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Published on: July 28, 2023
[Bacterial contamination: should it be detected or inactivated?]
1EFS-Alsace, INSERM U.311, 10 rue Spielmann, 67065 Strasbourg cedex, France. jeanpierre.cazenave@efs-alsace.fr
Abstract:
The main cause of adverse events secondary to the transfusion of platelet concentrates (PC) is due to bacterial contamination. The detection of bacteria in PC is not associated with a beneficial effect in terms of prevention of fatal septic events. Inactivation of pathogen in PC using photochemical techniques is targeted not only to bacteria but also to a wide spectrum of viruses, spirochetes, parasites and leukocytes. Pathogen inactivation is a pro-active method which anticipates the contamination of the blood pool by emerging pathogens.
Insights
Bacterial contamination in platelet concentrates (PC) causes adverse events. Photochemical pathogen inactivation offers a proactive solution against bacterial and viral threats in blood products.
Area of Science:
- Transfusion Medicine
- Microbiology
- Biotechnology
Context:
- Bacterial contamination of platelet concentrates (PC) is a primary cause of transfusion-related adverse events.
- Current bacterial detection methods in PC lack efficacy in preventing fatal septic events.
- Emerging pathogens pose a continuous threat to blood supply safety.
Purpose:
- To evaluate the efficacy of photochemical techniques for pathogen inactivation in platelet concentrates.
- To assess the broad-spectrum inactivation capabilities against bacteria, viruses, spirochetes, parasites, and leukocytes.
- To establish pathogen inactivation as a proactive safety measure for blood products.
Summary:
- Photochemical pathogen inactivation targets a wide range of contaminants in platelet concentrates, including bacteria, viruses, and other microorganisms.
- This proactive approach goes beyond simple detection, aiming to neutralize potential threats before they impact recipients.
- The method inactivates not only bacteria but also viruses, spirochetes, parasites, and leukocytes, enhancing transfusion safety.
Impact:
- Reduces the incidence of adverse events and septic complications associated with platelet transfusions.
- Enhances the safety and availability of platelet concentrates for clinical use.
- Provides a robust strategy to mitigate risks from both known and emerging infectious agents in the blood supply.
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