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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Transfusionarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Transfusion
Article . 2017 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
Transfusion
Article . 2017
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Improved yield of minimal proportional sample volume platelet bacterial culture

Authors: Hany, Kamel; Mary, Townsend; Marjorie, Bravo; Ralph R, Vassallo;

Improved yield of minimal proportional sample volume platelet bacterial culture

Abstract

BACKGROUNDReports of septic transfusion reactions (STRs) after transfusion of culture‐negative platelets (PLTs) justify more effective prevention strategies. Pathogen reduction technologies or performance of additional point‐of‐issue testing are proposed strategies to enhance safety through Day 5 of storage.STUDY DESIGN AND METHODSTrima leukoreduced apheresis PLTs (APs) were collected during two study periods (45 and 31 months) using standard procedures, with target settings adjusted during the second period to maintain split rate after increased culture volume. Primary testing for bacterial contamination was performed using BacT/ALERT 3D with sampling from the mother bag 24 to 36 hours after collection. Two culture approaches were compared: in Period A, an 8‐mL sample in one aerobic culture bottle (CB), and in Period B a minimal proportional sample volume (PSV) of at least 3.8% of mother bag volume into one to three aerobic CBs (7‐10 mL per bottle).RESULTSIn Periods A and B, 188,389 and 159,098 AP collections were tested, respectively. The true‐positive (TP) rate in Period A was 0.90 per 10,000 collections and in Period B was 1.83 per 10,000 (p < 0.05). In Period B, 12 of 29 (41%) TP results had discrepant CB results (DCBRs; at least one of multiple bottles without growth). The false‐positive rate in Period B, 15.05 per 10,000 collections, was significantly higher than that of Period A, 3.66 per 10,000. One contaminated collection resulting in STR(s) was reported in each study period. Implementation of PSV was operationally successful and did not impact the AP split rate.CONCLUSIONProportional sample volume improved the sensitivity of primary testing and identified collections that could have escaped detection had only a single bottle with 8‐ to 10‐mL volume been used. PSV may represent another approach to enhanced PLT safety for 5‐day storage without a requirement for secondary testing.

Keywords

Blood Platelets, Quality Control, Bacteriological Techniques, Blood Culture, Sepsis, Humans, Transfusion Reaction

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Top 10%
Top 10%
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