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An analysis on the fate of a selection of blood products derived from cytomegalovirus‐seronegative donors at three tertiary referral hospitals in Australia
Author(s) -
Hirani Rena,
TohidiEsfahani Ibrahim,
Mondy Phillip,
Irving David O.
Publication year - 2018
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/trf.14459
Subject(s) - medicine , cytomegalovirus , referral , blood product , audit , blood transfusion , cytomegalovirus infections , transfusion medicine , hematology , emergency medicine , human cytomegalovirus , human immunodeficiency virus (hiv) , immunology , family medicine , herpesviridae , viral disease , surgery , virus , business , accounting
BACKGROUND Supply of cytomegalovirus (CMV)‐seronegative blood products in Australia is an ongoing challenge. Requests for CMV‐negative products are increasing with prediction that the demand will exceed supply by 2019. Clinical information evaluating how these products are being utilized by health providers within Australia is limited. This study aimed to identify indications for use of CMV‐negative blood products and gather data to support possible practice change. STUDY DESIGN AND METHODS All CMV‐negative products issued to three tertiary Australian hospitals from May 1, 2016, to May 31, 2016, were identified (n = 1219). This equated to 1044 red blood cell units and 175 platelet units. Data were collected on the fate of each unit. Information collected included the indication and urgency of transfusion, reason for discard, product age, and recipient CMV immunoglobulin G status. RESULTS Of the units issued during the audit period, 32 (2.6%) were discarded by the hospitals. Transfusion data were collected on 411 units. Of these, 136 (33.1%) were transfused to CMV‐positive recipients, in most cases for hematology indications, and 67 units (16.3%) were transfused to CMV‐negative requiring recipients. A total of 144 (35%) CMV‐negative units were selected based on their irradiation status. Other reasons for the selection of CMV‐negative units included product close to expiry (n = 134, 32.6%) or specific patient phenotype requirements (n = 31, 7.5%). CONCLUSION In this study, the majority of CMV‐negative blood products were not used for CMV‐negative requiring recipients. Alterations to inventory management would be advantageous to ensure continued supply for CMV‐negative requiring recipients.