Pathogen reduced plasma products: a clinical practice scientific review from the AABB.

TitlePathogen reduced plasma products: a clinical practice scientific review from the AABB.
Publication TypeJournal Article
Year of Publication2019
AuthorsCushing MM, Pagano MB, Jacobson J, Schwartz J, Grossman BJ, Kleinman S, Han MAh, Cohn CS
Corporate AuthorsAABB Clinical Transfusion Medicine Committee
JournalTransfusion
Volume59
Issue9
Pagination2974-2988
Date Published2019 09
ISSN1537-2995
KeywordsBlood Component Removal, Blood Safety, Blood-Borne Pathogens, Disease Transmission, Infectious, Disinfection, Guideline Adherence, Humans, Microbial Viability, Plasma, Societies, Medical, Solvents, Transfusion Reaction
Abstract

BACKGROUND: A small body of literature assessing the efficacy and safety of pathogen reduced (PR) plasma has been published.

STUDY DESIGN AND METHODS: An AABB committee systematically reviewed the literature and graded the clinical trial evidence with the assistance of a GRADE expert.

RESULTS: Most studies identified were low quality and had a small sample size; in addition, efficacy and safety were monitored in many different ways making it difficult to quantify therapeutic benefit and risk. The data analyzed in this systematic review showed that pathogen inactivation did not adversely affect the efficacy of S/D or amotosalen plasma transfusions in any patient population studied. In addition, there were no significant safety issues for these patient populations, other than the specific contraindications noted in their respective package inserts.

CONCLUSION: Larger, well-designed trials are needed to further evaluate the efficacy and safety of all of the PR plasma products.

DOI10.1111/trf.15435
Alternate JournalTransfusion
PubMed ID31268584
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