Covington Mischa L, Voma Chesinta, Stowell Sean R
Department of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
QualTex Laboratories, Norcross, Georgia, USA.
J Clin Apher. 2023 Oct;38(5):644-646. doi: 10.1002/jca.22083. Epub 2023 Aug 22.
While the COVID-19 pandemic has impacted many aspects of healthcare, including routine blood donations, the impact of COVID-19 on the donation of source plasma critical to many aspects of patient care, including apheresis procedures, has been more difficult to define. As production of plasma-derived medicinal products (PDMPs) can take up to a year, shortages in source plasma donations may not be immediately appreciated. Given current shortages in PDMPs, in particular albumin, we examined the impact of COVID-19 on source plasma donations. Our data demonstrate that source plasma donations were disproportionately impacted by COVID-19 and that these shortages remained until the latter half of 2022. Given the time delay in PDMP manufacturing, these results suggest that while source plasma donation levels are returning to pre-pandemic levels, shortages in PDMPs may not be quickly overcome. These results also highlight the unique vulnerabilities in plasma sourcing that may continue to manifest as PDMP shortages for years to come.
虽然新冠疫情对医疗保健的许多方面都产生了影响,包括常规献血,但新冠疫情对对于包括单采程序在内的患者护理诸多方面至关重要的原料血浆捐献的影响,却更难界定。由于血浆衍生药品(PDMP)的生产可能需要长达一年的时间,原料血浆捐献的短缺可能不会立即显现出来。鉴于目前PDMP短缺,尤其是白蛋白短缺,我们研究了新冠疫情对原料血浆捐献的影响。我们的数据表明,原料血浆捐献受到新冠疫情的影响尤为严重,且这些短缺情况一直持续到2022年下半年。鉴于PDMP生产存在时间延迟,这些结果表明,虽然原料血浆捐献水平正在恢复到疫情前的水平,但PDMP短缺问题可能无法迅速得到解决。这些结果还凸显了血浆采集方面存在的独特脆弱性,这种脆弱性在未来几年可能会继续表现为PDMP短缺。