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How to Handle Sterility Test Failure: Investigation, Root Cause Analysis, Impact Assessment and Corrective and Preventive actions

Sterility testing is one of the most critical quality control procedures in pharmaceutical manufacturing. It ensures that sterile products such as injectables, ophthalmic preparations, and parenteral solutions are free from viable microorganisms. Despite strict aseptic controls, sterility test failures can occasionally occur. However, every positive sterility result must be treated as a serious quality event and investigated systematically. This article provides a complete guide on how to manage a sterility test failure — including investigation approach, root cause analysis (RCA), impact assessment, Corrective and Preventive Actions (CAPA), and field alert requirements — as per GMP and regulatory expectations. ⚠️ What Is Sterility Test Failure? A sterility test failure occurs when microbial growth is observed in either the Fluid Thioglycollate Medium (FTM) or Soybean Casein Digest Medium (SCDM) after the 14-day incubation period. The appearance of turbidity, pellicle, or s...

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