Autotransfusion-bacterial contamination during hip arthroplasty and efficacy of cefuroxime prophylaxis: A randomized controlled study of 40 patients

Wollinsky, K. H.; Oethinger, Margret; Büchele, M.; Kluger, P.; Puhl, W.; Mehrkens, H.-H.

doi:10.3109/17453679708996689

Cited by 34 publications

(35 citation statements)

References 12 publications

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“…As described in the trauma study (Bowley et al 2006), in emergency cases, autotransfusion can be life-saving without causing harm to the patient. A few other case-reports confirm that prophylactic intravenous antibiotic therapy or addition of antibiotics to the anticoagulant solution could prevent bacteraemia or sepsis (Faught et al 1998, Wollinsky et al 1997). …”

Section: Bacterial Contaminationmentioning

confidence: 99%

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Autotransfusion: Therapeutic Principles, Efficacy and Risks

Gemert¹

2012

Blood Transfusion in Clinical Practice

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Section: Bacterial Contaminationmentioning

confidence: 99%

“…The suction tip and the collection bag may be a cause of bacterial contamination (Wollinsky 1997), but antibiotic prophylaxis is generally effective. If autotransfusion is applied following advised methods, bacterial contamination is not a major risk (Wollinsky et al 2007, Bowley et al 2006.…”

Section: Quality Of the Recovered Bloodmentioning

confidence: 99%

Autotransfusion: Therapeutic Principles, Efficacy and Risks

Gemert¹

2012

Blood Transfusion in Clinical Practice

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“…A contraindication for IBS is the demonstrated or suspected contamination of the surgical field with bacteria as long as no methods are used for effective reduction in the amount of bacteria. Up to now, neither save limits of bacterial count are defined, nor is a technique available for reliable and safe decontamination [9]. For transvesical procedures or surgery on the prostate or the bronchial system IBS should only be considered after negative preoperative microbiology tests (urine, sputum) and lack of signs of infection.…”

Section: Structure Qualitymentioning

confidence: 99%

Proposal for Internal Quality Management in Intra- and Postoperative Blood Salvage

Hansen¹,

Altmeppen²

2002

Transfus Med Hemother

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A proposal of an expert group is reported that was put forward to facilitate the set-up of a system for quality management in intra- and postoperative blood salvage. Retransfusion of unwashed blood is excluded since it cannot meet quality criteria of modern transfusion medicine. Quality assurance is necessary to guarantee the high quality of autologous blood prepared during blood salvage with cell washing. It includes a profound understanding of the composition of shed blood and the preparation process, a thorough documentation, and the measurement of quality control parameters. Process quality can be assessed in regular samples by evaluation of red blood cell recovery (>80%) and plasma wash-out efficiency (>90%). Microbiology testing of this unstored blood is not recommended in sterile procedures for lack of consequence. Product quality should be monitored by volume and hematocrit (>50%) during every application.

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“…The recovered blood culture may be positive in some cases, for this reason Wollinsky et al recommend antibiotic prophylaxis with cefuroxime to reduce contamination of suction tips and collection bags (Wollinsky et al, 1997). This same study shows that the use of prophylactic cefuroxime limits the transfer of autologous blood products.…”

Section: Use Of Postoperative Blood Retrievalmentioning

confidence: 67%