Time from apheresis platelet donation to cold storage: Evaluation of platelet quality and bacterial growth. Issue 2 (7th January 2022)

• Record Type: Journal Article
• Authors: Brown, Bethany L.; Wagner, Stephen J.; Hapip, C. Anne; Fischer, Erin; Getz, Todd M.; Thompson‐Montgomery, Dedeene; Turgeon, Annette
• Is Part Of: Transfusion. Volume 62:Issue 2(2022)
• Page Start: 439
• Page End: 447
• Publication Date: 2022-01-07
• Subjects: Cold‐stored platelets -- platelet transfusion -- platelet manufacturing -- platelet storage; Hematology -- Periodicals; Blood -- Transfusion -- Periodicals; Blood Group Antigens -- Periodicals; Blood Preservation -- Periodicals; Blood Transfusion -- Periodicals; 615
• DOI: 10.1111/trf.16785
• Languages: English
• ISSNs: 0041-1132

Abstract

Abstract: Background: Cold storage reduces posttransfusion survival of platelets; however, it can improve platelet activation, lower risk of bacterial contamination, and extend shelf‐life compared to room temperature (RT) storage. To facilitate large‐scale availability, manufacturing process optimization is needed, including understanding the impact of variables on platelet potency and safety. Short time requirements from collection to storage is challenging for large blood centers to complete resuspension and qualify platelets for production. This study evaluated the impact of time from platelet component collection to cold storage on in vitro properties and bacterial growth. Study design and methods: Double‐apheresis platelet components were collected from healthy donors, suspended in 65% PAS‐III/35% plasma, and split into 2 equal units. One unit was placed into cold storage within 2 h and the other unit after 8 h. Eight matched pairs were evaluated for 12 in vitro parameters. Twenty‐four matched pairs were evaluated with 8 bacterial strains tested in triplicate. Samples were tested throughout 21 days of storage. Results: In vitro properties were not different between 2 and 8 h units, and trends throughout storage were similar between arms. Time to cold storage did not significantly impact bacterial growth, with <1 log10 difference at all timepoints between units. Discussion: Our studies showed that extending time to cold storage from 2 to 8 h from collection did not significantly increase the bacterial growth, and the platelet component quality and function is maintained. The ability to extend the time required from collection to storage will improve blood center logistics to feasibly produce CSPs.