Document Detail


Defining "adequate" pathogen reduction performance for transfused blood components.
MedLine Citation:
PMID:  20374558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pathogen reduction of labile blood products offers the opportunity to introduce to the blood banking community the same mechanism of protection that is employed for fractionated or pooled plasma products today--blood components that have been treated with methods to inactivate or reduce the infectivity of a variety of organisms that may contaminate donated blood and thus potentially transmit infection via transfusion. Due to the mechanisms of action, the methods employed in the plasma fractionation environment are not directly applicable to labile blood products. This article examines whether the same criteria of performance required for plasma derivatives (i.e., 6 log/mL reduction by multiple orthogonal methods) should be applied to the treatment of labile components and if not what criteria for performance might be sufficient. In conducting this analysis, we have considered what has been learned in the past several decades regarding the dynamics and infectivity of various pathogens and disease transmission by blood products, the introduction and progressive enhancement of testing methods based on serology and nucleic acid testing, and the performance characteristics for pathogen reduction technologies that are available today.
Authors:
Raymond P Goodrich; Brian Custer; Shawn Keil; Michael Busch
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transfusion     Volume:  50     ISSN:  1537-2995     ISO Abbreviation:  Transfusion     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-10-07     Completed Date:  2010-10-22     Revised Date:  2011-03-14    
Medline Journal Info:
Nlm Unique ID:  0417360     Medline TA:  Transfusion     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1827-37     Citation Subset:  IM    
Affiliation:
CaridianBCT Biotechnologies, LLC, Lakewood, Colorado 80215, USA. ray.goodrich@caridianbct.com
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MeSH Terms
Descriptor/Qualifier:
Bacteremia / microbiology
Blood Component Transfusion / adverse effects,  methods*
Blood-Borne Pathogens / isolation & purification*
Humans
Parasitemia / parasitology
Viremia / virology
Virus Replication
Comments/Corrections
Comment In:
Transfusion. 2010 Aug;50(8):1636-9   [PMID:  20883251 ]
Transfusion. 2011 Feb;51(2):446-7; author reply 447-8   [PMID:  21309785 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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