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血小板输注继发的细菌性败血症:室温下延长储存的一种不良反应。

Bacterial sepsis secondary to platelet transfusion: an adverse effect of extended storage at room temperature.

作者信息

Braine H G, Kickler T S, Charache P, Ness P M, Davis J, Reichart C, Fuller A K

出版信息

Transfusion. 1986 Jul-Aug;26(4):391-3. doi: 10.1046/j.1537-2995.1986.26486262752.x.

DOI:10.1046/j.1537-2995.1986.26486262752.x
PMID:3727014
Abstract

In a 3-month period four episodes of bacterial sepsis related to contaminated random donor platelet concentrates were observed. Evaluation incriminated extended (5 or more days) platelet storage. To determine if platelets stored for longer periods were likely to have greater bacterial contamination, platelet concentrates were inoculated with bacteria and daily quantitative bacteriology was performed. In vitro studies using polyolefin bags indicated contamination could occur with a single organism of Staphylococcus epidermidis. By 72 hours, platelet concentrates contained from 10(3) to 10(8) organisms per 0.1 ml depending on the inoculum size. By 6 days all inoculated units contained 10(7) to 10(9) organisms per 0.1 ml.

摘要

在3个月的时间里,观察到4起与受污染的随机供者血小板浓缩物相关的细菌性败血症事件。评估认为是延长(5天或更长时间)的血小板储存所致。为了确定储存时间较长的血小板是否更有可能受到细菌污染,将细菌接种到血小板浓缩物中,并进行每日定量细菌学检测。使用聚烯烃袋进行的体外研究表明,表皮葡萄球菌单一菌种即可造成污染。到72小时时,根据接种量的大小,每0.1毫升血小板浓缩物中含有10³至10⁸个细菌。到第6天时,所有接种的单位每0.1毫升含有10⁷至10⁹个细菌。

相似文献

1
Bacterial sepsis secondary to platelet transfusion: an adverse effect of extended storage at room temperature.血小板输注继发的细菌性败血症:室温下延长储存的一种不良反应。
Transfusion. 1986 Jul-Aug;26(4):391-3. doi: 10.1046/j.1537-2995.1986.26486262752.x.
2
[Bacterial contamination on platelet concentrates: identification, antimicrobial susceptibility profile and transfusion-related sepsis].[血小板浓缩物中的细菌污染:鉴定、抗菌药物敏感性分析及输血相关败血症]
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Effect of platelet additive solution on bacterial dynamics and their influence on platelet quality in stored platelet concentrates.血小板添加剂溶液对储存血小板浓缩物中细菌动力学及其对血小板质量影响。
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Transfusion-related sepsis after prolonged platelet storage.长期血小板储存后的输血相关性败血症。
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Fatal sepsis associated with a storage container leak permitting platelet contamination with environmental bacteria after pathogen reduction.致命性脓毒症与储存容器泄漏相关,在病原体减少处理后,血小板污染了环境细菌。
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Septic reactions to platelet transfusions. A persistent problem.血小板输注的败血症反应。一个长期存在的问题。
JAMA. 1991;266(4):555-8.

引用本文的文献

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Assessment of Time-Dependent Platelet Activation Using Extracellular Vesicles, CD62P Exposure, and Soluble Glycoprotein V Content of Platelet Concentrates with Two Different Platelet Additive Solutions.使用细胞外囊泡、CD62P 暴露以及含有两种不同血小板添加剂溶液的血小板浓缩物的可溶性糖蛋白 V 含量评估时间依赖性血小板活化。
Transfus Med Hemother. 2019 Aug;46(4):267-275. doi: 10.1159/000499958. Epub 2019 May 7.
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Financial impact of alternative approaches to reduce bacterial contamination of platelet transfusions.减少血小板输注中细菌污染的替代方法的财务影响。
Transfusion. 2019 Apr;59(4):1291-1299. doi: 10.1111/trf.15139. Epub 2019 Jan 8.
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Atypical Bacterial Growth within Units of Platelets Challenges Transfusion Medicine Dogma.
血小板单位内的非典型细菌生长对输血医学教条提出挑战。
J Clin Microbiol. 2018 Nov 27;56(12). doi: 10.1128/JCM.01363-18. Print 2018 Dec.
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Bordetella holmesii Contamination of Platelet Concentrates: Revisiting the Definition of a Positive Culture.伯克霍尔德菌污染血小板浓缩物:重新定义阳性培养。
J Clin Microbiol. 2018 Nov 27;56(12). doi: 10.1128/JCM.01105-18. Print 2018 Dec.
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Platelet audit: Assessment and utilization of this precious resource from a tertiary care hospital.血小板审计:来自一家三级护理医院的这种珍贵资源的评估与利用
Asian J Transfus Sci. 2007 Jan;1(1):8-11. doi: 10.4103/0973-6247.28066.
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