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Updated: Jul 12, 2026

Routine Screening Method for Microparticles in Platelet Transfusions
Published on: January 31, 2018
Microcalorimetry: a novel method for detection of microbial contamination in platelet products
Andrej Trampuz1, Simone Salzmann, Jeanne Antheaume
1Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland. atrampuz@uhbs.ch
Background:
Measuring heat from replicating microorganisms in culture may be a rapid, accurate, and simple screening method for platelets (PLTs). Microcalorimetry for detection of microorganisms in in vitro contaminated PLT products was evaluated.
Study Design And Methods:
Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus sanguinis, Escherichia coli, Propionibacterium acnes, and Candida albicans were inoculated in single-donor apheresis PLTs to achieve target concentrations of 10(5), 10(3), 10, or 1 colony-forming units (CFU) per mL of PLTs. Contaminated PLTs in growth medium were incubated at 37 degrees C for 5 days in a calorimeter. Positivity was defined as heat flow of at least 10 microW above the lowest value of the power-time curve.
Results:
With microcalorimetry, inocula of 10 CFUs per mL PLTs could be detected with the following detection times: S. epidermidis (31.65 hr), S. aureus (24.24 hr), S. sanguinis (7.82 hr), E. coli (7.53 hr), P. acnes (73.57 hr), and C. albicans (43.77 hr). The detection time was less than 4 hr at 10(5) CFUs per mL PLTs for S. aureus, S. sanguinis, and E. coli. Noncontaminated PLTs remained negative. The total heat ranged from 2.8 (S. sanguinis) to 8.3 J (E. coli). The shape of the power-time curve was species-specific and independent from the initial concentration of microorganisms.
Conclusion:
The detection limit of microcalorimetry was 1 to 10 CFUs per mL PLTs. Microcalorimetry is a promising novel method for detection of contaminated PLTs. Applying this method to all PLT products could reduce the frequency of transfusion-related sepsis and prolong the shelf life of PLTs.
Insights
Microcalorimetry can detect low levels of bacterial contamination in platelet products, with detection times as short as 7.5 hours for some species. This method shows promise for improving blood product safety and extending platelet shelf life.
Area of Science:
- Microbiology
- Biotechnology
- Medical Diagnostics
Background:
- Platelet (PLT) products are susceptible to microbial contamination.
- Rapid and accurate screening methods are needed to ensure PLT safety.
- Microcalorimetry offers a potential solution for detecting microbial contamination.
Purpose of the Study:
- To evaluate the efficacy of microcalorimetry for detecting microorganisms in in vitro contaminated PLT products.
- To determine the detection limit and time for various microbial species in PLTs using microcalorimetry.
Main Methods:
- Six common microorganisms were inoculated into single-donor apheresis PLTs at concentrations ranging from 1 to 10(5) CFU/mL.
- Contaminated PLTs were incubated at 37°C for 5 days in a calorimeter.
- Positivity was defined by a heat flow of at least 10 microW above baseline.
Main Results:
- Microcalorimetry detected inocula as low as 10 CFUs/mL for all tested species, with detection times varying by species (e.g., 7.53 hr for E. coli, 73.57 hr for P. acnes).
- At 10(5) CFUs/mL, detection times were under 4 hours for S. aureus, S. sanguinis, and E. coli.
- The power-time curve shape was species-specific and independent of initial microbial concentration.
Conclusions:
- The detection limit for microcalorimetry in PLTs is 1 to 10 CFUs/mL.
- Microcalorimetry is a promising method for detecting contaminated PLTs.
- Widespread application could reduce transfusion-related sepsis and extend PLT shelf life.
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