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Post-transfusion purpura (PTP) is a delayed adverse reaction to a blood transfusion or platelet transfusion that occurs when the body has produced alloantibodies to the allogeneic transfused platelets' antigens. These alloantibodies destroy the patient's platelets leading to thrombocytopenia, a rapid decline in platelet count. [1]
Febrile non-hemolytic transfusion reaction (FNHTR) is the most common type of transfusion reaction. It is a benign occurrence with symptoms that include fever but not directly related with hemolysis. [1] It is caused by cytokine release from leukocytes within the donor product as a consequence of white blood cell breakdown.
Platelet Transfusion: A Clinical Practice Guideline From the AABB Guideline from the American Association of Blood Banks published 2015. Australian Patient Blood Management Guidelines. Handbook of Transfusion Medicine Archived 2023-03-14 at the Wayback Machine Free book published in the UK 5th edition.
A 1-hour post-transfusion PI of less than 5 to 10 x 10 9 /l is considered evidence of platelet refractoriness. [ 5 ] [ 10 ] Due to lack of data on platelet dose this is often the only measure of platelet refractoriness that can be performed in routine clinical practice.
The red blood cells are removed by macrophages from the blood circulation into liver and spleen to be destroyed, which leads to extravascular haemolysis. This process usually mediated by anti-Rh and anti-Kidd antibodies. However, this type of transfusion reaction is less severe when compared to acute haemolytic transfusion reaction. [36]
In transfusion medicine, transfusion-associated circulatory overload (aka TACO) is a transfusion reaction (an adverse effect of blood transfusion) resulting in signs or symptoms of excess fluid in the circulatory system (hypervolemia) within 12 hours after transfusion. [2]
[1] [2] The most common reason for using washed red blood cells in transfusion medicine is to prevent the recurrence of severe allergic transfusion reactions that do not respond to medical treatment. The usual cause of these allergic reactions is proteins in the donor plasma. [3] These proteins are removed by the process of washing the red ...
Blood Transfusion is an English-language, bimonthly peer-reviewed academic journal. It is published by the Italian Society of Transfusion Medicine and Immunohematology (Società Italiana di Medicina Trasfusionale e Immunoematologia, SIMTI). [1] As of 2024, the editor-in-chief is Serelina Coluzzi. [2] [3]