Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2003-2-28
pubmed:abstractText
A nucleic acid-targeted photochemical treatment (PCT) using amotosalen HCl (S-59) and ultraviolet A (UVA) light was developed to inactivate viruses, bacteria, protozoa, and leukocytes in platelet components. We conducted a controlled, randomized, double-blinded trial in thrombocytopenic patients requiring repeated platelet transfusions for up to 56 days of support to evaluate the therapeutic efficacy and safety of platelet components prepared with the buffy coat method using this pathogen inactivation process. A total of 103 patients received one or more transfusions of either PCT test (311 transfusions) or conventional reference (256 transfusions) pooled, leukoreduced platelet components stored for up to 5 days before transfusion. More than 50% of the PCT platelet components were stored for 4 to 5 days prior to transfusion. The mean 1-hour corrected count increment for up to the first 8 test and reference transfusions was not statistically significantly different between treatment groups (13,100 +/- 5400 vs 14,900 +/- 6200, P =.11). By longitudinal regression analysis for all transfusions, equal doses of test and reference components did not differ significantly with respect to the 1-hour (95% confidence interval [CI], -3.1 to 6.1 x 10(9)/L, P =.53) and 24-hour (95% CI, -1.3 to 6.5 x 10(9)/L, P =.19) posttransfusion platelet count. Platelet transfusion dose, pretransfusion storage duration, and patient size were significant covariates (P <.001) for posttransfusion platelet counts. Clinical hemostasis, hemorrhagic adverse events, and overall adverse events were not different between the treatment groups. Platelet components prepared with PCT offer the potential to further improve the safety of platelet transfusion using technology compatible with current methods to prepare buffy coat platelet components.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
101
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2426-33
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12456508-Adult, pubmed-meshheading:12456508-Bacterial Infections, pubmed-meshheading:12456508-Blood Group Incompatibility, pubmed-meshheading:12456508-Blood Preservation, pubmed-meshheading:12456508-Double-Blind Method, pubmed-meshheading:12456508-Erythrocyte Transfusion, pubmed-meshheading:12456508-Female, pubmed-meshheading:12456508-Hemorrhage, pubmed-meshheading:12456508-Hemostasis, pubmed-meshheading:12456508-Humans, pubmed-meshheading:12456508-Male, pubmed-meshheading:12456508-Middle Aged, pubmed-meshheading:12456508-Photochemistry, pubmed-meshheading:12456508-Photosensitizing Agents, pubmed-meshheading:12456508-Platelet Count, pubmed-meshheading:12456508-Platelet Transfusion, pubmed-meshheading:12456508-Psoralens, pubmed-meshheading:12456508-Specimen Handling, pubmed-meshheading:12456508-Thrombocytopenia, pubmed-meshheading:12456508-Time Factors, pubmed-meshheading:12456508-Ultraviolet Rays, pubmed-meshheading:12456508-Virus Diseases
pubmed:year
2003
pubmed:articleTitle
Transfusion of pooled buffy coat platelet components prepared with photochemical pathogen inactivation treatment: the euroSPRITE trial.
pubmed:affiliation
Sanquin Blood Bank South West Region, Rotterdam, The Netherlands.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't