bacteriacontamination
Bacterial Contamination
NON IMMUNE HEMOLYSIS: BACTERIAL CONTAMINATION:
NON IMMUNE HEMOLYSIS: BACTERIAL CONTAMINATION:
clinical pearls:
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:
TREATMENT AND WORKUP:
PREVENTION:
PREVENTION:
STOP TRANSFUSION
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.
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.
Do Gram stain for organism.
Send cultures from blood bag at 4 degree Celsius , 20-24 degree Celsius, 35-37 degree Celsius.
Send cultures from blood bag at 4 degree Celsius , 20-24 degree Celsius, 35-37 degree Celsius.
Antibiotics
Antibiotics
Treatment similar to AIHTR
Treatment similar to AIHTR
Attention to storage conditions
Attention to storage conditions
Proper sterilization of phlebotomy site
Proper sterilization of phlebotomy site
Sterile connecting device while component preparation
Sterile connecting device while component preparation
Inspection of blood prior to issue
Inspection of blood prior to issue
Education of transfusionist regarding proper administration of blood
Education of transfusionist regarding proper administration of blood
Open system to be infused with in 24 hrs and preferably before 6 hrs of preparation.
Open system to be infused with in 24 hrs and preferably before 6 hrs of preparation.