Background: ABO-incompatible red blood cell (RBC) transfusions and acute hemolytic reactions occur infrequently, yet resultant fatalities are reported to the US Food and Drug Administration (FDA) every year. We describe a 20-year retrospective study of reported mistransfusion cases to identify temporal trends, common causes, and corrective actions taken to prevent recurrence.
Study Design And Methods: ABO-incompatible RBC transfusion-related fatalities reported to the FDA in 2000-2019 were reviewed for patient demographics, primary attributed cause, contributing factors, and corrective actions.
Transfusion Medicine is a dynamically evolving field. Recent high-quality research has reshaped the paradigms guiding blood transfusion. As increasing evidence supports the benefit of limiting transfusion, guidelines have been developed and disseminated into clinical practice governing optimal transfusion of red cells, platelets, plasma and cryoprecipitate.
View Article and Find Full Text PDFHuman neutrophil antigen-3a (HNA-3a) antibodies contained in donor plasma can result in severe, sometimes fatal transfusion-related acute lung injury (TRALI). Recent developments in TRALI secondary to antibodies to HNA-3a antigen span diagnosis, pathophysiology, treatment, and prevention resulting in improved understanding, potential treatments, and mitigation strategies. First, on the molecular level, characterization of HNA-3 antigen has allowed for genotyping methods that clarify population prevalence.
View Article and Find Full Text PDFClin Infect Dis
August 2009
Background: Within the current worldwide epidemic of community-acquired Staphylococcus aureus infections, attention has focused on the role of methicillin-resistant strains. We characterize methicillin-susceptible strains that also contribute to this epidemic.
Methods: We tracked cultures from abscess specimens submitted to the microbiology laboratory at St.
Curr Opin Crit Care
August 2008
Purpose Of Review: Increasing numbers of critically ill and injured patients are surviving their initial hospitalization. The immobilization associated with long-term critical care can lead to deterioration of the musculoskeletal system within 6 h of bed rest, and muscle strength can decline by as much as 40% within a week of immobilization.
Recent Findings: The physical, emotional, and social deficits consequent to immobilization persist despite current rehabilitation, and a substandard quality of life following the event ensues for as long as 7 years post-trauma.