the amount tested shall be 1% of the batch unless a lesser amount is prescribed or justified and author-
ized.
For products where the total number of entities in a batch is less than 200 (e.g., samples used in clinical trials), the sample
size may be reduced to two units, or one unit if the size is less than 100.
Select the sample(s) at random from the bulk material or from the available containers of the preparation. To obtain the
required quantity, mix the contents of a sufficient number of containers to provide the sample.

Examination of the Product

General Chapters

MEMBRANE FILTRATION

Use a filtration apparatus designed to allow the transfer of the filter to the medium. Prepare the sample using a method that
has been shown to be suitable as described in Growth Promotion Test and Suitability of the Counting Method, transfer the appro-
priate amount to each of two membrane filters, and filter immediately. Wash each filter following the procedure shown to be
suitable.
For the determination of TAMC, transfer one of the membrane filters to the surface of Soybean–Casein Digest Agar. For the
determination of TYMC, transfer the other membrane to the surface of Sabouraud Dextrose Agar. Incubate the plate of Soy-
bean–Casein Digest Agar at 30° to 35° for 3 to 5 days and the plate of Sabouraud Dextrose Agar at 20° to 25° for 5 to 7 days.
Calculate the number of cfu per g or per mL of product.
When examining transdermal patches, separately filter 10% of the volume of the preparation described for Preparation of the
Sample through each of two sterile filter membranes. Transfer one membrane to Soybean–Casein Digest Agar for TAMC and the
other membrane to Sabouraud Dextrose Agar for TYMC.

PLATE-COUNT METHODS

Pour-Plate Method—Prepare the sample using a method that has been shown to be suitable as described in Growth Pro-
motion Test and Suitability of the Counting Method. Prepare for each medium at least two Petri dishes for each level of dilution.
Incubate the plates of Soybean–Casein Digest Agar at 30° to 35° for 3 to 5 days and the plates of Sabouraud Dextrose Agar at
20° to 25° for 5 to 7 days. Select the plates corresponding to a given dilution and showing the highest number of colonies less
than 250 for TAMC and 50 for TYMC. Take the arithmetic mean per culture medium of the counts, and calculate the number
of cfu per g or per mL of product.
Surface-Spread Method—Prepare the sample using a method that has been shown to be suitable as described in Growth
Promotion Test and Suitability of the Counting Method. Prepare at least two Petri dishes for each medium and each level of dilu-
tion. For incubation and calculation of the number of cfu, proceed as directed for the Pour-Plate Method.

MOST-PROBABLE-NUMBER METHOD

Prepare and dilute the sample using a method that has been shown to be suitable as decribed in Growth Promotion Test and
Suitability of the Counting Method. Incubate all tubes for 3 to 5 days at 30° to 35°. Subculture if necessary, using the procedure
shown to be suitable. Record for each level of dilution the number of tubes showing microbial growth. Determine the most
probable number of microorganisms per g or mL of the product to be examined from Table 3.

Interpretation of the Results

The total aerobic microbial count (TAMC) is considered to be equal to the number of cfu found using Soybean–Casein Digest
Agar; if colonies of fungi are detected on this medium, they are counted as part of TAMC. The total combined yeasts and
molds count (TYMC) is considered to be equal to the number of cfu found using Sabouraud Dextrose Agar; if colonies of bacte-
ria are detected on this medium, they are counted as part of TYMC. When the TYMC is expected to exceed the acceptance

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USP 39 Microbiological Tests / á62ñ Microbiological Examination 123

criterion due to the bacterial growth, Sabouraud Dextrose Agar containing antibiotics may be used. If the count is carried out
by the MPN Method, the calculated value is TAMC.
When an acceptance criterion for microbiological quality is prescribed, it is interpreted as follows:
— 101 cfu: maximum acceptable count = 20;
— 102 cfu: maximum acceptable count = 200;
— 103 cfu: maximum acceptable count = 2000;
and so forth.
The recommended solutions and media are described in Tests for Specified Microorganisms á62ñ.

á62ñ MICROBIOLOGICAL EXAMINATION OF NONSTERILE

PRODUCTS: TESTS FOR SPECIFIED MICROORGANISMS

INTRODUCTION

The tests described hereafter will allow determination of the absence of, or limited occurrence of, specified microorganisms
that may be detected under the conditions described.

General Chapters
The tests are designed primarily to determine whether a substance or preparation complies with an established specification
for microbiological quality. When used for such purposes, follow the instructions given below, including the number of sam-
ples to be taken, and interpret the results as stated below.
Alternative microbiological procedures, including automated methods, may be used, provided that their equivalence to the
Pharmacopeial method has been demonstrated.

GENERAL PROCEDURES

The preparation of samples is carried out as described in Microbiological Examination of Nonsterile Products: Microbial Enumer-
ation Tests á61ñ.
If the product to be examined has antimicrobial activity, this is insofar as possible removed or neutralized as described in
Microbiological Examination of Nonsterile Products: Microbial Enumeration Tests á61ñ.
If surface-active substances are used for sample preparation, their absence of toxicity for microorganisms and their compati-
bility with any inactivators used must be demonstrated as described in Microbiological Examination of Nonsterile Products: Micro-
bial Enumeration Tests á61ñ.

GROWTH-PROMOTING AND INHIBITORY PROPERTIES OF THE MEDIA, SUITABILITY OF THE

TEST AND NEGATIVE CONTROLS

The ability of the test to detect microorganisms in the presence of the product to be tested must be established. Suitability
must be confirmed if a change in testing performance or a change in the product that may affect the outcome of the test is
introduced.

Preparation of Test Strains

Use standardized stable suspensions of test strains as stated below. Seed-lot culture maintenance techniques (seed-lot sys-
tems) are used so that the viable microorganisms used for inoculation are not more than five passages removed from the origi-
nal master seed-lot.

AEROBIC MICROORGANISMS

Grow each of the bacterial test strains separately in containers containing Soybean–Casein Digest Broth or on Soybean–Casein
Digest Agar at 30° to 35° for 18 to 24 hours. Grow the test strain for Candida albicans separately on Sabouraud Dextrose Agar or
in Sabouraud Dextrose Broth at 20° to 25° for 2 to 3 days.
Staphylococcus aureus such as ATCC 6538, NCIMB 9518, CIP 4.83, or NBRC 13276
Pseudomonas aeruginosa such as ATCC 9027, NCIMB 8626, CIP 82.118, or NBRC 13275
Escherichia coli such as ATCC 8739, NCIMB 8545, CIP 53.126, or NBRC 3972
Salmonella enterica subsp. enterica serovar Typhimurium or, as an alterna- such as ATCC 14028
tive,

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