Hematology Cell

bacteriacontamination

Bacterial Contamination

NON IMMUNE HEMOLYSIS: BACTERIAL CONTAMINATION:

clinical pearls:

- Bacterial contamination is more common with platelet Transfusion reaction
- Donot warm blood prior to Transfusion
- open system of blood should be used within 24 hrs of preparation
- fatality is extremely high.

"DO NOT STORE BLOOD OR BLOOD PRODUCT IN NURSING STATION OR OPERATION ROOM REFRIGERATOR."

TREATMENT AND WORKUP:

PREVENTION:

STOP TRANSFUSION

Inspect blood bag for sign of bacterial overgrowth, Cells or plasma, brownish or purple color, Clots, opaque or muddy Plasma, Peculiar odor, Hemolysis.

Do Gram stain for organism.

Send cultures from blood bag at 4 degree Celsius , 20-24 degree Celsius, 35-37 degree Celsius.

Antibiotics

Treatment similar to AIHTR

Attention to storage conditions

Proper sterilization of phlebotomy site

Sterile connecting device while component preparation

Inspection of blood prior to issue

Education of transfusionist regarding proper administration of blood

Open system to be infused with in 24 hrs and preferably before 6 hrs of preparation.

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