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J Wüllenweber

Publications and source records attributed to J Wüllenweber.

18 recordsLinked to original sources
PubMed2003

Autologous red cells derived from cord blood: collection, preparation, storage and quality controls with optimal additive storage medium (Sag-mannitol).

To investigate whether packed red cells (PRCs) prepared from autologous cord blood-packed red cells (AC-PRCs) could be used as an alternative for homologous-packed red cells (H-PRCs), we developed a system to collect and prepare AC-PRCs and determined standard storage parameters during 35 days of storage in extended storage medium (Sag-mannitol). We collected and fractionated cord blood from 390 newborns. The amount and quality of the AC-PRCs were analysed. The bacterial contamination rate was 1.84%. Twelve AC-PRCs were stored for 35 days, and standard laboratory parameters were measured at day 1 and day 35. The initial laboratory parameters of the AC-PRCs were similar to the parameters of the H-PRCs. After 35 days, the AC-PRCs displayed an increased haemolysis rate compared to H-PRCs (1.1 versus 0.2%) and also a significant decreased adenosine triphosphate value (1.2 versus 2.3 micromol L(-1)). Haemoglobin, haematocrit and pH were comparable in both groups. AC-PRCs meet the quality criteria for H-PRCs after 35 days. Utilizing a closed collection system for cord blood and an extended storage medium will increase safety and quality and facilitate the routine transfusion of autologous red cells derived from cord blood.

Adenosine Triphosphate↗
PubMed1995

[Preventive anti-D after massive fetomaternal hemorrhage].

In the 36th week of gestation intrauterine death of both twins occurred in a 31-year old primigravida. The examination of the C- and the D-antigen of the mother's blood (result of previous testing: AB Rhesus negative) immediately before delivery showed a mixed field agglutination which pointed to a fetomaternal macrotransfusion. Fetal haemoglobin in the mother's circulation was 7.8% of her total haemoglobin, so that a fetomaternal haemorrhage of about 440 ml whole blood had to be suspected. For Rhesus-prophylaxis 17 standard doses of anti-D-immunoglobulin were administered intramuscularly distributed over 4 days. No adverse effects were seen; fetal haemoglobin dropped to 2.0% 5 days and to 0.1% 15 days after the beginning of the treatment. A control examination after 9 months showed no signs of a Rhesus-(D)-sensitisation of the patient.

Female↗
PubMed1995

[Observations on antibody determination and differentiation with papain test erythrocytes using the gel centrifugation technique (ID-Microtyping System)].

BACKGROUND: The gel centrifugation system (ID Microtyping System, Fa. Diamed, Bensheim, FRG) is one of several new methods, which has become commercially available within the last few years for the detection of antibodies against red blood cell antigens. MATERIALS AND METHODS: During 1 year we used the gel centrifugation method for antibody screening in our routine laboratory by performing 3 tests each time: 1. NaCl card (room temperature) with untreated red cells; 2. NaCl card (37 degrees C) with papain-treated red cells, and 3. Liss-Coombs card (37 degrees C) with untreated red cells. RESULTS: The two-stage papain test revealed some interesting phenomena: 1. In some cases the sensitivity of the papain gel test is higher than that of all other methods tested in this study, namely in the gel centrifugation technique and in the tube centrifugation technique. 2. There are reactions which seem to be directed against patients' own antigens (in the Rhesus or Kidd system), but there are no positive direct antiglobulin test and no clinical signs of hemolysis. 3. Some sera show reaction patterns which seem to have a distinct specificity, but they cannot be assigned to any of the antigens in the manufacturer's antigenogram. CONCLUSIONS: Before a general recommendation for antibody screening with the two-stage papain test in the gel centrifugation method can be given, further investigations about the clinical value of those antibodies which are detectable only by this technique are necessary. For antibody identification further declarations in the work sheet of the panel would be desirable.

Adult↗
PubMed1995

[Detection and side effects of isoantibodies in intravenously administered immunoglobulin preparations].

BACKGROUND: Intravenous immunoglobulins (IvIg) contain not only the declared antibodies against pathogenic microorganisms, but also all the other antibodies of the blood donors, e.g. against erythrocytic antigens. MATERIALS AND METHODS: We tested 14 IvIg from 7 manufacturers (a total of 40 charges) for isoantibodies and irregular antibodies. To improve the reading of our tests we used the gel centrifugation method (ID-Microtyping-System, Fa. Diamed, Bensheim, Germany). RESULTS: The highest isoantibody titers were (in 8 charges) 1:32 or 1:64 in the Liss-Coombs test. Irregular antibodies were found in 5 IvIg (maximal titer 1:8). CONCLUSIONS: Isoantibodies in the IvIg can influence blood group serologic tests. With an example of a newborn who had received IvIg we point to the potential danger of misinterpretation of a positive direct antiglobulin test after administration of IvIg. Therefore we recommend to carry out the direct antiglobulin test before administration of IvIg and to examine all eluates after a positive direct Coombs test not only with 0 RBCs but also with A or B RBCs of the AB0 blood group of the patient.

ABO Blood-Group System↗
PubMed1995

[Suitability of monoclonal test sera for determination of blood group markers in positive direct Coombs test].

BACKGROUND: Monoclonal reagents of the IgM type allow to test some red blood cell antigens (K; Jka; Jkb) by the tube centrifugation method at room temperature, for the examination of which the indirect antiglobulin test was necessary in the past. This permits to test antigens also when the direct antiglobulin test is positive, provided the sera do not contain too much supplement. MATERIALS AND METHODS: We tested a choice of monoclonal reagents of different manufacturers (for the ABO system, A subgroups, the Rhesus, MN, Kell, Kidd and Lewis system) for their ability to examine antibody-coated erythrocytes. To recognize false-positive reactions of the reagents, erythrocytes without the particular antigen were coated with an incomplete antibody, and then the reagent was tested with these self-made Coombs control cells. RESULTS: We found no false-positive reactions for all tested anti-A, anti-B, anti-AB, and anti-A1 reagents. Some anti-C, anti-c, anti-E, anti-e and anti-N reagents showed weak false-positive reactions, some anti-H, anti-D, anti-K, anti-Jka, anti-Jkb, anti-Lea, anti-Leb and anti-M reagents stronger false-positive reactions.

Antibodies, Monoclonal↗
PubMed1994

[Acute intravasal hemolysis in Clostridium perfringens sepsis. Differential diagnosis of hemolytic episodes].

A 19-year-old man with acute lymphoblastic leukaemia developed fever, general deterioration and somnolence 3 days after a cycle of cytostatic treatment. He had anaemia (haemoglobin 6.6 g/dl), leukopenia (100/microliters) and thrombocytopenia (7,000/microliters). As an acute septicaemia was suspected he received broad spectrum antibiotic therapy, together with two units of red cell and platelet concentrates. However, his condition worsened rapidly over the next 5 hours (meningism, seizures, fever to 41.1 degrees C, dyspnoea). Another blood count revealed severe haemolysis. Computed tomography of the skull demonstrated multilocular intraparenchymal gas formation. Although the antibiotic treatment was extended the patient died several hours later. Retrospective examination for suspected transfusion mismatch provided no evidence for erythrocyte incompatibility. But there was liberation of T-antigen as sign of a bacterial cause of erythrocyte damage. An anaerobic blood culture grew Clostridium perfringens. This case demonstrates that acute intravascular haemolysis in septicaemia should be considered in the differential diagnosis of transfusion mismatch.

Adult↗
PubMed1994

[Endocarditis from Erysipelothrix rhusiopathiae].

Erysipelothrix rhusiopathiae only seldom causes cases of endocarditis. Contact with infectious animals leads to endocarditis of the left heart with high lethality. Vancomycin and aminoglycosides, which are often used in gram-positive endocarditis, show no effect.

Aged↗
PubMed1994

[Risk of infection in hemotherapy].

For some years, public interest has focused on transfusion-transmitted HIV. German blood donors are now selected and show only very low incidences in HIV and hepatitis. Only one per million donors seems to transmit HIV. The remaining risk of post-transfusion hepatitis is estimated to range between 1:10,000 and 1:100,000. Some new diagnostic tests might reduce the danger of transfusion-transmitted infections. Screening donors for anti-HBc is a well accepted tool to decrease post-transfusion hepatitis B. The HIV-p24-Ag test is expensive and only of doubtful value. Donor recruitment should be improved in future.

Acquired Immunodeficiency Syndrome↗
PubMed1994

[Antibody determination and differentiation using papain treated test erythrocytes in the gel centrifugation technique (ID-Microtyping System)].

For one year we have used the gel centrifugation method (ID-Microtyping System, Fa. Diamed, FRG) in our routine laboratory for antibody screening. The two-stage papain test in the gel centrifugation system revealed some interesting phenomena: 1) In some cases the sensitivity of the papain gel test is higher than that of all other methods in the gel centrifugation method or in the tube centrifugation method. 2) There are reactions which seem to be directed against the patient's own antigens (in the Rhesus or Kidd system), but there are no positive direct antiglobulin test and no clinical signs of hemolysis. 3) Some sera show reaction patterns which seem to have a distinct specificity, but they cannot be adjoined to any of the antigens in the manufacturer's antigenogram. Further declarations in the worksheet of the panel would be desirable.

Autoantibodies↗
PubMed1994

[Adaptation of monoclonal test sera for antigen determination in the positive direct Coombs test].

Monoclonal reagents of IgM type now allow to test some red blood cell antigens (K; Jk a; Jk b) by the tube centrifugation method at room temperature for which an indirect antiglobulin test was necessary before. This enables to test antigens also when the direct antiglobulin test is positive, provided that there are no disturbances by supplements contained in the sera. We examined monoclonal blood group sera of different manufacturers for their ability to test antibody-coated erythrocytes; sometimes we found great differences between the different products. Therefore we recommend to add this test to the other criteria of quality control, especially when it is necessary to test antigens in patients with positive direct antiglobulin test.

ABO Blood-Group System↗
PubMed1994

[Demonstration os isoagglutinins in intravenously applicable immunoglobulin preparations].

Intravenous immunoglobulins (IvIg) contain not only the declared antibodies against pathogenic microorganisms but also all the other antibodies of the blood donors, e.g. against erythrocytic antigens. We tested 14 IvIg from 7 manufacturers (together 40 charges) for isoagglutinins and irregular blood group antibodies. To ameliorate the reading of our tests we used the gel-centrifugation method (ID-Microtyping System, Fa. Diamed, Bensheim, FRG). Isoagglutinins in the IvIg can influence blood group serologic tests. Therefore we point to the potential danger of misinterpretation of a positive direct antiglobulin test. In rare cases, hemolytic reactions after administration of high doses of IvIg might occur.

Agglutinins↗