• Vox sanguinis · May 2012

    Benefit of transfusion-related acute lung injury risk-minimization measures--German haemovigilance data (2006-2010).

    • M B Funk, S Guenay, A Lohmann, O Henseler, M Heiden, K M O Hanschmann, and B Keller-Stanislawski.
    • Department of Safety of Medicinal Products and Medical Devices, Paul-Ehrlich-Institut Langen, Langen, Germany. Markus.Funk@pei.de
    • Vox Sang. 2012 May 1;102(4):317-23.

    ObjectiveBased on the frequency of immune-mediated and non-immune-mediated transfusion-related acute lung injury (TRALI), the effect of risk-minimization measures was evaluated during a period of 5 years (2006-2010). Risk-minimization measures were implemented in 2008/2009, consisting of exclusion of female donors with a history of pregnancy or exclusion of female donors with human leucocyte antigen (HLA)/human neutrophil alloantigen (HNA) antibodies.MethodsTRALI was confirmed according to the criteria of the International Haemovigilance Network. Based upon the results of donor testing of white-blood-cell antibodies (WBC-Ab) against HLA or HNAs, confirmed cases were classified as immune- or non-immune-mediated TRALI. Reporting rates were calculated on the basis of the annually transfused blood components, and pre- and post-implementation periods were compared.ResultsIn total, 60 immune-mediated (75%) and 20 non-immune-mediated (25%) TRALI reactions were confirmed. A total of 68 (64 women and four men) donors were involved: seven red-blood-cell concentrates donors (13%), six platelet concentrate donors (10%), and 48 fresh frozen plasma (FFP) donors (77%). The reporting rate of immune-mediated TRALI caused by FFP decreased continuously; from 12·71 per million units in 2006/2007 to 6·81 per million units in 2008/2009 and no case in 2010.ConclusionThe comparison of the pre- and the post-implementation period demonstrated a significantly reduced risk of TRALI events comparing 2006/2007 with 2010 (P-value: <0·01). Furthermore, no case of TRALI-induced fatality occurred after the implementation of risk-minimization measures.© 2011 The Author(s). Vox Sanguinis © 2011 International Society of Blood Transfusion.

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