Abstract
AIMS--To examine how delayed refrigeration of blood affects the growth of Pseudomonas fluorescens, one of the two most important causes of sepsis resulting from transfusion of contaminated blood. METHODS--Two donations of whole blood were each divided into three aliquots and inoculated with 5-10 cfu/ml of a P fluorescens strain from a case of transfusion associated sepsis. From each donation, one aliquot was placed at 4 degrees C, one was held at 20 degrees C for six hours prior to refrigeration and the third was held at 20 degrees C for 24 hours prior to refrigeration. Samples were aseptically withdrawn over 17 days and bacterial counts were determined using a pour plate technique. RESULTS--The rate of growth of P fluorescens in blood at 20 degrees C was increased compared with blood at 4 degrees C. At 24 hours the aliquots held at 20 degrees C for six and 24 hours had, respectively, 174 and 29,000 cfu/ml compared with 15 cfu/ml in aliquots held at 4 degrees C. There was no evidence of increased killing of P fluorescens at the higher temperature. CONCLUSIONS--These results suggest that blood for transfusion should be refrigerated as soon as possible after collection.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arduino M. J., Bland L. A., Tipple M. A., Aguero S. M., Favero M. S., Jarvis W. R. Growth and endotoxin production of Yersinia enterocolitica and Enterobacter agglomerans in packed erythrocytes. J Clin Microbiol. 1989 Jul;27(7):1483–1485. doi: 10.1128/jcm.27.7.1483-1485.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Danner R. L., Natanson C., Elin R. J., Hosseini J. M., Banks S., MacVittie T. J., Parrillo J. E. Pseudomonas aeruginosa compared with Escherichia coli produces less endotoxemia but more cardiovascular dysfunction and mortality in a canine model of septic shock. Chest. 1990 Dec;98(6):1480–1487. doi: 10.1378/chest.98.6.1480. [DOI] [PubMed] [Google Scholar]
- Gibb A. P., Martin K. M., Davidson G. A., Walker B., Murphy W. G. Modeling the growth of Yersinia enterocolitica in donated blood. Transfusion. 1994 Apr;34(4):304–310. doi: 10.1046/j.1537-2995.1994.34494233577.x. [DOI] [PubMed] [Google Scholar]
- Högman C. F., Gong J., Eriksson L., Hambraeus A., Johansson C. S. White cells protect donor blood against bacterial contamination. Transfusion. 1991 Sep;31(7):620–626. doi: 10.1046/j.1537-2995.1991.31791368338.x. [DOI] [PubMed] [Google Scholar]
- Nusbacher J. Yersinia enterocolitica and white cell filtration. Transfusion. 1992 Sep;32(7):597–600. doi: 10.1046/j.1537-2995.1992.32792391029.x. [DOI] [PubMed] [Google Scholar]
- Pietersz R. N., Reesink H. W., Pauw W., Dekker W. J., Buisman L. Prevention of Yersinia enterocolitica growth in red-blood-cell concentrates. Lancet. 1992 Sep 26;340(8822):755–756. doi: 10.1016/0140-6736(92)92296-r. [DOI] [PubMed] [Google Scholar]
- Prentice M. Transfusing Yersinia enterocolitica. BMJ. 1992 Sep 19;305(6855):663–664. doi: 10.1136/bmj.305.6855.663. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Puckett A., Davison G., Entwistle C. C., Barbara J. A. Post transfusion septicaemia 1980-1989: importance of donor arm cleansing. J Clin Pathol. 1992 Feb;45(2):155–157. doi: 10.1136/jcp.45.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sazama K. Bacteria in blood for transfusion. A review. Arch Pathol Lab Med. 1994 Apr;118(4):350–365. [PubMed] [Google Scholar]
- Scott J., Boulton F. E., Govan J. R., Miles R. S., McClelland D. B., Prowse C. V. A fatal transfusion reaction associated with blood contaminated with Pseudomonas fluorescens. Vox Sang. 1988;54(4):201–204. doi: 10.1111/j.1423-0410.1988.tb03905.x. [DOI] [PubMed] [Google Scholar]
- Suffredini A. F., Fromm R. E., Parker M. M., Brenner M., Kovacs J. A., Wesley R. A., Parrillo J. E. The cardiovascular response of normal humans to the administration of endotoxin. N Engl J Med. 1989 Aug 3;321(5):280–287. doi: 10.1056/NEJM198908033210503. [DOI] [PubMed] [Google Scholar]
- Wagner S. J., Friedman L. I., Dodd R. Y. Transfusion-associated bacterial sepsis. Clin Microbiol Rev. 1994 Jul;7(3):290–302. doi: 10.1128/cmr.7.3.290. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wichterman K. A., Baue A. E., Chaudry I. H. Sepsis and septic shock--a review of laboratory models and a proposal. J Surg Res. 1980 Aug;29(2):189–201. doi: 10.1016/0022-4804(80)90037-2. [DOI] [PubMed] [Google Scholar]