Growth of gram-positive and gram-negative bacteria in platelet concentrates

A Punsalang1, J M Heal, P J Murphy

  • 1American Red Cross Blood Services, Rochester, New York.

Transfusion
|September 1, 1989
PubMed

Insights

Bacterial growth in stored platelets was studied to understand risks. Gram-positive bacteria grew logarithmically in both storage bags, while gram-negative bacteria grew less effectively in CLX bags.

Area of Science:

  • Microbiology
  • Transfusion Medicine
  • Biotechnology

Background:

  • Platelet storage time was shortened due to increased septic deaths from transfusions.
  • Understanding bacterial proliferation in stored platelets is critical for transfusion safety.

Observation:

  • Bacterial growth curves were evaluated for gram-positive and gram-negative organisms in platelets stored in CLX and PL-732 bags.
  • Organisms were inoculated at varying concentrations (10^1 to 10^3) into platelet bags and trypticase soy broth controls.

Findings:

  • All tested bacteria grew rapidly in trypticase soy broth, reaching 10^9 organisms/mL within 48 hours.
  • Gram-positive bacteria exhibited logarithmic growth in both CLX and PL-732 bags, reaching 10^8 organisms/mL by days 3-4.
  • Gram-negative bacteria showed similar proliferation in PL-732 bags but grew less effectively in CLX bags.

Implications:

  • Bacterial contamination in platelet products poses a significant risk.
  • Storage bag type influences bacterial growth dynamics, impacting transfusion safety.
  • Further research is needed to optimize platelet storage and minimize transfusion-associated sepsis.