Prevention of Yersinia enterocolitica growth in red-blood-cell concentrates

In response to concern about Yersinia enterocolitica contamination of blood products, we have studied the effects on Y enterocolitica growth of holding whole blood at 22°C for 20 h and then removing leucocytes. Thirty pools of three bags of blood were inoculated with Y enterocolitica (2 x 10 1 -3 ×...

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Veröffentlicht in:The Lancet (British edition) 1992-09, Vol.340 (8822), p.755-756
Hauptverfasser: Pietersz, R.N.I., Reesink, H.W., Dekker, W.J.A., Pauw, W., Buisman, L.
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container_issue 8822
container_start_page 755
container_title The Lancet (British edition)
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creator Pietersz, R.N.I.
Reesink, H.W.
Dekker, W.J.A.
Pauw, W.
Buisman, L.
description In response to concern about Yersinia enterocolitica contamination of blood products, we have studied the effects on Y enterocolitica growth of holding whole blood at 22°C for 20 h and then removing leucocytes. Thirty pools of three bags of blood were inoculated with Y enterocolitica (2 x 10 1 -3 × 10 4 colony-forming units/ml). One bag in each pool was processed to red-blood-cell concentrate after 6 h at 4°C (RBC); the other two were held at 22°C for 20 h before processing to buffy-coat-depleted RBC (BCd-RBC). One of these bags was then depleted of leucocytes by filtration (Ld-RBC). All bags were stored at 4°C for 5 weeks. RBC bags showed Y enterocolitica growth after the shortest storage times, followed by BCd-RBC then Ld-RBC (p
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Thirty pools of three bags of blood were inoculated with Y enterocolitica (2 x 10 1 -3 × 10 4 colony-forming units/ml). One bag in each pool was processed to red-blood-cell concentrate after 6 h at 4°C (RBC); the other two were held at 22°C for 20 h before processing to buffy-coat-depleted RBC (BCd-RBC). One of these bags was then depleted of leucocytes by filtration (Ld-RBC). All bags were stored at 4°C for 5 weeks. RBC bags showed Y enterocolitica growth after the shortest storage times, followed by BCd-RBC then Ld-RBC (p&lt;0·030-0·01). 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Thirty pools of three bags of blood were inoculated with Y enterocolitica (2 x 10 1 -3 × 10 4 colony-forming units/ml). One bag in each pool was processed to red-blood-cell concentrate after 6 h at 4°C (RBC); the other two were held at 22°C for 20 h before processing to buffy-coat-depleted RBC (BCd-RBC). One of these bags was then depleted of leucocytes by filtration (Ld-RBC). All bags were stored at 4°C for 5 weeks. RBC bags showed Y enterocolitica growth after the shortest storage times, followed by BCd-RBC then Ld-RBC (p&lt;0·030-0·01). We recommend that whole blood should be held at 22°C to make use of inherent bactericidal activity; leucocytes should then be removed.</abstract><cop>LONDON</cop><pub>Elsevier Ltd</pub><pmid>1356179</pmid><doi>10.1016/0140-6736(92)92296-R</doi><tpages>2</tpages></addata></record>
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subjects Bacteria
Bacterial diseases
Biological and medical sciences
Blood
Blood Bactericidal Activity - physiology
Blood Preservation - methods
Erythrocytes - microbiology
General & Internal Medicine
Humans
Infectious diseases
Leukapheresis
Leukocytes - physiology
Life Sciences & Biomedicine
Medical research
Medical sciences
Medicine, General & Internal
Science & Technology
Temperature
Time Factors
Yersinia enterocolitica - growth & development
title Prevention of Yersinia enterocolitica growth in red-blood-cell concentrates
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