Aneks 1 – Pembuatan Produk SterilAnnex 1 – Manufacture of SterilePharmaceutical Productsyang mempunyai risiko lebih tinggiterhadap produk.59. Sistem peringatan hendaklah tersediauntuk mengindikasikan kegagalanpasokan udara. Indikator perbedaantekanan udara hendaklah dipasang diantara area di mana hal tersebut sangatpenting. Perbedaan tekanan udara inihendaklah dicatat secara teratur ataudidokumentasikan.60. Suhu <strong>dan</strong> kelembaban ruanganhendaklah dijaga pada tingkat yangtidak menyebabkan personaliaberkeringat secara berlebihan dalampakaian kerjanya.61. Sistem mekanis atau elektris untukkomunikasi lisan dari <strong>dan</strong> ke areakegiatan steril hendaklah didesain <strong>dan</strong>dipasang dengan tepat sehingga mudahdibersihkan <strong>dan</strong> didisinfeksi secaraefektif.62. Area bersih untuk kegiatan produksisteril hendaklah tidak digunakan untukmelaksanakan kegiatan pengujiansterilitas <strong>dan</strong> pengujian mikrobiologislain.63. Pertimbangan perlu diberikan untukmembatasi akses yang tidak diperlukanke area pengisian kritis, misal zonapengisian Kelas A dengan memasangbarier fisik.PERALATAN64. Ban berjalan tidak boleh menembussekat yang membatasi area Kelas Aatau B dengan ruang proses yangmempunyai standar kebersihan lebihrendah, kecuali ban berjalan tersebutdapat secara terus-menerus disterilkan(misal melalui terowongan sterilisasi).65. Sedapat mungkin peralatan yangdigunakan untuk memproses produksteril hendaklah dipilih supaya dapatdisterilisasi secara efektif denganmenggunakan uap, atau panas keringatau metode lain.59. A warning system should be provided toindicate failure in the air supply.Indicators of pressure differences shouldbe fitted between areas where thesedifferences are important. Thesepressure differences should be recordedregularly or otherwise documented.60. Room temperature and humidity shouldbe maintained at a level which will notcause excessive sweating of operatorsclad in protective garments.61. Electrical or mechanical systems for oralcommunication from and to sterileoperation areas should be designed andinstalled so that they may be effectivelycleaned and disinfected.62. The same clean areas for sterileoperation should not be used for sterility,or other microbiological test operations.63. Consideration should be given torestricting unnecessary access to criticalfilling areas, e.g. Grade A filling zones,by means of a physical barrier.EQUIPMENT64. Conveyor belt should not pass through apartition between a Grade A or B areaand a processing area of lower aircleanliness, unless the belt itself iscontinually sterilized (e.g. in a sterilizingtunnel).65. Whenever possible, equipment used forprocessing sterile products should bechosen so that it can be effectivelysterilized by steam or dry heat or othermethods.Edisi 2009 - 29 - 2009 Edition
Aneks 1 – Pembuatan Produk Steril66. Peralatan, fiting <strong>dan</strong> sarana lain, sejauhmemungkinkan, hendaklah dirancang<strong>dan</strong> dipasang sedemikian rupa sehinggakegiatan, perawatan <strong>dan</strong> perbaikandapat dilaksanakan dari luar areabersih. Jika proses sterilisasi diperlukanhendaklah dilakukan setelah perakitankembali selesai, bila memungkinkan.67. Bila standar kebersihan tidak dapatdipertahankan saat dilakukan pekerjaanperawatan yang diperlukan di dalamruang bersih, ruang tersebut hendaklahdibersihkan, didisinfeksi <strong>dan</strong>/ataudisterilkan sebelum proses dimulaikembali.68. Instalasi pengolahan <strong>dan</strong> sistemdistribusi air hendaklah didesain,dikonstruksi <strong>dan</strong> dirawat untukmenjamin agar air yang dihasilkanmemenuhi persyaratan mutu yangsesuai. Hendaklah dipertimbangkanagar perawatan sistem air mencakupprogram pengujian yang diperlukan.Sistem hendaklah tidak dioperasikanmelampaui kapasitas yang dirancang.69. Hendaklah dilakukan validasi <strong>dan</strong>perawatan terencana terhadap semuaperalatan seperti sterilisator, sistempenanganan <strong>dan</strong> penyaringan udara,ventilasi udara <strong>dan</strong> filter gas sertasistem pengolahan, penyimpanan <strong>dan</strong>pendistribusian air; persetujuan untukpenggunaan kembali setelah dilakukanperawatan hendaklah dicatat.Annex 1 – Manufacture of SterilePharmaceutical Products66. As far as practicable, equipment, fittingsand services should be designed andinstalled so that operations,maintenance and repairs can be carriedout outside the clean area. If sterilizationis required, it should be carried out aftercomplete reassembly whereverpossible.67. When equipment maintenance has beencarried out within the clean area, thearea should be cleaned, disinfecte<strong>dan</strong>d/or sterilized where appropriate,before processing recommences if therequired standards of cleanliness and/ora sepsis have not been maintainedduring the work.68. Water treatment plants and distributionsystems should be designed,constructed and maintained so as toensure a reliable source of water of anappropriate quality. Considerationshould be given to include a testingprogramme in the maintenance of awater system. The system should not beoperated beyond their designedcapacity.69. All equipment such as sterilizers, airhandling and filtration systems, air ventand gas filters, water treatment system,generation, storage and distributionsystems should be subject to validationand planned maintenance; its approveduse following maintenance should berecorded.SANITASI70. Sanitasi area bersih sangatlah penting.Area tersebut hendaklah dibersihkansecara menyeluruh sesuai programtertulis. Bila menggunakan disinfektanhendaklah memakai lebih dari satujenis. Pemantauan hendaklah dilakukansecara berkala untuk mendeteksiperkembangan galur mikroba yangresisten. Dengan mempertimbangkanefektivitasnya yang terbatas, lampuultraviolet hendaklah tidak digunakanuntuk menggantikan disinfektan kimiawi.SANITATION70. The sanitation of clean areas isparticularly important. They should becleaned thoroughly in accor<strong>dan</strong>ce with awritten programme. Where disinfectantsare used, more than one type should beemployed. Monitoring should beundertaken regularly in order to detectthe development of resistant strains ofmicro organisms. In view of its limitedeffectiveness, ultraviolet light should notbe used as a substitute for chemicaldisinfection.Edisi 2009 - 30 - 2009 Edition