Re: Adult peripheral blood

From: Ierachmiel Daskal <DASKALI@einstein.edu>
Date: Thu Feb 05 2004 - 16:05:24 EST
I  ( we the Blood banking Community) need your help:

The American Association of Blood Banking and the FDA will try and
implement by 03/01/04  a set of new regulations concerning the
determination whether  bags of random human platelets are contaminated
with bacteria.	Every hospital	in the US will be required to assay
every unit of platelets prior to transfusion  to determine if there is a
bacterial contamination present.

This is an enormous task  since to date, there is no reliable
methodology  ( pH dip sticks, glucose levels, Gram stain...)  to
determine the bacterial contaminations in the sterile bags received from
te Red Cross. The method must be a rapid one since the overall shelf
life of platelets is 5 days only and hence the units cannot be
quarantined for long time prior to release to patients.

The question to the Flow Community is whether some flow technology  can
be applied to determine if such contamination is present in a specimen
obtained in a sterile manner form the unit to be transfused to
patients..
For example are there any "pan-bacterial wall" antibodies available that
one use  , to check a sample from a bag of platelets to determine the
extent of contamination if any. The major contaminants that we will be
dealing will be skin flora ( ie Staph. epi. from the donor's skin and
Gram negative rods).

 I hope that someone may have some constructive ideas for us Blood
Bankers.

Thanks.

Ierachmiel Daskal M.D. PhD. FCAP, FASCP
Chairman
Department of Pathology and Laboratory Medicine
(215) 456-6126
Pager: 2-3559
daskali@einstein.edu


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Received on Mon Feb 9 15:58:00 2004

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