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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Störmer, M; Arroyo, A; Brachert, J; Carrero, H; Devine, D; Epstein, JS; Gabriel, C; Gelber, C; Goodrich, R; Hanschmann, KM; Heath, DG; Jacobs, MR; Keil, S; de Korte, D; Lambrecht, B; Lee, CK; Marcelis, J; Marschner, S; McDonald, C; McGuane, S; McKee, M; Müller, TH; Muthivhi, T; Pettersson, A; Radziwon, P; Ramirez-Arcos, S; Reesink, HW; Rojo, J; Rood, I; Schmidt, M; Schneider, CK; Seifried, E; Sicker, U; Wendel, S; Wood, EM; Yomtovian, RA; Montag, T.
Establishment of the first international repository for transfusion-relevant bacteria reference strains: ISBT working party transfusion-transmitted infectious diseases (WP-TTID), subgroup on bacteria.
Vox Sang. 2012; 102(1): 22-31. Doi: 10.1111/j.1423-0410.2011.01510.x
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Co-Autor*innen der Med Uni Graz
GABRIEL Christian
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Abstract:
Bacterial contamination of platelet concentrates (PCs) still remains a significant problem in transfusion with potential important clinical consequences, including death. The International Society of Blood Transfusion Working Party on Transfusion-Transmitted Infectious Diseases, Subgroup on Bacteria, organised an international study on Transfusion-Relevant Bacteria References to be used as a tool for development, validation and comparison of both bacterial screening and pathogen reduction methods. Four Bacteria References (Staphylococcus epidermidis PEI-B-06, Streptococcus pyogenes PEI-B-20, Klebsiella pneumoniae PEI-B-08 and Escherichia coli PEI-B-19) were selected regarding their ability to proliferate to high counts in PCs and distributed anonymised to 14 laboratories in 10 countries for identification, enumeration and bacterial proliferation in PCs after low spiking (0·3 and 0·03 CFU/ml), to simulate contamination occurring during blood donation. Bacteria References were correctly identified in 98% of all 52 identifications. S. pyogenes and E. coli grew in PCs in 11 out of 12 laboratories, and K. pneumoniae and S. epidermidis replicated in all participating laboratories. The results of bacterial counts were very consistent between laboratories: the 95% confidence intervals were for S. epidermidis: 1·19-1·32 × 10(7) CFU/ml, S. pyogenes: 0·58-0·69 × 10(7) CFU/ml, K. pneumoniae: 18·71-20·26 × 10(7) CFU/ml and E. coli: 1·78-2·10 × 10(7) CFU/ml. The study was undertaken as a proof of principle with the aim to demonstrate (i) the quality, stability and suitability of the bacterial strains for low-titre spiking of blood components, (ii) the property of donor-independent proliferation in PCs, and (iii) their suitability for worldwide shipping of deep frozen, blinded pathogenic bacteria. These aims were successfully fulfilled. The WHO Expert Committee Biological Standardisation has approved the adoption of these four bacteria strains as the first Repository for Transfusion-Relevant Bacteria Reference Strains and, additionally, endorsed as a project the addition of six further bacteria strain preparations suitable for control of platelet contamination as the next step of enlargement of the repository. © 2011 The Author(s). Vox Sanguinis © 2011 International Society of Blood Transfusion.
Find related publications in this database (using NLM MeSH Indexing)
Bacterial Infections - prevention & control
Bacterial Typing Techniques - methods
Bacteriological Techniques -
Biological Specimen Banks -
Blood Component Transfusion - methods
Blood Platelets - cytology Blood Platelets - microbiology
Blood Transfusion -
Escherichia coli - metabolism
Humans -
International Cooperation -
Klebsiella pneumoniae - metabolism
Quality Assurance, Health Care - methods
Reproducibility of Results -
Staphylococcus epidermidis - metabolism
Streptococcus pyogenes - metabolism

Find related publications in this database (Keywords)
bacteria reference strains
bacterial contamination
international reference material
pathogen reduction
platelet screening
repository
validation
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