DOCSLIB.ORG

Blood Transfusion in the 21St Century

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Blood Transfusion in the 21St Century DISCOVERIES 2014, Jan-Mar, 2(1): e11 DOI: 10.15190/d.2014.3 Blood Transfusion in the 21st Century REVIEW Article Blood Transfusion in the 21st Century Mark T. Friedman1,*, Vaidehi Avadhani1, Sandra Gilmore2, Emilio Madrigal1 1Department of Pathology, Blood Bank and Transfusion Services, 2Blood Management, Bloodless Medicine and Surgery, Mount Sinai Health System, St. Luke’s, Roosevelt, and Beth Israel Hospitals, Icahn School of Medicine at Mount Sinai, New York, NY 10019, USA Corresponding author: Mark T. Friedman, DO, Mount Sinai Roosevelt Hospital, Medical Director of Blood Bank and Transfusion Service, 1000 Tenth Avenue, New York, NY 10019. Phone: 212-523-7242; Fax: 212- 523-6394; [email protected]. Submitted: March 11, 2014; Published after revision: March 31, 2014; Citation: Friedman MT, Avadhani V, Gilmore S, Madrigal E. Blood Transfusion in the 21st Century. Discoveries 2014, Jan-Mar; 2(1): e11. DOI: 10.15190/d.2014.3 ABSTRACT implement appropriate patient blood management Blood transfusion is a common procedure in the strategies. This review will examine these issues hospital setting, and the safety of the blood supply along with newer blood safety technological has been vastly improved over the past few decades innovations and further highlight contributing largely due to improvements in screening for viral studies from our institutions. transmissible diseases, especially human immunodeficiency virus (HIV) and viral hepatitis. Keywords: Blood substitutes; factor concentrates; However, more recent efforts to improve blood hemovigilance; patient blood management; safety have focused on non-transmissible disease transfusion medicine education; transfusion safety. risks such as transfusion-related acute lung injury (TRALI), non-viral transmissible diseases such as Abbreviations bacterial contamination of blood products American Association of Blood Banks (AABB); Centers (especially platelet components which are stored at for Disease Control and Prevention (CDC); room temperature) and Chagas disease (a parasitic Cytomegalovirus (CMV); Food and Drug Administration disease caused by Trypanosoma cruzi), and prion (FDA); Hemoglobin-based oxygen carriers (HBOC’s); transmissible agents (e.g., variant Creutzfeldt-Jakob Human immunodeficiency virus (HIV); Human disease, also known as the agent of mad cow leukocyte antigen (HLA); Patient blood management (PBM); Perfluorocarbons (PFC’s); Serious Hazards of disease) as well as more recently-recognized Transfusion (SHOT); The Joint Commission (TJC); transmissible viral disease risks such as West Nile Transfusion-associated graft-vs-host disease (TA- virus. Appropriate blood utilization has also come GVHD); Transfusion-related acute lung injury (TRALI); under more intense scrutiny in recent times due to Transfusion-related immunomodulation (TRIM); United healthcare costs and the recognition that many Kingdom (U.K.); Variant Creutzfeldt-Jakob disease blood transfusions are given under circumstances in (vCJD). which the benefit to the patients is unclear and may be potentially harmful due to the above risks as well SUMMARY as the emerging concept that blood transfusions 1. Introduction may cause long-term damage to the immune system 2. Safety of the blood supply resulting in worse patient morbidity and mortality 3. Quality of the blood supply outcomes. Toward that end, accreditation agencies 4. Transfusion medicine education such as the Joint Commission and the American 5. Patient blood management Association of Blood Banks (AABB) are 6. Future technology advocating for healthcare organizations to 7. Concluding remarks www.discoveriesjournals.org/discoveries 1 Blood Transfusion in the 21st Century 1. Introduction with the fact that published transfusion guidelines have been updated over the years to reflect a more Blood transfusion is one of the most common conservative approach to blood utilization9,10, procedures performed in hospitals. Accordingly, it clinicians have been slow to adopt these transfusion was reported that there were nearly 15 million practices and in many cases, transfusion practices whole blood and red blood cell units transfused in remain inconsistent even amongst physicians of the the United States alone in 2008, representing a same specialty practicing within a localized region nearly 6% increase in transfusions from the prior or even within the same institution11. This review surveyed year of 20061. This is because anemia is a will further discuss issues surrounding blood common comorbidity that can be found in a variety utilization, including the safety and quality of the of patients, including patients with cancer, patients blood supply and patient blood management. undergoing surgical procedures or hemodialysis, patients with autoimmune or bone marrow disorders 2. Safety of the blood supply (such as myelodysplastic syndrome), patients with congenital anemia (such as sickle cell anemia and Over the years, the safety of the blood supply has thalassemia), trauma patients, obstetrical patients, dramatically improved. Early efforts to reduce risk and patients with nutritional deficiencies, such as focused on reliance on volunteer donors while iron deficiency. While it is certainly known that screening out donors with high-risk behavior, such anemia can have adverse effects on patients, as male-to-male sex, for human immunodeficiency particularly in cardiovascular and neurocritical care virus (HIV) and viral hepatitis (hepatitis B and patients2-4, what is becoming more evident is that hepatitis C) as well as the implementation of correction of anemia via blood transfusion is not highly-sensitive testing to reduce the infectious beneficial to many patients, and in fact, may be window period, that is, the time between exposure more harmful, unless the patient is acutely to viral infection and ability of the blood test to symptomatic (e.g., shortness of breath, low blood detect the virus when the donor may be infectious pressure, rapid heart rate, dizziness, or chest pain) though the test result is negative. Such strategies from the anemia. Thus, it is considered problematic have reduced the risk of HIV and hepatitis C that many blood transfusions are administered transmission through blood to about 1 in 2 million unnecessarily, driving up healthcare costs, (or roughly the equivalent of the risk of getting expending a valuable resource (i.e., blood struck by lightning)12. More recently, testing for components) in short supply (because only a West Nile virus and Chagas disease (Trypanosoma minority of eligible blood donors in the U.S. give cruzi) has been added to address those emerging blood), and exposing patients to all the risks and transmissible disease threats to the blood complications (like fluid and iron overload) of supply13,14, and standards were adopted for reducing blood transfusions. Hèbert et al. published their the risk of bacterial contamination of platelet landmark study 15 years ago which demonstrated components (which must be stored at room the lack of benefit of a liberal transfusion strategy temperature to maintain platelet hemostatic over that of a restrictive one in critical care function)15. Still, there remain transmissible disease patients5. Since then, additional studies have been risks that are not tested for owing to the fact that published demonstrating similar outcomes in other U.S. Food and Drug Administration (FDA)- patient populations such as elderly patients approved testing is unavailable. Perhaps most undergoing orthopedic (e.g., hip replacement) problematic in the U.S. is babesiosis, a parasitic surgery, pediatric patients, and patients with agent that infects red blood cells à-la malaria but gastrointestinal bleeding6-8. Despite these data that is endemic in the northeastern U.S.; supportive of restrictive transfusion strategies along transmission of babesiosis through blood has been reported16, and the FDA may consider Although blood transfusions are commonly implementation of testing in the near future. Yet used to treat anemia, restrictive transfusion another transmissible agent for which testing is practices (i.e., fewer transfusions) have been unavailable is variant Creutzfeldt-Jakob disease shown to be as effective if not better than liberal (vCJD, the prion agent of bovine spongiform transfusion practices. encephalopathy or mad cow disease); human cases have been attributed to transfusion of blood www.discoveriesjournals.org/discoveries 2 Blood Transfusion in the 21st Century components in the United Kingdom17. To address implemented by most hospital transfusion services, this, prospective blood donors in the U.S. who have such as the requirement for a second sample to traveled for a defined period of time to the U.K. confirm the ABO blood type prior to crossmatch (cumulative 3 month travel between 1980 and and strict blood administration policies for bedside 1996) or western Europe (cumulative 5 years patient identification at the time of transfusion. between 1980 and present) are currently excluded; Nevertheless, TRALI and group ABO-incompatible however, this is problematic as a number of transfusion occurrence estimates remain much otherwise-eligible blood donors are unable to greater than for transmission of HIV and hepatitis donate, representing a small but not insignificant and are amongst the highest causes of transfusion- loss of U.S. blood donors18. Transfusion- related fatalities21,22. Transfusion-associated graft- transmitted cases of hepatitis E virus have also been vs.-host disease (TA-GVHD) is yet
Load more

Recommended publications
  • ST-002 ISBT 128 Standard Terminology for Medical Products of Human Origin
    ISBT 128 STANDARD Standard Terminology for Medical Products of Human Origin For Use with Product Description Code Database Version 7.54 September 2021 Tracking Number ICCBBA ST-002 Published by: ICCBBA PO Box 11309, San Bernardino, CA 92423-1309 USA Standard Terminology for Medical Products of Human Origin v7.54 Editor Ryan Ruiz, BS Information Standards Specialist, ICCBBA Standards Committee Wayne Bolton, BAppSc, MAppSc Standards Committee, APTAG, TAG-IT Chair Paul Ashford, MSc, CEng, CSci ICCBBA Executive Director Debbie Barnett MBE, RGN, RM, BSc MBTAG Chair Suzanne Butch, MA, MT(ASCP)SBB ATAG Chair Jørgen Georgsen, MD Technical Expert Martin Hildebrandt, MD RMTAG Chair Jelena Holovati, PhD, MLT(CSMLS), MT(ASCP) NATTAG Chair Karen Moniz, MHA, MT(ASCP)SBB ICCBBA Technical Director Mario Muon, MD EMATAG Chair Diego Ponzin, MD EBTAG Chair Leigh Sims Poston, BS, MT(ASCP) Technical Expert Ineke Slaper-Cortenbach, PhD Technical Expert Zbigniew Szczepiorkowski, MD, PhD, FCAP CTCLAG Chair Kelly Tilleman, PhD, MSc ARTTAG Chair Izabela Uhrynowska-Tyszkiewicz, MD, PhD ETTAG, ITTAG Chair © 2021 ICCBBA, All Rights Reserved 1 www.isbt128.org Standard Terminology for Medical Products of Human Origin v7.54 COPYRIGHT, WARRANTY, AND LIABILITY NOTICE Copyright 2021. ISBT 128 is not in the public domain and is protected by law. Implementation of ISBT 128 requires the end-user to register with ICCBBA and to pay an annual license fee. License fees are established by the ICCBBA Board of Directors to cover the expenses of maintaining and extending ISBT 128, and making available current versions of documents and database tables. Any use of this document, or the accompanying database tables, by other than registered organizations, or facilities that have obtained their computer software from a registered and licensed developer, is strictly forbidden.
    [Show full text]
  • Guidelines for the Blood Transfusion Services
    Joint United Kingdom (UK) Blood Transfusion and Tissue PDF Generated JPAC Transplantation Services Professional Advisory Committee 26/09/2021 08:32 Guidelines for the Blood Transfusion Services Index http://www.transfusionguidelines.org/red-book/index Index Names of blood components are in bold type. Page numbers relating to tabulated information are in italics. ABO grouping anomalous 222–3, 224 antisera 188–96 of blood 222–3 of donations 216 fully automated 222 indication on dispatch note 68 indication on labels 316, 317–18 mismatched transplant testing 226 molecular genetics 231 in the presence of autoantibodies 224 quality control 216 acute coronary syndrome 56 additive solutions 135 advanced therapy medicinal product (ATMP) 293 adverse events/reactions EU directives 7, 8, 14 febrile transfusion reactions 249 haemolytic transfusion reactions (HTRs) 218 International Haemovigilance Network categories for 54–6 recording and reporting 21–2, 42, 51–2 serious/severe 14, 21, 56, 281 page 1 of 67 Guidelines for the Blood Transfusion Services / Index suspected bacterial contamination of blood components 176 tissue and organs 281 TRALI 234, 244, 248–9, 253, 254 transfusion reactions 176, 178, 218, 249 air embolism 56 air quality 61, 274 alarm systems 44, 144, 296 alert/action levels, processing facilities 175 allergic reactions 55, 56 alloadsorption techniques 223 alloantibodies in anomalous ABO grouping 222 detection in the presence of autoantibodies 224–5 alternative assay testing, definition 161 ambient temperature 61 amnion donation 266
    [Show full text]
  • Guidance for the Procurement of COVID‐19 Convalescent Plasma
    Vox Sanguinis (2020) © 2020 International Society of Blood Transfusion ORIGINAL PAPER DOI: 10.1111/vox.12970 Guidance for the procurement of COVID-19 convalescent plasma: differences between high- and low-middle-income countries † † Evan M. Bloch,1, Ruchika Goel,1,2, Silvano Wendel,3 Thierry Burnouf,4,5 Arwa Z. Al-Riyami,6 Ai Leen Ang,7 Vincenzo DeAngelis,8 Larry J. Dumont,9,10,11 Kevin Land,12,13 Cheuk-kwong Lee,14,15 Adaeze Oreh,16 Gopal Patidar,17 Steven L. Spitalnik,18 Marion Vermeulen,19 Salwa Hindawi,20 ‡ Karin Van den Berg,19 Pierre Tiberghien,21 Hans Vrielink,22 Pampee Young,23 Dana Devine24,25, & ‡ Cynthia So – Osman22,26, 1Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD,USA 2Division of Hematology/Oncology, Simmons Cancer Institute at SIU School of Medicine and Mississippi Valley Regional Blood Center, Springfield, Illinois,USA 3Hospital Sirio Liban^es, Sao~ Paulo, Brazil 4Graduate Institute of Biomedical Materials and Tissue Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan 5International PhD Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan 6Department of Hematology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman 7Blood Services Group, Health Sciences Authority, Singapore, Singapore 8Transfusion Medicine Dept, Udine University Hospital, Udine, Italy 9Vitalant Research Institute, Denver, CO,USA 10University of Colorado School of Medicine, Denver, CO,USA 11Geisel School of Medicine
    [Show full text]
  • Download Booklet.Pdf
    The NOTIFY Guide On Vigilance and Surveillance EDITION DECEMBER 22 nd 2017 Vigilance and Surveillance (V&S) of Medical Products of Human Origin (MPHO) CONTENT 1. Introduction 3 1.1 Medical products of human origin 3 8.3 Triggers for a notification of suspected harm to a recipient8.1 Quality management 22 1.2 Vigilance and surveillance 3 8.4 Infection threat watch 22 1.3 The igilance and surveillance chain for medical products of human origin, a NOTIFY guide 4 8.5 Transmissible disease screening for donor suitability 22 8.6 Product centered 22 2. The V&S Chain for MPHOs 5 8.7 Definitions 23 3. Vigilance and surveillance: history and basic elements 8 9. Investigating Occurrences that could cause harm – Learning from errors 26 4. Medical Product of Human Origin (MPHO) - Donation and Ethics 10 9.1 Five whys 26 4.1 Ethical breaches, fraudulent, illegal practices 10 9.2 Cause and effect analysis 28 4.2 The voluntary donor and donor families 10 10. Project NOTIFY 29 5. Toward a global governance of MPHO 13 10.1 NOTIFY project’s scope 29 5.1 The development of global governance of MPHO 13 10.2 Haemovigilance (HV), archetype of V&S for MPHO 30 5.2 A safeguard, a damage limitation system 14 5.2.1 Early notification, timely reaction 15 11. The NOTIFY database – Learning from Vigilance 33 5.2.2 A necessity for the public, a responsibility for authorities 15 11.1 The NOTIFY database as a reference for unusual donor suitability questions 34 6.
    [Show full text]
  • Final Programme
    35th International Congress of the ISBT Toronto, Canada Final Programme June 2 - 6, 2018 In conjunction with the annual conference of the CSTM Tab_1 35th International Congress of the International Society of Blood Transfusion, Toronto, Canada June 2 - 6, 2018 Tab_2 Tab_3 Tab_4 Tab_5 Acknowledgements Corporate Partners ISBT is pleased to acknowledge the following Corporate Partners GOLD SILVER BRONZE 2 Table of Contents Introduction: - Words of Welcome 5 - Future Congresses 8 - Committees 10 - Reviewers 13 - Congress Organisers 16 ISBT 19 ISBT Working Party Meetings 20 General Scientific Information 23 Congress General Information 24 Programme at a Glance 28 Scientific Programme 33 Speaker Index 102 Posters 109 Other Information 113 General Information 114 Social Programme 116 Floor Plans 3 4 Introduction Introduction Word of Welcome Congress President Dear friends and colleagues, On behalf of the Canadian Society for Transfusion Medicine, Canadian Blood Services and Héma-Québec and ISBT, it is my pleasure to welcome you to the 35th International Congress of the International Society for Blood Transfusion. During this event, you will have the opportunity to: - Present the results of your research to your peers; - Hear the latest developments in ongoing research in transfusion medicine and cellular therapies, from the bench to the bedside; - Benefit from state-of-the-art reviews in the various areas of transfusion medicine and cellular therapies; - Meet with friends, colleagues and exhibitors to exchange ideas and projects; All of this in the wonderful environment of a vibrant and friendly city. The ISBT Scientific Secretary and the Chair of the ISBT Academy have worked closely with the Local Organizing Committee to offer you an educational and scientific programme of world class and a wonderful social programme.
    [Show full text]
  • ISBT 128 Standard
    ISBT 128 Standard Cellular Therapy Product Coding Transition Version 1.3.0 June 2008 Cellular Therapy Product Coding Transition Version 1.3.0 1 Editorial Board Paul Ashford, MSc. CEng. CSci. Executive Director, ICCBBA Suzanne Butch, MA, MT(ASCP)SBB Ann Arbor, Michigan, USA Suzy Grabowski, BA, BB(ASCP)SBB Houston, Texas, USA Jørgen Georgsen, MD Odense, Denmark Mario Muon, MD Coimbra, Portugal Editor Pat Distler Technical Director ICCBBA Published by: ICCBBA P.O. Box 11309, San Bernardino, CA 92423-1309 USA www.iccbba.org ©ICCBBA, Inc. 2008 All rights reserved. www.iccbba.org Cellular Therapy Product Coding Transition Version 1.3.0 2 Warranty ICCBBA provides no warranty that the use of ISBT 128 is suitable for any particular purpose and the selection, use, efficiency, and suitability of ISBT 128 is the sole responsibility of the Licensed User. Liability ICCBBA's liability is limited to that specified in the ICCBBA. License Agreement which is available on the ICCBBA web site. Under no circumstances shall ICCBBA's liability exceed the current annual license fee, and ICCBBA will in no circumstances be liable for any damages whatsoever, including without limitation damages for loss of data, business or goodwill, or any other consequential losses of any nature arising from the use of ISBT 128. ©ICCBBA, Inc. 2008 All rights reserved. www.iccbba.org Cellular Therapy Product Coding Transition Version 1.3.0 3 Cellular Therapy Product Coding Transition Table of Contents 1 Background ............................................................................................................... 4 1.1 Rationale for Changes to Terminology.............................................................. 4 1.2 The Issues......................................................................................................... 5 1.3 Key changes...................................................................................................... 5 2 Progenitor Cells (HPC).............................................................................................
    [Show full text]
  • ISBT 128 Standard Labeling of Cellular Therapy Products
    ISBT 128 STANDARD Labeling of Cellular Therapy Products Version 1.2.1 July 2021 Tracking Number ICCBBA ST-004 ISBN-13: 978-1-933243-89-4 Published by: ICCBBA PO Box 11309, San Bernardino, CA 92423-1309 USA Labeling of Cellular Therapy Products v1.2.1 2 Editor Mónica Freire, BS Standards Development Manager, ICCBBA Standards Committee John Armitage, Prof., BSc, PhD United Kingdom Paul Ashford, MSc. CEng. CSci. ICCBBA Wayne Bolton, B.App.Sc., M.App.Sc Australia Suzanne Butch, MA, MT(ASCP)SBB United States of America Erwin Cabana, BA ICCBBA Mónica Freire, BS ICCBBA Jørgen Georgsen, MD Denmark Mario Muon, MD Portugal Stefan Poniatowski, BSc, MIBMS Australia Leigh Sims Poston, BS, MT(ASCP) United States of America Ineke Slaper-Cortenbach, PhD The Netherlands Zbigniew Szczepiorkowski, MD, PhD United States of America Izabela Uhrynowska-Tyszkiewicz, MD, PhD Poland © 2012-2021 ICCBBA, All rights reserved www.isbt128.org Labeling of Cellular Therapy Products v1.2.1 3 COPYRIGHT, WARRANTY, AND LIABILITY NOTICE Copyright 2021. ISBT 128 is not in the public domain and is protected by law. Implementation of ISBT 128 requires the end-user to register with ICCBBA and to pay an annual license fee. License fees are established by the ICCBBA Board of Directors to cover the expenses of maintaining and extending ISBT 128, and making available current versions of documents and database tables. Any use of this document, or the accompanying database tables, by other than registered organizations, or facilities that have obtained their computer software from a registered and licensed developer, is strictly forbidden. Copying any portion of the Standard, or of any accompanying database table, either in electronic or other format, without express written permission from ICCBBA is strictly forbidden.
    [Show full text]
  • IG-041 Implementation Guide: Use of ISBT 128 in Resource
    IMPLEMENTATION GUIDE Use of ISBT 128 in Resource-Limited Countries Version 1.0.0 August 2016 Tracking Number ICCBBA IG-041 Published by: ICCBBA PO Box 11309, San Bernardino, CA 92423-1309 USA Use of ISBT 128 in Resource-Limited Countries v1.0.0 2 Warranty Disclaimer and Limitation of Liability ICCBBA provides no representation or warranty that the Licensee’s use of ISBT 128 is suitable for any particular purpose and the selection, use, efficiency and suitability of ISBT 128 is the sole responsibility of the Licensee. ICCBBA is not an accrediting organization and is not responsible for adherence to the standard, the selection of product codes, or product labeling by facilities registered for its use ICCBBA’s liability is limited to that specified in the ICCBBA License Agreement which is available on the ICCBBA website. Under no circumstances shall ICCBBA’s liability to licensee or any third party under any theory or cause of action exceed the current annual license fee payable by the licensee to ICCBBA hereunder, and ICCBBA will in no circumstances be liable for any direct or indirect damages whatsoever, including without limitation special, incidental, consequential, or punitive damages or damages for loss of data, business or goodwill or any other consequential losses of any nature arising from the use of ISBT 128 or the marks. COPYRIGHT NOTICE Copyright 2016. ISBT 128 is not in the public domain and is protected by law. Implementation of ISBT 128 requires the end-user to register with ICCBBA and to pay an annual license fee. License fees are established by the ICCBBA Board of Directors to cover the expenses of maintaining and extending ISBT 128, and making available current versions of the documents and database tables that are needed to implement this Guidance.
    [Show full text]
  • IG-002 United States Consensus Standard for the Uniform
    United States Industry Consensus Standard for the Uniform Labeling of Blood and Blood Components Using ISBT 128 Version 3.0.0 March 2013 Tracking Number ICCBBA IG-002 Published by: ICCBBA PO Box 11309, San Bernardino, CA 92423 USA Telephone: +1 (909)793-6516 Fax: +1 (909) 793-6214 E-mail: [email protected] Website: www.iccbba.org US Consensus Standard, Version 3.0.0 1 Acknowledgement ICCBBA thanks the members of the Americas Technical Advisory Group (ATAG) for their contributions in the development of this consensus standard. Members of ATAG Suzy Grabowski, Chair Suzanne Butch Guilherme Genovez Donald Gironne Sharon McMillan Dan Simpson Representatives Karen Burns, Veteran’s Administration Nikki Denlinger, American Red Cross Peggy Dunn, AABB Simon Fournier, HémaQuébec Lora Poore, Americas Blood Centers Dorothy Ward, Canadian Blood Services Liaisons Francisca Agbanyo, Health Canada Jennifer Jones, FDA Additionally, ICCBBA thanks the many observers who routinely participate in ATAG and provide valuable input. For reviewing and proof reading this document, ICCBBA thanks Jessica Youngblood, Oklahoma Blood Institute © 2013 ICCBBA All rights reserved www.iccbba.org US Consensus Standard, Version 3.0.0 2 Editor Pat Distler, MS, MT(ASCP)SBB Technical Director, ICCBBA Standards Committee John Armitage, Prof., BSc, PhD United Kingdom Paul Ashford, MSc. CEng. CSci. ICCBBA Wayne Bolton, B.App.Sc., M.App.Sc Australia Suzanne Butch, MA, MT(ASCP)SBB United States of America Pat Distler, MS, MT(ASCP)SBB ICCBBA Jørgen Georgsen, MD Denmark Suzy Grabowski,
    [Show full text]
  • Has Isbt 128 Fulfilled Its Promise?
    REVIEW Twenty-five years later: has ISBT 128 fulfilled its promise? Pat Distler and Paul Ashford n 1994 the first specification for ISBT 128, the interna- Traceability is essential to any quality program for tional standard for terminology, identification, coding, medical products of human origin (MPHO). Standardized and labeling of medical products of human origin terminology, coding, and labeling systems that include (MPHO), was published. Initially intended simply as a key elements for traceability support electronically I replacement for the ABC Codabar blood labeling standard, its readable information on product labels and improve the developers saw a broader purpose for the information stan- accuracy and efficiency of data collection. ISBT 128 is dard. The new standard was to be truly international, ensuring such a system. The first specification for ISBT 128 was that each product would be labeled in a way that would be published 25 years ago, and since that time it has globally unique for 100 years. The standard would be far- become the global standard for labeling and information sighted so that products created by processes that were totally transfer for MPHO. Additionally, standardization of unforeseen in 1994 could be easily accommodated in the prod- granular product description codes has supported hemovigilance and other activities that depend on uct coding system by simple additions to a table. More types of aggregated data. This review looks back over the relevant information (e.g., red blood cell [RBC] or platelet anti- development, current status, and potential future gens) were to be encoded. Finally, the standard would accom- applications of the ISBT 128 Standard.
    [Show full text]
  • Labeling of Cell Therapy Products: a Review of the Past and a Look Into the Future
    Labeling of cell therapy products: a review of the past and a look into the future N.R. HALEY AND J.P.MILLER In early bone marrow transplantation, the cells This simplicity, however, led to a more complex given were thought to be simple replacements of labeling and tracking situation. The cellular products diseased cells after myeloablative therapies. Today were collected, processed, and frozen for the patient’s human cell populations are often used as agents of future use in the same storage space with other therapy. As the uses and cell varieties have multiplied, patients’ grafts. The labeling consisted mainly of the so has the need grown for a labeling system that works patient’s name and Social Security or hospital number. both inside institutions as well as between widely Because multiple collections of cells from each patient separated sites of collection and infusion. had to be made over time, there was a proliferation of The pioneers in cell therapy were Nobel Prize cells to be frozen and stored together. Sometimes cells winner E. Donnall Thomas and colleagues.1,2 These from patients with similar names were mixed up. bone marrow transplanters reasoned that if the bone When blood centers began to collect apheresis marrow was diseased with leukemia, and an HLA- products for transplantation,it was their practice to put matched sibling could be found, the diseased bone unit numbers on the label in addition to the autologous marrow could be eradicated by total body irradiation patient information. These unique numbers allowed and replaced with donated, matched, healthy bone the centers to use their regular routine for typing and marrow.
    [Show full text]
  • US Industry Consensus Standard for the Uniform Labeling of Blood and Blood Components Using ISBT
    United States Industry Consensus Standard for the Uniform Labeling of Blood and Blood Components Using ISBT 128 Version 3.0.0 March 2013 Tracking Number ICCBBA IG-002 Published by: ICCBBA PO Box 11309, San Bernardino, CA 92423 USA Telephone: +1 (909)793-6516 Fax: +1 (909) 793-6214 E-mail: [email protected] Website: www.iccbba.org US Consensus Standard, Version 3.0.0 1 Acknowledgement ICCBBA thanks the members of the Americas Technical Advisory Group (ATAG) for their contributions in the development of this consensus standard. Members of ATAG Suzy Grabowski, Chair Suzanne Butch Guilherme Genovez Donald Gironne Sharon McMillan Dan Simpson Representatives Karen Burns, Veteran’s Administration Nikki Denlinger, American Red Cross Peggy Dunn, AABB Simon Fournier, HémaQuébec Lora Poore, Americas Blood Centers Dorothy Ward, Canadian Blood Services Liaisons Francisca Agbanyo, Health Canada Jennifer Jones, FDA Additionally, ICCBBA thanks the many observers who routinely participate in ATAG and provide valuable input. For reviewing and proof reading this document, ICCBBA thanks Jessica Youngblood, Oklahoma Blood Institute © 2013 ICCBBA All rights reserved www.iccbba.org US Consensus Standard, Version 3.0.0 2 Editor Pat Distler, MS, MT(ASCP)SBB Technical Director, ICCBBA Standards Committee John Armitage, Prof., BSc, PhD United Kingdom Paul Ashford, MSc. CEng. CSci. ICCBBA Wayne Bolton, B.App.Sc., M.App.Sc Australia Suzanne Butch, MA, MT(ASCP)SBB United States of America Pat Distler, MS, MT(ASCP)SBB ICCBBA Jørgen Georgsen, MD Denmark Suzy Grabowski,
    [Show full text]