Impact of donor arm skin disinfection on the bacterial contamination rate of platelet concentrates.

Abstract:

BACKGROUND AND OBJECTIVES:Despite improved methods for detecting bacterial contamination of blood products, bacterial sepsis remains a significant risk in blood transfusion. This study was undertaken to investigate whether adopting a different skin disinfection protocol could reduce the rate of bacterial contamination of platelet concentrates. MATERIALS AND METHODS:Two skin disinfection protocols were consecutively used in the routine blood collection setting during two 10-month periods: 0.5% cetrimide/0.05% chlorhexidine solution followed by 70% isopropyl alcohol (first 10-month time-period); and 10% povidone-iodine followed by 70% isopropyl alcohol (second 10-month time-period). The rates of bacterial contamination of platelet concentrates were monitored by using a surveillance programme described previously. RESULTS:The overall bacterial contamination rate in the first time-period was 0.072%. After introduction of the povidone-iodine and isopropyl alcohol protocol, the bacterial contamination rate decreased to 0.042% (relative risk reduction: -0.42; 95% confidence interval, -0.12 to -0.61, P= 0.009). There were no differences in the types of micro-organisms identified (P = 0.7). CONCLUSIONS:Skin disinfection by povidone-iodine and isopropyl alcohol is more effective than that by cetrimide/chorhexidine and isopropyl alcohol in reducing venepuncture-associated contamination of platelet concentrates by skin flora. Our data indicate that the disinfection protocol should be used on a routine basis and such implementation should translate into a significant improvement in blood safety to patients receiving platelet transfusion.

journal_name

Vox Sang

journal_title

Vox sanguinis

authors

Lee CK,Ho PL,Chan NK,Mak A,Hong J,Lin CK

doi

10.1046/j.1423-0410.2002.00219.x

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

204-8

issue

3

eissn

0042-9007

issn

1423-0410

pii

219

journal_volume

83

pub_type

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