BACKGROUND: Transfusion-associated bacterial sepsis is a significant risk of morbidity and mortality related to platelet (PLT) transfusions. Previously the rate of septic PLT transfusion reactions (SPTRs) to single-donor PLTs (SDPs) in our hospital was determined to be 1 in 15,098 (6.6 per 100,000; 95% confidence interval [CI], 0.17-36.9 per 100,000) transfusions. The goal of this study was to determine if bacterial testing of SDPs reduced the rate of SPTRs in our hospital. STUDY DESIGN AND METHODS: An automated microbial detection system was implemented by our blood supplier in February 2004. A retrospective examination of the number of SPTRs that have occurred to SDPs at our hospital since that time was performed, using the same criteria used before bacterial screening. Transfusions over a 3.5-year period were examined. Clinical and laboratory data were gathered and correlated from transfusion reaction files and three independent computer systems. RESULTS: From March 1, 2004, through August 31, 2007, there were 49,625 transfusions of SDPs with 1096 transfusion reactions reported. Only one reaction detected the same organism in two of three sites, meeting our criteria for a SPTR. The rate of SPTRs in SDPs was identified as 1 in 49,625 (2.0 per 100,000; 95% CI, 0.05-11.2 per 100,000). This represents a 69.7% reduction in the incidence of SPTRs (p = 0.41). CONCLUSION: With the implementation of bacterial testing, a decrease in the rate of SPTRs to SDPs from 6.6 per 100,000 to 2.0 per 100,000 transfusions was observed. Although not significant, these findings suggest a trend.
BACKGROUND: Transfusion-associated bacterial sepsis is a significant risk of morbidity and mortality related to platelet (PLT) transfusions. Previously the rate of septic PLT transfusion reactions (SPTRs) to single-donor PLTs (SDPs) in our hospital was determined to be 1 in 15,098 (6.6 per 100,000; 95% confidence interval [CI], 0.17-36.9 per 100,000) transfusions. The goal of this study was to determine if bacterial testing of SDPs reduced the rate of SPTRs in our hospital. STUDY DESIGN AND METHODS: An automated microbial detection system was implemented by our blood supplier in February 2004. A retrospective examination of the number of SPTRs that have occurred to SDPs at our hospital since that time was performed, using the same criteria used before bacterial screening. Transfusions over a 3.5-year period were examined. Clinical and laboratory data were gathered and correlated from transfusion reaction files and three independent computer systems. RESULTS: From March 1, 2004, through August 31, 2007, there were 49,625 transfusions of SDPs with 1096 transfusion reactions reported. Only one reaction detected the same organism in two of three sites, meeting our criteria for a SPTR. The rate of SPTRs in SDPs was identified as 1 in 49,625 (2.0 per 100,000; 95% CI, 0.05-11.2 per 100,000). This represents a 69.7% reduction in the incidence of SPTRs (p = 0.41). CONCLUSION: With the implementation of bacterial testing, a decrease in the rate of SPTRs to SDPs from 6.6 per 100,000 to 2.0 per 100,000 transfusions was observed. Although not significant, these findings suggest a trend.
Authors: Christopher D Hillyer; Cassandra D Josephson; Morris A Blajchman; Jaroslav G Vostal; Jay S Epstein; Jesse L Goodman Journal: Hematology Am Soc Hematol Educ Program Date: 2003
Authors: Chyang T Fang; Linda A Chambers; Jean Kennedy; Annie Strupp; Mei-Chien H Fucci; Jo Ann Janas; Yanlin Tang; Cheryl A Hapip; Teri B Lawrence; Roger Y Dodd Journal: Transfusion Date: 2005-12 Impact factor: 3.157
Authors: Steven H Kleinman; Hany T Kamel; Dennis R Harpool; Sandra K Vanderpool; Brian Custer; Thomas B Wiltbank; Kim-Anh Nguyen; Peter A Tomasulo Journal: Transfusion Date: 2006-10 Impact factor: 3.157
Authors: Anne F Eder; Jean M Kennedy; Beth A Dy; Edward P Notari; John W Weiss; Chyang T Fang; Stephen Wagner; Roger Y Dodd; Richard J Benjamin Journal: Transfusion Date: 2007-07 Impact factor: 3.157
Authors: M J Kuehnert; V R Roth; N R Haley; K R Gregory; K V Elder; G B Schreiber; M J Arduino; S C Holt; L A Carson; S N Banerjee; W R Jarvis Journal: Transfusion Date: 2001-12 Impact factor: 3.157
Authors: Matthew Kelly; Margaret Conway; Kathleen Wirth; Gail Potter-Bynoe; Amy L Billett; Thomas J Sandora Journal: Infect Control Hosp Epidemiol Date: 2011-09-20 Impact factor: 3.254
Authors: Emily Crawford; Jack Kamm; Steve Miller; Lucy M Li; Saharai Caldera; Amy Lyden; Deborah Yokoe; Amy Nichols; Nam K Tran; Sarah E Barnard; Peter M Conner; Ashok Nambiar; Matt S Zinter; Morvarid Moayeri; Paula Hayakawa Serpa; Brian C Prince; Jenai Quan; Rene Sit; Michelle Tan; Maira Phelps; Joseph L Derisi; Cristina M Tato; Charles Langelier Journal: Clin Infect Dis Date: 2020-08-22 Impact factor: 9.079