Posttransfusion cytomegalovirus infection in neonates: role of saline-washed red blood cells.
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Antibodies, Viral↗
Biomedical subjects
H Bijou
Publications and source records attributed to H Bijou.
Use of deglycerolized red blood cells to prevent posttransfusion infection with cytomegalovirus in neonates.
In an effort to reduce the rate of posttransfusion infection with cytomegalovirus (CMV), 157 CMV-seronegative neonates were given deglycerolized red blood cells as their only source of red blood cells. Other blood products given to these patients received no special preparation. The 106 (67.5%) infants available for adequate evaluation received an average of 5.7 units (range, one to 39 units). Three hundred thirteen (51.4%) of the 609 transfused units were CMV-seropositive. When evaluated three months after their last transfusion, none of the 106 infants had virological or serological evidence of CMV infection. These results suggest that regardless of the serological status of the donor, deglycerolized red blood cells can reduce or possibly eliminate posttransfusion CMV infection and can serve as a safe alternative to CMV-seronegative blood. Freezing, depletion, and physical disruption of leukocytes may be responsible for the decreased infectivity of the deglycerolized product.
Birth Weight↗
Inconsistent leukocyte removal by IBM 2991 blood cell processor.
Studies done in the 1970's have documented the efficiency of leukocyte removal by saline washing using the IBM 2991 Blood Cell Processor. In June 1982, an evaluation of 52 consecutive units washed using the IBM 2991 yielded results for leukocyte removal that varied considerably from the results determined by previous published studies. Evidence from our institution and others within the last year supports a recent alteration in the ability of the IBM 2991 to remove leukocytes. Since the machine has not changed considerably since previous successful studies, alterations in the product being washed need to be considered as a cause of the inconsistency in leukocyte removal by the IBM 2991. Until consistent leukocyte-removal can be achieved, individual blood banks should carefully scrutinize their washed units and be prepared for possible leukocyte-associated reactions.
Blood Banks↗