Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia
Transfusion-transmitted bacterial infection (TTBI) is the leading cause of transfusion-transmitted infections. Platelet components are more likely to be associated with bacterial contamination due to their storage requirements. Australian Red Cross Lifeblood introduced the bacterial contamination sc...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Microorganisms |
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| Online Access: | https://www.mdpi.com/2076-2607/11/9/2346 |
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| author | Anthea Cheng Anindita Das Khin Chaw Peta M. Dennington Claire E. Styles Iain B. Gosbell |
| author_facet | Anthea Cheng Anindita Das Khin Chaw Peta M. Dennington Claire E. Styles Iain B. Gosbell |
| author_sort | Anthea Cheng |
| collection | DOAJ |
| description | Transfusion-transmitted bacterial infection (TTBI) is the leading cause of transfusion-transmitted infections. Platelet components are more likely to be associated with bacterial contamination due to their storage requirements. Australian Red Cross Lifeblood introduced the bacterial contamination screening (BCS) of all platelet components in 2008. The process was recently updated with the use of BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup>, a large-volume delayed sampling (LVDS) protocol and extending platelet shelf-life to seven days. This article describes the results from the routine BCS of platelet components in Australia. Use of VIRTUO has resulted in lower false-positive rates, reducing wastage and improving platelet inventory. Our findings show that the combination of LVDS and VIRTUO improves the safety of platelet transfusions through earlier time to detection, especially for pathogenic bacterial species. Pathogenic bacteria grew within 24 h of incubation with a clear delineation between pathogenic and non-pathogenic species. The data show this protocol is very safe, with no TTBI cases during this time. There were no TTBI reports in recipients of platelet components that subsequently had a positive culture with <i>Cutibacterium</i> species, probably due to the low pathogenic potential of these organisms and slow replication in aerobic platelet bags. We conclude there is no advantage in incubating culture bottles beyond five days. |
| first_indexed | 2024-03-10T22:26:38Z |
| format | Article |
| id | doaj.art-f3527ab40bed487fa725824f14a3d516 |
| institution | Directory Open Access Journal |
| issn | 2076-2607 |
| language | English |
| last_indexed | 2024-03-10T22:26:38Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Microorganisms |
| spelling | doaj.art-f3527ab40bed487fa725824f14a3d5162023-11-19T12:04:04ZengMDPI AGMicroorganisms2076-26072023-09-01119234610.3390/microorganisms11092346Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in AustraliaAnthea Cheng0Anindita Das1Khin Chaw2Peta M. Dennington3Claire E. Styles4Iain B. Gosbell5Donor and Product Safety Policy Unit, Australian Red Cross Lifeblood, West Melbourne, VIC 3003, AustraliaDonor and Product Safety Policy Unit, Australian Red Cross Lifeblood, West Melbourne, VIC 3003, AustraliaDonor and Product Safety Policy Unit, Australian Red Cross Lifeblood, West Melbourne, VIC 3003, AustraliaPathology Services, Australian Red Cross Lifeblood, Alexandria, NSW 2015, AustraliaDonor and Product Safety Policy Unit, Australian Red Cross Lifeblood, West Melbourne, VIC 3003, AustraliaDonor and Product Safety Policy Unit, Australian Red Cross Lifeblood, West Melbourne, VIC 3003, AustraliaTransfusion-transmitted bacterial infection (TTBI) is the leading cause of transfusion-transmitted infections. Platelet components are more likely to be associated with bacterial contamination due to their storage requirements. Australian Red Cross Lifeblood introduced the bacterial contamination screening (BCS) of all platelet components in 2008. The process was recently updated with the use of BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup>, a large-volume delayed sampling (LVDS) protocol and extending platelet shelf-life to seven days. This article describes the results from the routine BCS of platelet components in Australia. Use of VIRTUO has resulted in lower false-positive rates, reducing wastage and improving platelet inventory. Our findings show that the combination of LVDS and VIRTUO improves the safety of platelet transfusions through earlier time to detection, especially for pathogenic bacterial species. Pathogenic bacteria grew within 24 h of incubation with a clear delineation between pathogenic and non-pathogenic species. The data show this protocol is very safe, with no TTBI cases during this time. There were no TTBI reports in recipients of platelet components that subsequently had a positive culture with <i>Cutibacterium</i> species, probably due to the low pathogenic potential of these organisms and slow replication in aerobic platelet bags. We conclude there is no advantage in incubating culture bottles beyond five days.https://www.mdpi.com/2076-2607/11/9/2346transfusion-transmitted bacterial infection (TTBI)bacterial contamination screening (BCS)platelet shelf-lifelarge-volume delayed sampling (LVDS)platelet component |
| spellingShingle | Anthea Cheng Anindita Das Khin Chaw Peta M. Dennington Claire E. Styles Iain B. Gosbell Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia Microorganisms transfusion-transmitted bacterial infection (TTBI) bacterial contamination screening (BCS) platelet shelf-life large-volume delayed sampling (LVDS) platelet component |
| title | Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia |
| title_full | Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia |
| title_fullStr | Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia |
| title_full_unstemmed | Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia |
| title_short | Safety Analysis of Extended Platelet Shelf-Life with Large-Volume Delayed Sampling on BACT/ALERT<sup>®</sup> VIRTUO<sup>®</sup> in Australia |
| title_sort | safety analysis of extended platelet shelf life with large volume delayed sampling on bact alert sup r sup virtuo sup r sup in australia |
| topic | transfusion-transmitted bacterial infection (TTBI) bacterial contamination screening (BCS) platelet shelf-life large-volume delayed sampling (LVDS) platelet component |
| url | https://www.mdpi.com/2076-2607/11/9/2346 |
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