Anteroom with cleanroom entry doors and pass-through chamber by Allied Cleanrooms.

Within pharmaceutical manufacturing, compounding, and other drug-handling spaces, buffer rooms and anterooms are often used to keep medications safe. You’ll find them in multi-room cleanroom suites, but especially in pharmacies, hospitals, and drug manufacturing more generally. But they are not used in every cleanroom, and you certainly won’t find them in cleanrooms for electronics, automotives, or semiconductors. In this article, we’ll define what a buffer room is, what an anteroom is, and cover some of the main differences between the two.

What Is a Buffer Room?

Interior of buffer room with pass-through chamber by Allied Cleanrooms.

A buffer room is a cleanroom that surrounds an even more sterile space. It acts as a “buffer” in that it functions as a layer of protection over the main working area. The room is typically ISO 7, and usually has a primary engineering control (PEC), such as a laminar airflow hood or biosafety cabinet, which is where the sterile work happens. It will either use positive pressure (to protect the products) or negative pressure (to contain hazardous materials), depending on the work being done.

A buffer room is never used as a gowning room or for storage, and no activity is permitted unless it will directly support the work done inside the PECs.

What Is an Anteroom?

An anteroom, on the other hand, acts as a transition zone. From “ante,” meaning before, it comes prior to the buffer room and PECs. Similar to a buffer room, it protects a sterile environment by having a level of cleanliness, typically ISO 8, though less so than a buffer room. Before entering a buffer room, workers often use the anteroom to wash their hands, put gowns on, and perform any safety protocols. In short, an anteroom acts in concert with the buffer room and PECs to progressively filter the flow of personnel and materials in such a way that lowers the overall risk of contamination.

If the cleanroom is being used for hazardous drug compounding, then the anteroom will have positive pressure relative to the buffer room, which of course is kept under negative pressure.

Buffer Room vs Anteroom: What Are the Main Differences?

Buffer RoomsAnterooms
Where aseptic work happensUsed for gowning and prep before entering buffer room
ISO Class 7ISO Class 8
Staff handle drugs and materialsStaff wash hands, put on gowns, and prepare materials
No entry or exit without full sterile protocolEntry point into the cleanroom suite
Positive pressure for non-hazardous drugs; negative for hazardous onesPositive pressure to protect nearby areas
Designed to house PECs, such as LAFWs or BSCsDesigned to separate clean and dirty spaces
Directly governed by USP <797> and <800> for sterile operationsRequired as support space under USP <797> and <800>

The Bottom Line

Modular cleanroom interior by Allied Cleanrooms with pass-through chamber and wall windows.

In short, the buffer room is where the sterile work itself happens. The anteroom is the space prior, where people get ready to enter the rest of the space. Both are required for cleanrooms that involve sterile drug handling. And if you’re managing a facility that deals with sterile medicines or other aseptic products, you’ll likely need them both.

Can a cleanroom have more than one buffer room?
Yes, it certainly can. If your cleanroom suite is unusually large, you may need more than one buffer room, especially if you have different types of sterile work. For example, you may have one space for hazardous drugs and another for non-hazardous ones, and in this case you will want separate buffer rooms, as they will need to have a few different features.
Is an anteroom always required by USP <797>?
No, not always. For example, when CSPs (compounded sterile preparations) are prepared for immediate use or in a segregated compounding area (SCA) for Category 1 CSPs, then an anteroom is not required.
Can materials move directly from outside into the buffer room?
No, absolutely not. Materials have to pass first through the anteroom, and often through a pass-through chamber. Keep in mind that spaces become progressively cleaner in each type of room, and that this is done to reduce contamination risks as much as possible.
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