CONSECTIVE MONITORING OF DISSOLVED OXYGEN CONSUMPTION BY DOX SYSTEM TO EVALUATE BACTERIAL CONTAMINATION IN PLATELET CONCENTRATES

  • Otsubo Hiroko
    Blood Transfusion Service, Jikei University Hospital Department of Safety Research on Blood and Biological Products, National Institute of infectious Diseases
  • Yamaguchi Kazunari
    Department of Safety Research on Blood and Biological Products, National Institute of infectious Diseases
  • Hoshi Yasutaka
    Blood Transfusion Service, Jikei University Hospital

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  • 溶存酸素消費量測定による血小板製剤内細菌検出感度についての検討

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Abstract

Background: Transfusion-transmitted bacterial infection is a serious and unresolved problem. We evaluated the efficacy of DOXTM (Daikin Industries) which is a commercially available system that has developed to detect a contaminated food by measuring oxygen potential to detect bacterial contamination in PC.<br> Methods: Staphylococcus aureus, Serratia marcescens, Staphylococcus epidermidis, Bacillus cereus, Streptococcus pneumoniae, and Propionibacterium acnes were inoculated into PC at a final concentration of approximately 100, 101 and 102 CFU/ml. Dissolved oxygen potential of the sample taken from each PC just after inoculation was measured consecutively.<br> Results: The detection rate by DOXTM system in samples inoculated with S. aureus at a concentration of 100, 101 and 102CFU/ml was 28.6%, 78.6% and 85.7%, respectively. That of S. epidermidis was 23.0%, 84.6% and 92.3%, of S. marcescens was 50.0%, 100% and 100%, and of B. cereus was 57.1%, 100% and 100%, respectively. The aerobic organisms were detected in a mean of 7.0 to 18.2 hours.<br> Conclusion: DOXTM system detected aerobic bacteria in PC within 20hours if their initial concentration was more than 101CFU/ml. We consider that this system can be introduced as a useful method to detect the contaminated PC, and can improve the platelet transufusion safety without increasing the medical costs.<br>

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