首页> 美国卫生研究院文献>Transfusion Medicine and Hemotherapy >‘Sterility Testing of Blood Components and Advanced Therapy Medicinal Products’ (Munich April 29 2010) Organized by the DGTI Section ‘Safety in Hemotherapy’ - Meeting Report
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‘Sterility Testing of Blood Components and Advanced Therapy Medicinal Products’ (Munich April 29 2010) Organized by the DGTI Section ‘Safety in Hemotherapy’ - Meeting Report

机译:DGTI血液治疗安全性部分组织的血液成分和先进治疗药物的无菌测试(2010年4月29日慕尼黑)

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摘要

Neither screening method completely detects all clinically relevant bacterial contaminations. The effect of sampling time and volume as well as standardization of the assay applied has also to be taken into account. Therefore, minimizing the risk of contamination during manufacture by measures such as donor selection, skin disinfection, division, and processing within closed systems remains crucial. In this context new concepts in sterility testing, especially with instable advanced therapy medicinal products (ATMPs), are needed as well as reassessment of pathogen inactivation techniques. At present hemovigilance data indicate that shortening the shelf life of platelet concentrates as introduced in Germany 2008 reduced the risk of transfusion-transmitted bacterial infections to the same extent as bacterial screening as done in Canada or the Netherlands. The evolving methodological progress, e.g. by standardizing culture methods or enhancing detection systems, requires careful follow-up in parallel to hemovigilance data in order to ensure optimal bacterial safety in hemotherapy.
机译:两种筛查方法都不能完全检测出所有与临床相关的细菌污染。还必须考虑采样时间和体积的影响以及所用测定的标准化。因此,通过诸如捐献者选择,皮肤消毒,分割以及在封闭系统中进行处理等措施来最大程度地降低制造过程中的污染风险仍然至关重要。在这种情况下,需要无菌测试中的新概念,尤其是不稳定的高级治疗药物(ATMP),以及病原体灭活技术的重新评估。目前的血液警惕性数据表明,如德国在2008年引入的那样,缩短浓缩血小板的保存期限可降低输血传播细菌感染的风险,其程度与加拿大或荷兰的细菌筛查相同。不断发展的方法学进展,例如通过标准化培养方法或增强检测系统,需要对血液警惕性数据进行仔细的随访,以确保血液治疗中细菌的最佳安全性。

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