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血小板病原体灭活技术——我们该留下还是离开……?

Platelet Pathogen Reduction Technology-Should We Stay or Should We Go…?

作者信息

Piccin Andrea, Allameddine Allameddine, Spizzo Gilbert, Lappin Katrina M, Prati Daniele

机构信息

Northern Ireland Blood Transfusion Service (NIBTS), Belfast BT9 7TS, UK.

Department of Internal Medicine V, Medical University of Innsbruck, 6020 Innsbruck, Austria.

出版信息

J Clin Med. 2024 Sep 10;13(18):5359. doi: 10.3390/jcm13185359.

DOI:10.3390/jcm13185359
PMID:39336845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11432127/
Abstract

The recent COVID-19 pandemic has significantly challenged blood transfusion services (BTS) for providing blood products and for keeping blood supplies available. The possibility that a similar pandemic event may occur again has induced researchers and transfusionists to investigate the adoption of new tools to prevent and reduce these risks. Similarly, increased donor travelling and globalization, with consequent donor deferral and donor pool reduction, have contributed to raising awareness on this topic. Although recent studies have validated the use of pathogen reduction technology (PRT) for the control of transfusion-transmitted infections (TTI) this method is not a standard of care despite increasing adoption. We present a critical commentary on the role of PRT for platelets and on associated problems for blood transfusion services (BTS). The balance of the cost effectiveness of adopting PRT is also discussed.

摘要

近期的新冠疫情给输血服务(BTS)在提供血液制品和维持血液供应方面带来了巨大挑战。类似的大流行事件可能再次发生的可能性促使研究人员和输血工作者去研究采用新工具来预防和降低这些风险。同样,捐赠者出行增加和全球化导致捐赠者延期献血以及献血者群体减少,也促使人们对这一话题的关注度不断提高。尽管近期的研究已经证实了使用病原体灭活技术(PRT)来控制输血传播感染(TTI),但尽管其应用日益广泛,该方法仍未成为标准治疗手段。我们对PRT在血小板方面的作用以及输血服务(BTS)相关问题进行了批判性评论。同时也讨论了采用PRT的成本效益平衡问题。

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West Nile and Usutu viruses are efficiently inactivated in platelet concentrates by UVC light using the THERAFLEX UV-Platelets system.西尼罗河病毒和乌苏图病毒可通过 THERAFLEX UV-Platelets 系统使用 UVC 光在血小板浓缩物中有效灭活。
Vox Sang. 2024 Aug;119(8):827-833. doi: 10.1111/vox.13648. Epub 2024 May 3.
2
Analyzing and modeling massive transfusion strategies and the role of fibrinogen-How much is the patient actually receiving?分析和建模大量输血策略及纤维蛋白原的作用——患者实际接受了多少?
Transfusion. 2024 May;64 Suppl 2:S136-S145. doi: 10.1111/trf.17774. Epub 2024 Mar 3.
3
Results of clinical effectiveness of conventional versus Mirasol-treated Apheresis Platelets in Patients with Hypoproliferative Thrombocytopenia (MiPLATE) trial.
传统治疗与Mirasol处理的单采血小板治疗低增生性血小板减少症患者的临床疗效结果(MiPLATE)试验
Transfusion. 2024 Mar;64(3):457-465. doi: 10.1111/trf.17720. Epub 2024 Feb 5.
4
Transfusion-transmission of hepatitis E virus through red blood cell transfusion but not through platelet concentrates: A case report from Spain.经输血传播的戊型肝炎病毒:来自西班牙的一例报告
Transfusion. 2023 Sep;63(9):1767-1772. doi: 10.1111/trf.17498. Epub 2023 Aug 18.
5
The Evolution of the Safety of Plasma Products from Pathogen Transmission-A Continuing Narrative.血浆制品病原体传播安全性的演变——持续的叙述
Pathogens. 2023 Feb 15;12(2):318. doi: 10.3390/pathogens12020318.
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Pathogen inactivation methods to prevent transfusion-transmissible arboviruses: A systematic review and meta-analysis.预防输血传播虫媒病毒的病原体灭活方法:系统评价与荟萃分析。
Trop Med Int Health. 2023 Apr;28(4):262-274. doi: 10.1111/tmi.13863. Epub 2023 Mar 14.
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Longitudinal analysis of annual national hemovigilance data to assess pathogen reduced platelet transfusion trends during conversion to routine universal clinical use and 7-day storage.对年度全国血液监测数据进行纵向分析,以评估在转换为常规普遍临床使用及7天储存期间病原体灭活血小板输注的趋势。
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Efficacy and Safety of Pathogen-Reduced Platelets Compared with Standard Apheresis Platelets: A Systematic Review of RCTs.与标准单采血小板相比,去病原体血小板的疗效和安全性:随机对照试验的系统评价
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The Mirasol Evaluation of Reduction in Infections Trial (MERIT): study protocol for a randomized controlled clinical trial.Mirasol 降低感染评估试验(MERIT):一项随机对照临床试验的研究方案。
Trials. 2022 Apr 4;23(1):257. doi: 10.1186/s13063-022-06137-8.