Document Detail

Quantitative microbiologic study of blood salvaged by intraoperative membrane filtration.
MedLine Citation:
PMID:  11520273     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the sterility of blood salvaged intraoperatively by a new membrane filtration system for transfusion. DESIGN: Quantitative microbiologic cultures were prospectively collected from units of blood acquired by intraoperative membrane filtration from 18 patients undergoing elective spinal surgery. Medical records were reviewed for adverse events. SETTING: A 204-bed, medical school-affiliated community hospital. RESULTS: Quantitative blood cultures were sterile in 12 of 31 units of recovered blood. Of the 19 positive units, 17 units grew only 1 colony-forming unit (CFU)/mL, 1 unit grew 2 CFU/mL, and 1 unit grew 5 CFU/mL. The only organisms isolated were diphtheroids, coagulase-negative staphylococci, and micrococci. No patient experienced postoperative sepsis. CONCLUSIONS: Blood recovered by intraoperative membrane filtration is microbiologically equivalent to blood salvaged by continuous flow. Because no perfusionist and no expensive capital equipment are required, the technique is amenable to small and medium-sized hospitals that otherwise might financially be unable to provide intraoperative blood salvage.
J S Nosanchuk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  125     ISSN:  0003-9985     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-24     Completed Date:  2001-10-11     Revised Date:  2006-04-17    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1204-6     Citation Subset:  AIM; IM    
Department of Pathology and Laboratory Medicine, Cayuga Medical Center at Ithaca, Ithaca, NY 14850, USA.
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MeSH Terms
Aged, 80 and over
Bacteria / isolation & purification*
Blood / microbiology*
Blood Loss, Surgical*
Blood Transfusion, Autologous / instrumentation*,  methods*
Filtration / instrumentation,  methods
Hospital Bed Capacity, 100 to 299
Hospitals, Community
Membranes, Artificial
Middle Aged
New York
Spine / surgery
Reg. No./Substance:
0/Membranes, Artificial

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