Palavecino Elizabeth L, Yomtovian Roslyn A, Jacobs Michael R
Department of Pathology, Wake Forest University Medical School, Winston-Salem, NC, USA.
Transfus Apher Sci. 2010 Feb;42(1):71-82. doi: 10.1016/j.transci.2009.10.009. Epub 2009 Nov 24.
Bacterial contamination of platelet products, both single donor apheresis platelet units and whole blood-derived platelet pools, continues to occur despite preventive measures. While some advances have been made in decreasing the rate of bacterial contamination of platelet units, particularly through diversion methods and early culture, a great deal remains to be done to eliminate the problem. Diversion methods have decreased contamination rates associated with skin commensal organisms. Culture methods are now widely used and many at-issue detection methods have been developed or are undergoing development. This article reviews the current developments and the challenges that remain to minimize and detect bacterial contamination of platelet products.
尽管采取了预防措施,但单采血小板单位和全血来源血小板池等血小板制品的细菌污染仍时有发生。虽然在降低血小板单位细菌污染率方面取得了一些进展,特别是通过去除初段血液法和早期培养,但要消除这一问题仍有大量工作要做。去除初段血液法降低了与皮肤共生菌相关的污染率。培养方法现已广泛应用,并且已经开发出许多有争议的检测方法或正在研发中。本文综述了当前为尽量减少和检测血小板制品细菌污染所取得的进展以及仍然存在的挑战。