Noninvasive pH monitoring for bacterial detection in platelet concentrates

Autor: Ramie Qaisar, Yuntong Kou, Maria Loza-Correa, Heather Perkins, Steven J. Geelhood, Dilini Kumaran, Sandra Ramirez-Arcos
Rok vydání: 2016
Předmět:
Zdroj: Transfusion. 56:1348-1355
ISSN: 0041-1132
DOI: 10.1111/trf.13557
Popis: BACKGROUND Bacterial contamination of platelet concentrates (PCs) remains the prevalent posttransfusion infectious risk. The pH SAFE system, a noninvasive method used to measure pH of PC for quality control, was evaluated herein as a rapid method to detect bacterial contamination in PCs. STUDY DESIGN AND METHODS Pairs of ABO-D–matched apheresis and buffy coat PCs were pooled and split into two pH SAFE platelet bags. One of the bags served as the control unit, while the other was inoculated with one of nine clinically relevant bacteria (target concentration approx. 1 colony-forming units [CFUs]/mL). The pH of both PCs was measured over 7 days of storage at approximately 4-hour intervals during daytime. One-milliliter samples were taken at the testing points to determine bacterial concentration. RESULTS PCs with pH values of less than 6.6 or with a pH change over time (ΔpH/Δtime) greater or equal than 0.046 pH units/hr are suspected of being contaminated. pH decreased significantly during storage in all bacterially inoculated PC at concentrations of more than 107 CFUs/mL (p
Databáze: OpenAIRE