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Related Experiment Videos

Pathogen reduction: a precautionary principle paradigm.

Harvey J Alter1

  • 1Department of Transfusion Medicine, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA. halter@dtm.cc.nih.gov

Transfusion Medicine Reviews
|March 21, 2008
PubMed
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Implementing preemptive pathogen reduction (PR) is crucial for preventing transfusion-transmitted infections. This proactive approach, unlike current reactive methods, can significantly reduce risks from viruses and bacteria in blood products.

Area of Science:

  • Transfusion Medicine
  • Infectious Disease Prevention
  • Biotechnology

Background:

  • Significant delays exist between recognizing transfusion-transmitted disease risks and implementing preventive strategies.
  • Reactive approaches to transfusion safety allow infections to occur due to inevitable delays.
  • Emerging and re-emerging transfusion-transmitted infections necessitate a new proactive paradigm.

Purpose of the Study:

  • To advocate for the adoption of preemptive pathogen reduction (PR) systems in blood transfusion safety.
  • To highlight the limitations of current reactive strategies in preventing transfusion-transmitted infections.
  • To propose a future direction for pathogen reduction technologies in blood products.

Main Methods:

  • Review of historical intervals between risk recognition and prevention for transfusion-transmitted diseases.

Related Experiment Videos

  • Evaluation of existing pathogen reduction (PR) systems (psoralen/UV-A, riboflavin/UV-A) for efficacy and safety.
  • Discussion of the potential application of PR technology to various blood components (platelets, plasma, red cells).
  • Main Results:

    • Pathogen reduction (PR) systems show efficacy and safety for platelets and plasma.
    • Psoralen/UV-A technology is already implemented for platelet PR in Europe.
    • PR can mitigate risks from nucleic acid-containing agents, including bacteria, but not prions.

    Conclusions:

    • Pathogen reduction (PR) offers a preemptive strategy to combat transfusion-transmitted infections.
    • PR can be implemented for platelets and plasma immediately, with further development for red cells.
    • A collaborative commitment is required from regulatory bodies, industry, and research institutions to advance PR technology.