Pharmaceutical Microbiology Unit 2
Pharmaceutical Microbiology Unit 2
(CHAPTER-6)
STAININGTECHNIQUES &
BÊOCHEMICAL TESTS
3.GRAMS STAINING
4. ACID FAST STAINING
5. BIOCHEMICAL TESTS
NTRODUCTION
&STAINING TECHNIQUES
Staining is a technique used to enhance contrast in samples, generally at
the microscopic level.
"According to microbiological definitions, stains are dyes or reagents
used for differential colouring of clarity under microscope.
"Chemically a stain / dye is defined as an organic compound containing a
benzene ring plus a chromophore group.
Types ofstains:
1. Acidic dyes: Anionic, stain the cytoplasmic components of cells which are
more alkaline in nature e.g, picric acid, acid fuchsin, eosin.
2. Basic dyes: Cationic and combine with those cellular elements which
are acidic in nature (nucdeic acids) e.g, methylene blue,crystal violet,
safranin.
* SIMPLE STAINING
Types of simple staining
r Positive staining: In positive staining, the stain (methylene blue) is basic
(cationic) having positive charge and attaches to the surface of the object
that is negatively charged.
Negative staining: n negative staining, the stain (India ink, nigrosine) is
acidic (anionic) having negative charge and is repelled by the object
(bacteria) that is negatively charged and therefore bacterial cell appears
transparent. The stain stains only background but not bacteria.
Simple staining involves single dye or staining reagent.
PRINCIPLE The purpose of staining is to demonstrate cell size,
shape and arrangement of bacterial cells.
Since bacterial cells. usually have a negative charge on their surface, they
are most readily coloured by basic stains.
PROCEDURE- Reagent: Loeffler's methylene blue solution, iodine.
o Prepare smear of a given culture (add few amount of bacteria in one to
two drops of distilled water and mix it well) or material by spreading a
thin film on a clean glass slide.
o Dry it and then heat fix by passing the slide 2 to 3 times through the
flame with the smeared side facing upwards.
Step 1. Mede
Meat Fix
o Cover the smear with methylene Smear
Sod
Saturate the smear again but this time with lodine. lodine will set the
stain.
DIFFERENTIAL STAINING
Differential staining is a staining process which uses more than one
chemical stain. Using multiple stains can better differentiate between
different microorganisms or structures/cellular components of a
single organism
Tynes of differentialstaining staining
Grams staining
Acid fast staining
1. GRAM STAINING
Gram staining is one of the most widely used technique
for the differentiation and identification of bacteria.
This differential staining technique was discovered by
Dr. Christian Gram in 1884.
It not only reveals the size and shape of bacteria but is also used to
differentiate bacteria into Gram-positive and Gram-negative cells.
Hence, it is known as differential staining
PRINCIPLE
Gram staining differentiates bacteria by the chemical and physical
properties of their cell walls by detecting peptidogtycan, which is
present in the cell wall of Gram-positive bacteria.
Gram-negative cells contain a very small layer of peptidoglycan that is
dissolved when the alcohol isadded. This is why the cell loses its initial
colour from the primary stain.
Gram-positive bacteria retain the crystal violet dye, and thus are stained
violet, while the Gram-negative bacteria do not and it gives pink colour
after adding counter stain
Reagents used:
Primary stain- Crystal violet
Mordant- Grams iodine, (A mordant nmay be defined as 'any substance
that forms an insoluble compound with stain and serves to fix the
colour to bacterial cell.
It leads to form crystal violent iodine magnesium ribonuclease (CV-1
Mg ribonuclease] complex in Gram-positive bacteria.
This complex is not formed in Gram-negative bacteria, as Mg-ribonucleate
is absent in the cell wall. Hence, only CV-1 complex is formed in Gram
negative bacteria.)
Decolourising agent- Ethyl alcohol, On application of decolourisingagent
like alcohol or acetone, shrinkage of cell wall takes place due to
dehydration and decreases the permeability for CV-1-Mg ribonucleate
complex.
Thus, the complex is retained in the cell and hence cell is stained deep
violet in colour.
On the other hand, the treatment of decolourising agent extracts lipid from
cell wall of Gram-negative cell and there is increase in permeability
property of cell wall. Due to this, CV-1 complex is extracted and cells
gets decolourised (lose violet colour).)
Counter stain- Safranin, (This is the final reagent to stain red, those cells
that have been previously decolourised. Since only Gram-negative cells are
decolourised, they may now absorb the counter stain. Gram-positive cells
retain the violet colour of the primary stain. )
PROCEDURE oUTER E
Make smears of a given
PEPTOOOUCAN
culture on a clear glass slide. PEPLAMC SAACE
o Air dry the smear and heat fix it. GRAM POSITIVE GRAM NEGATIVE
o Cover the smear completely with crystal violet stain and leave the stain
on the slide for one minute.
Gram Posltve Gram log
Focaton
o Wash the slide gently in distilled
water or tap water.
Cystal iwolt
o Flood the smear with Gram (or lodine trootn¡nt
Lugol's) iodine solution and wait for
one minute. Wash with tap water Decolirzibon
gently and drain carefully.
Counler soin
seranin
o Wash again and blot dry with blotting paper or simply air dry the slide
and observe under oil immersion objective.
EXAMPLES
Gram negative bacteria: Xanthomonas, acetobacteracea(vinegar),
Escherichia coli, Klebsiella pneumonia, salmonella, pseudomnonas
aeruginosa.
Gram positive bacteria: lactobacillus acidophilus, Bifidobacterium,
staphylococcus aureus, anthrax, mycobacterium tuberculosis
RESULT
Bacteria that appear blue/violet /purple are assigned as Gram positive
while as those appearing red/pink are assigned as gram negative.
o Flood the smear with freshly filtered carbol fuchsin till steam rises.
Continue to heat for 5 minutes so that steam is seen but without boiling. Do
not allow the side to dry and add more stain from time to time to prevent
this drying
o Cool and wash the stain off the slide with water.
o Cover the side with acid alcohol solution for 3
minutes. Wash with tap water and drain.
Repeat decolourization process until smear
becomes faint pink. Finally wash with water.
o Cover the slide with methylene blue stain and leave it for 2 minutes. Wash
with tap water, blot d1y or air dry the slide and observe under oil
immersion objective.
RESULT
Acid fast organisms will appear bright red on a blue background while
as non-acid fast organism will appear dark blue in colour.
SPORE STAINING
Spore staining technique is used for detection of spore and type of
spores. It isnot easy to stain spore by primary stain malachite greens.
The smear is heated to accept the stain. Once the spore accepts the
malachite green, it cannot be decolourised by tap water
Vegetative cells easily get decolourized by tap water
and take counter stain and appear red (safranin).
This method is called Schaeffer and Fulton method
modified by Ashby.
Donor method is also used for spore staining in which carbol fuchsin is
used as primary stain. After heating the side with stain for 5 to 10
minutes, wash it and perform negative staining.
CAPSULE STAINING
Capsule staining is used to detect capsules. It can be performed by using
positive as well as negative staining techniques.
" Due to the non ionic nature of capsule, it has very less affinity for dye.
" In positive stains, crystal violet is applied which
stains bacterial cell and also copper sulphate is
applied and it allows the stain (light violet) to retain.
Capsules are also easily demonstrated by negative staining techniques.
When stain solution is applied, it stains the cell and on application of
nigrosine background is stained leaving the capsule colourless.
FLAGELLA STAINING
Flagella staining is used to detect presence and
arrangement of flagella and cytoplasmic inclusion.
Staining is used to identify intracellular deposits of starch, glycogen,
polyphosphates, Hydroxyl butyrate and other substances.
OBIOCHEMICAL TESTS (IMVIC)
The IMVIC series is a group of four individual tests that are commonly
used to identify bacterial species, especially coliforms.
Acoliform is a gram negative, aerobic anaerobic rod which produces gas
from lactose within 48 hours. The presence of some coliforms indicate
faecal contamination.
Each of the letters in "IMViC" stands for one of these tests.
"I" is for indole; (test for production of indole from tryptophan)
"M" is for methyl red;"(methyl red test for acid production from glucose)
"y" is for Voges - Proskauer, (test for production of acetoin from
glucose)
"C" is for citrate,(test for use of citrate for sole carbon)
Lowercase" (i) is added for the ease of pronunciation.
IMVIC is an acronym that stands for four different tests
PURPOSE FOR TEST
To find out the procedure of treatment or prevention of a disease we
need to find out the causative bacteria responsible, this methods helps to
detect the bacteria.
1. INDOLE TEST
PRINCIPLE
Some bacteria can produce indole from amino acid tryptophan using
the enzyme typtophanase.
Typtophanase
Trptophan water Indole + Pyruvic acid +NH,
Production of indole is detected using Ehrlich's reagent or Kovac's
reagent.
Indole reacts with the aldehyde in the reagent to give a red colour. An
alcoholic layer concentrates the red colour as a ring at the top.
º PROCEDURE
Bacterium to be tested is inoculated in peptone water, which contains
amino acid tryptophan and incubated overnight at 370C. Prepare 1%
tryptophan broth are one.
o Incubate one set of test tube with test organism and maintain one set as
negative control without inoculation . inoculate one set of test tube with
E.coli use as positive control.
o Following incubation few drops of Kovac's reagent are added. Shake
gently.
o Kovac's reagent consists of para-dimethyl amino benzaldehyde 10 gm,
isoamylalcohol 150gm and con. HCI 50 ml.
o Allow the tubes to stand for 2 min. so that the reagent comes to the top and
then compare test culture with the control tubes.
o Ehrlich's reagent is more sensitive in detecting indole production in
anaerobes and non-fermenters.
RESUT
Formation of a red or pink coloured ring at the top is
taken as positive.
o Escherichía coli: Positive;
o Klebsiella pneumoniae: Negative
2.METHYL RED TEST
Bacteria which produces add through fermentation of glucose can be
identifîed using this test. Methyl red indicator produces red coloration in
acidic pH while it produces orange coloration in non-acidic PH.
PRINCIPLE
The basic principle of MR test is to check the ability of the organism to
produce andmaintain sufficient amount of stable acid as end product
from glucose fermentation and to overcome the buffering capacity of the
system.
These acids lowers the pH of the medium which is nearly neutral so that
the methyl red indicator changes its colour to red.
The pH range of the methyl red indicator is 4.4-6
but if there is no or low production of acids, the pH of the medium remains
unchanged and the indicator shows yellow colour.
Hence, the red colour of the broth medium after adding indicator is
positive MR test.
PROCEDURE
o Prepare MRVP broth in test tubes. Inoculate the broth aseptically with 2
loop full of respective bacterial culture.
o Label the test tubes with name of organism inoculated.
o Incubate the test tubesat 37°C for 48-72 hours.
o Add few drops of methyl red indicator
in the incubated tubes.
3. PHYSICAL STERLIZATION
4. RADIATION STERLIZATION
5. CHEMICAL STERLIZATION
6.MECHANICAL STERLIZATION
DINTRODUCTION
STERLIZATION
" It is the process by which an article, surface or medium is made free of all
microorganisms either in vegetative or spore form.
" It is the process of absolute kill of microorganisms.
NEED FOR STERLIZATION
The growth of microorganisms can be controlled by two basic ways: -
By either killing the microorganism,
Or by inhibiting the growth of microorganism.
This is achieved by using physical or chemical agents which either kill or
prevent the growth.
The agents which kill the microorganisms are called 'cidal' agent
&the agents which inhibit the growth (without killing them) are called
static agents.
Bactericidal-agents killing bacteria
V Virucidal-agents killing viruses
otore
/ Fungicidal-agents kiling fungi
TYPES OF STERLIZATION METHODS
Sterilization
Microorganisms are more resistance to dry heat thus this process requires
higher temperature and longer exposure time.
> INCENERATION
Incineration is the process of sterilization along with a significant reduction in
the volume of the wastes.
The scraps are heated till they become ash which is then disposed of later.
This process is conducted in a device called incinerator
PRINCIPLE :_It kills microorganisms by destructive oxidation of
essential cell constituents.
ADVANTAGES:
Potentially destroy any material containing organic carbon including
pathogens.
Typically reduce the volumne and mnass of material that must be
disposed off in landfills by 80 to 95 percent.
Heat of combustion can be recovered and used to
generate steam or hot water.
DISADVANTAGES:
Incineration may emit traces amounts of unwanted pollutants such as
the polychlorinated dibenzo dioxins and furans and matter particulates
if incinerators are not well designated and operated.
The ash and waste water produced by the process also contain toxin
compounds, which have t be treated to avoid adverse effects on health
and the environment.
RED HEAT
Red heat sterilization is the process of instant sterilization by
holding the instruments in a Bunsen flame till they become
red hot.
It isused to sterilize metallic objects by holding them on a flame till they are
red hot. EX: inoculating wires, needles, forceps etc.
HOT AIR OVEN
PRINCIPLE: Jt kills microorganisms by destructive oxidation of
essential cellconstituents.
CONSTRUCTION:
The modern hot air ovens consist of a double walled chamber of
aluminium or stainless steel separated from the outer case by a thick
layer of insulation made of fiberglass.
Insulation is also filled in the hollow
flanged door, which carries an ed
asbestos jacket that provides a Troy or
tight seal.
Heating is affected by electrical
heating elements and thermostats
automatically control temp.
WORKING:
The sterilization temperature &holding time for sterilization in hot air
oven is 160°C for two hours is required for sterilization. 180°c for 30
minutes.
"3 hours at 140°C. "1 hour at 160°C. "30 minutes at 1800C.
ADVANTAGES:
Adry heat cabinet is easy to install and has relatively low operating costs.
It penetrates materials.
It Is nontoxic and does not harm the environment.
It is non-corossive for metal and sharp instruments.
Does not require water.
DISADVANTAGES:
Time consuming method because of slow rate of heat penetration and
microbial killing.
High temperatures are not suitable for materials like rubber, plastic, etc.
APPLICATION:
Used to sterilize the equipment's like glassware, forceps, scissors,
spatula, swabs, some pharmaceutical substances such as glycerin, fixed
oil, paraffin propylene.
Used in many industries for drying and baking and curing process.
Used tosterilize powders and other non volatile compounds.
2. MOIST HEAT:
r PRINCIPLE
Sterilization by moist heat means killing of microorganisms with hot
water or steam. The lethal effect of moist heat is due to the denaturation
and coagulation of proteins.
iº ADVANTAGES:
High heat content plus rapid heat transfer.
Destroys micro-organism more efficiently than dry heat.
It can be used for a large number of injections, Ophthalmic solutions,
irritants, dialysis luids etc.
It rapidly penetrates porous materials and is therefore very suitable for
sterilizing surgical dressings and materials.
The process is adaptable for plastic containers and some other special
dosage forms.
º DISADVANTAGES:
It is not suitable for anhydrous materials such as powders and oils.
It cannot be used for thermolabile substances.
INSPISSATION
By this method slow solidification of serum or egg is carried out at 80°c
to 85°C for one hour in an inspissator e.g. Lowestein-Jensen's medium,
Serum slopes etc.
This heating is used to solidify & not sterilize it.
However, if the process is repeated for days, some
degree of sterilization is achieved & is called
fractional sterilization.
rd
gauge and a safety valve that can be set to Heag
blow off at any desired pressure.
WORKING
OThe steam circulates within the jacket & is supplied under high
pressure to closed inner chamber where articles for sterilization are kept.
O One fifth of the cylinder is filled with water, materials to be sterilized are
kept inside, lid closed & heater is put on. Safety valve is adjusted to
required pressure.
O The boiling of water inside the chamber after sometime results in steam
which is allowed to escape with air mixture fill the cylinder becomes air
free.
OThe discharge tap is closed and the desired pressure inside in chamber
is allowed to rise to the one chosen for autoclaving for a fixed time Is
thus complete sterilization achieved.
Standard operating procedures for autoclaving is: 115 °C, half an hour. 121°C,
15 minutes.
S.NO TIME TEMPERATURE PRESSURE
in degree
Celsius
80 min 110 O Ibs
2 60 min 110 5 lbs
3 40 min 116 10 lbs
4 15 min 121 15 lbs
5 10min 126 20lbs
6 3 Min 130 25-30 bs
ADVANTAGES
Rapid and effective
Effective for sterilizingcloth surgical packs and towel packs. t
Less timne consuming.
Applicable for both thermoplastic and thermolabile
components.
> DISADVANTAGES
Items sensitive to heat cannot be sterilized
It tends to corrode carbon steel bum and instruments.
It is costly technique.
APPLICATIONS
It is used to sterilize anything, which is not injured by steam and high
temperature of sterilization. These includes, Agqueous parenteral
solutions e.g. distilled water, saline solutions
Aqueous liquid media e.g. liquid media with or without carbohydrate
and gelatin.
Surgical dressings and fabrics.
Plastic and rubber closures.
Metal instruments.
Non - ionizing radiations have less energy and do not disturb the
atomic configuration ofthe target molecule.
> lonizing radiations - have energy and ionizing the target molecules.
V PRINCIPLE
Breakage of DNA and degradation of enzymes lead to the
death of the irradiated cells.
/ ADVANTAGES
No degradation of media during sterilization, thus it can be used for
thermally labile media.
Leaves no chemical residue Administration of precise dosage and
uniform dosage distribution.
Immediate availability of the media after sterilization.
DISADVANTAGES
This method is a more costly alternative to heat
sterilization.
Not compatible with all materials and can cause breakdown of the
packaging material and/or product.
APPLICATIONS OF IONIZING RADIATION
Sterilization of medical products (e.g. insulin syringes)
Sterilization of blood products , pharmaceutical products.
Preservation of foodstuffs (spices etc)
Irradiation of cell cultures for research purposes.
2. Non- ionizing radiations
X-ray: gamma rays and cathode rays are highly lethal to DNA and other
vital cell constituents. since non-ionizing rays are of low energy and
have poor penetration power.
They are exposed on the substance to remove bacteria and
microorganism
ULTRAVIOLET RAYS
OMany cellular materials induding nucleic-acids absorb
ultravioletlight.
O It causes bonding of two adjacent pyrimidines i.e., the
formation of pyrimidine dimer.
O Resulting in the inhibition of DNA replication. This leads to
mutation and death of exposed organisms.
Ultraviolet radiation is used for disinfecting enclosed areas such as
bacterial laboratory, nurseries, inoculation hood, laminar flow, and
operation theatres.
Conventional UV light can penetrate and damage skin and also cause
cataracts.
LIQUID
Liquid sterilization destroy the microbes permanently.
ALCOHOL
Usually, 70% of alcohols are used as a chemical to kill bacteria. Methyl
alcohol, isopropyl alcohol, and ethyl alcohol are some important
chemicals used in this method.
HALOGENS
Chlorination can impact the bacteria directly. The blend of iodine
compounds and chlorine compounds can act as an antiseptic. Chlorine
compounds are hydrochloride, chlorine bleach and iodine compounds are
tincture, iodine, and iodophors.
ALDEHYDE
About 40% fornaldehyde solution is used as surface disinfection.
Formaldehyde and Glutaraldehyde are some of the best aldehydes used
in this process. Similarly, 50% phenol can be used.
HEAVY METALS
Heavy metals such as copper sulfate, mercuric salts, silver nitrate,
mercuric chloride are used in the sterilization method. Similarly, dyes
like aminacrine, acriflavine, acridine dyes are used to interact with
bacterial nucleic acids.
2. GASEQUS
Gaseous sterilization may be defined as the destruction of all living
microorganisms withachemical in a gaseous or Vapour state.
Although ethylene oxide is the most widely used gaseous sterilization
agent. other chemicals used are formaldehyde and Bpropiolactone.
In addition to these, various glycols, methyl bromide and alcohol have
been used for room sterilization.
> FORMALDEHYDDE
This gas is generated by heating a concentrated solution of
formaldehyde.
Formaldehyde in aqueous solution isknown as formalin and contains 37
to 40% formaldehyde.
Vaporization of formaldehyde, either from formalin or paraformaldehyde,
is used to sterilize an enclosed area.
> B-PROPIOLACTONE
It is capable of killing all microorganisms and is very active against
viruses.
It is highly bactericidal and used in concentrations of 2 to 5 mg/litre.
> ETHYLENE OXIDE
Action of ethylene oxide is due to its power of alkylating the amino,
carboxyl, hydroxyl and sulfhydryl groups in the enzymes and protein
molecule. It reacts with DNA and RNA.
3. The following types of filters have been used for sterilization of different
pharmaceuticals.
MEMBRANE FITERS
The membrane filters are made of cellulose
gloding g
material.
The membrane should be placed between needle and StalnlessM
syringe while sterilizing the substance. Rubber s
2. MEMBRANEFILTRATION
3. DIRECT INOCULATION FILTRATION
5. STERLITY INDICATOR
OINTRODUCTION
Sterility test is defined as Microbiological test applied to sterile product
to show are products manufactured and processed under specification
guided by cGMP Or to confirm the products either sterile or
nonsterile.
Membrane filtration
O First clean the membrane filter unit and sterilize the unit and
membrane filter separately by moist heat sterilization.
O Transfer the unit on lamínar air flow bench or aseptic area and place
the membrane filter in the unit.
O After filtration, the membrane is removed aseptically and cut into two
parts using sterile scissors.
Thermocouples:
An autoclave's temperature can be measured using thermocouples. A
particular autoclave temperature is deemed to be the appropriate
temperature for sterilization,
Brown Tubes:
Along with the articles, these tubes go into the autoclave. When the
temperature inside the autoclave reaches 121°, these tubes turn green,
which helps determine whether the articles are properly sterilized.
r Bacillus Stereo thermophilus Spores
These spores must be exposed to 121°C for 12 minutes in order tobe killed.
Within the envelope are placed paper strips containing 106 spores before
being placed in the autoclave. Inoculated with culture media, these strips are
autoclaved and then inoculated. It is determined if these spores are not
growing in the culture media it means sterilization has been properly
performed.
r Autoclave Tane
In the autoclave,the product changes color when heated to 121°C due to
lead carbonate. To check whether the sterilization process has the abílity
to kill bacteria (microorganisms), and then to ensure that all
microorganisms have been killed.
" This can be measured by the following three factors:
> Dvalue (decimal reduction timel:
The D value indicates the time in minutes it takes to destroy 90% of
viable microorganisms at a constant(defined) temperature. The less
the value ofD decreases (less).
Then the more efficient sterilization will be. This is because Dvalue is the
time required to destroy microorganisms. So less time (D value) results
in killing more bacteria, so sterilization becomes very efficient.
i Z value:
This represents the amount of temperature change required to
decrease one point in D- value.
Change in temperature is the Z- value
As the temperature rises, more bacteria are killed and the D- value
decreases and the Z- value increases.
As Z value is proportional to the D- value and a lower D value will
result ina more efficient sterilization.
F- yalue:
Eficacy of asterilization method is determined by the number of minutes
it takes to kill bacterial spores through heating. It is possible to
calculate the probability of survivors remaining from a load using the F
values follows;
3. Microwave
4. HEPA filter
1.AUTOCLAVE
> Principle
The higher pressure also ensures the rapid penetration of heat into the
deeper parts of equipment. The moisture present in the steam causes
coagulation of proteins of microbes causing irreversible loss of their
activity and functions
> Construction
The autoclave is made of following components
Pryore contrel
1. Vessel or pressure chamber
2. Lid or door
3. Pressure gauge
neM
4. Pressure releasing unit (whistle)
5. Safety valve
6. Electrical heater
Peertd
O The steam circulates within the jacket & is supplied under high
pressure to closed inner chamber where articles for sterilization are kept.
OThe boiling of water inside the chamber after sometime results in steam
which is allowed to escape with air mixture fill the cylinder becomes air
free.
OThe discharge tap is closed and the desired pressure inside in chamber
is allowed to rise to the one chosen for autoclaving for a âxed time ls
thus complete sterilization achieved.
Standard operating procedures for autoclaving is: 115 C, half an hour. 121
°C, 15 minutes.
S.NO TIME TEMPERATURE PRESSURE
in degree Celsius
Advantages
Rapid andeffective
Effective for sterilizing cloth surgical packs and towel packs.
" Less time consuming.
Applicable for both thermoplastic and thermolabile
components.
Disadvantages
"Items sensitive to heat cannot be sterilized
" It tends tocorrode carbon steel bum and instruments.
" It is costly technique.
>Applications
It is used to sterilize anything., which is not injured by steam and high
temperature of sterilization. These inchudes, Aqueous parenteral
solutions e.g. distilled water, saline solutions
Aqueous liquid media e.g. liquid media with or without carbohydrate
and gelatin.
" Surgical dressings and fabrics.
" Plastic and rubber closures.
" Metal instruments.
170°C 30 Min
2 160°C 60 Min
Dimeken
nd eCe
ADVANTAGES
" In addition to sterilizing thermolabile medications, such as blood
products, insulin, and enzymes, the method is also suitable for sterilizing
blood plasma.
During the preparation, all types of bacteria are removed including those
that are alive and those that are dead.
|OSTERLITY INDICATORS
It is essential that strict controls are carried out on products to be labeled
'sterile. Such controls must then ensure, the absence of viable
microorganisms from these products.
There are basically two types of controls:
1. Controls on the process of sterilization i.e. sterilization monitors or
sterilization indicators.