SEPSIS ASSOCIATED WITH TRANSFUSION OF RED-CELLS CONTAMINATED WITH YERSINIA-ENTEROCOLITICA

被引:125
作者
TIPPLE, MA
BLAND, LA
MURPHY, JJ
ARDUINO, MJ
PANLILIO, AL
FARMER, JJ
TOURAULT, MA
MACPHERSON, CR
MENITOVE, JE
GRINDON, AJ
JOHNSON, PS
STRAUSS, RG
BUFILL, JA
RITCH, PS
ARCHER, JR
TABLAN, OC
JARVIS, WR
机构
[1] CTR DIS CONTROL, CTR INFECT DIS, HOSP INFECT PROGRAM, NOSOCOMIAL INFECT LAB BRANCH, ATLANTA, GA 30333 USA
[2] CTR DIS CONTROL, CTR INFECT DIS,DIV BACTERIAL DIS,ENTER DIS BRANCH, ENTER BACTERIOL SECT, ATLANTA, GA 30333 USA
[3] US FDA, CTR BIOL EVALUAT & RES, OFF COMPLIANCE, ROCKVILLE, MD 20857 USA
[4] UNIV CINCINNATI, MED CTR, HOXWORTH BLOOD CTR, CINCINNATI, OH 45267 USA
[5] BLOOD CTR SE WISCONSIN INC, MILWAUKEE, WI USA
[6] AMER RED CROSS, CTR BLOOD, ATLANTA, GA USA
[7] BROWARD GEN MED CTR, FT LAUDERDALE, FL USA
[8] UNIV IOWA HOSP & CLIN, DEPT PATHOL, IOWA CITY, IA 52242 USA
[9] MED COLL WISCONSIN, DEPT INTERNAL MED, HEMATOL ONCOL SECT, MILWAUKEE, WI 53226 USA
[10] UNIV WISCONSIN, CTR HLTH SCI, STATE LAB HYG, MADISON, WI 53706 USA
关键词
D O I
10.1046/j.1537-2995.1990.30390194338.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Between April 1987 and May 1989, the Centers for Disease Control investigated seven cases of transfusion‐associated Yersinia enterocolitica sepsis; four were caused by organisms of serotype O:3, and one each was caused by organisms of serotype O:1,2,3; O:5,27; and O:20. All seven recipients developed septic shock after receiving units of red cells (RBCs) contaminated with Y. enterocolitica; five recipients died. The cases occurred in seven states and were unrelated. There was no evidence for contamination of the RBC units during processing. Six of the seven donors had serologic evidence of recent Y. enterocolitica infection, and it is hypothesized that these donors had asymptomatic bacteremia when they donated the implicated blood. Four of the seven donors reported gastrointestinal illness in the 4 weeks before blood donation, and one donor became ill on the day he donated blood. Y. enterocolitica grows well at 4° C and in the presence of dextrose and iron. If blood is contaminated at the time of collection, storage of the RBCs at 4° C provides an ideal environment for bacterial growth and endotoxin production. These cases demonstrate the need for careful evaluation of patients with transfusion reactions for possible sepsis and suggest a need to screen prospective blood donors for mild gastrointestinal illness, including those illnesses not requiring physician evaluation or medication. 1990 AABB
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页码:207 / 213
页数:7
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