Evaluation and Safety Control Mechanism of Endotoxin Detection in Whole Blood and Blood Components

Abstract

Objective Through dynamic monitoring bacterial endotoxin and cultivating whole blood and blood components,consistence between endotoxin level and bacterial culture results,association between the clinic fever reaction and blood endotoxin were evaluated.Furthermore,the effectiveness of safety control mechanism on bacterium and endotoxin was assessed.Methods From March to April 2009,a total of 300 blood samples of volunteer donors from our blood center were included in this study.Based on the sample varieties,all of these samples were divided into 3 groups:the whole blood group (n=50),suspended red blood cell (RBC) components group (n=150) and platelet (PLT) components group (n=100).Meanwhile 361 healthy donors from the street during January to February 2009,were chosen as a control group,and their endotoxin results would be used as normal reference range.Dynamic turbidity was used as the quantitative detection method of bacterial endotoxin.Endotoxin content in each group was individually detected during their blood preservations.And the endotoxin content results of each group in different blood preservation period and their bacterial cultivating results were analyzed by variance of repeated measurement data.Moreover,the samples from clinical transfusion fever reaction were detected for endotoxin level.Results Normal blood endotoxin reference range from the control group was (0-0.193) EU/mL.PLT suspension group (W=0.635,P =0.0585),and suspended RBC group (W =0.334,P =0.583) had no significant differences in endotoxin concentration of three periods.There were significant differences in endotoxin in whole blood group of three periods (W=0.860,P=0.014).The endotoxin level of whole blood and blood components was (0.005-0.188) EU/mL,and all bacterial cultivating results were negative.Endotoxin concentration in blood samples of transfusion fever reaction was (0.023-0.145) EU/mL.Conclusions While cultivating results of whole blood and blood components were negative,their endotoxin levels were normal and endotoxin level and bacterial culture results were consistent.Normal endotoxin concentration in blood samples of fever reaction announced no association with transfusion fever reaction.It could be shown that these procedures including medical consumed material,blood donor screening,blood collection,preparation,preservation,transportation,etc,are effective for the safety control mechanism of blood bacterial and endotoxin in current blood transfusion services. Key words: whole blood; blood components; endotoxin detection; safety control