is granulocyte donation safe

Posted on October 8th, 2020


Cochrane Database of Systematic Reviews 2015;(6):CD005341. Study design and methods: All consecutive granulocyte donors from 1994 to 2012 were identified through our registry. If you have previously obtained access with your personal account, The donors are stimulated with corticosteroids ± granulocyte colony stimulating factor (G‐CSF). The feasibility and safety of granulocyte donation (GD) and determinants of granulocyte yield were also evaluated. Contrasts were performed to explore the effect of donation number on precollection counts.
Participants will have one injection of filgrastim 12 to 24 hours before donation. Please log in. Since granulocytes must be transfused before testing can be completed, the testing performed at the time of the platelet donation is used to screen potential donors to ensure the safest possible outcome for your patient. This research was supported by the Intramural Research Program of the NIH Clinical Center. Yes. Adkins D, Spitzer G, Johnston M, et al. However, data regarding the donors' safety is sparse. The short-term side effects of G-CSF such as bone pain, headache, and myalgia are generally mild and treatable ; thus far, long-term follow-up of granulocyte donors stimulated with G-CSF and dexamethasone suggests that granulocyte donation is safe.

Unlimited viewing of the article PDF and any associated supplements and figures. The effect of previous granulocyte donations in the G‐CSF/Dex donor group did not completely wane over a 1‐month deferral period. They are required for the treatment of infections within the framework of bone marrow transplantation or diseases of the haematopoietic system and can be obtained from human blood after preparatory measures within the framework of granulocytapheresis. and you may need to create a new Wiley Online Library account. The entire process is monitored by trained medical personnel. However, data regarding the donors' safety is sparse. Any queries (other than missing content) should be directed to the corresponding author for the article. So, granulocyte donation is a two-day process for a donor and collection staff. Working off-campus? For PLT donors, the CBC at the first PLT donation or in 1997 (whichever was later) was used for comparison with the most recent CBC available. In this fashion, we can assess each donor’s venous access capabilities, evaluate his/her infectious disease testing results and, in general, determine whether the donor has the stamina and clinical condition to undergo a 2- to 3-h procedure with two needles in the antecubital veins. Please check your email for instructions on resetting your password. For the granulocyte–colony‐stimulating factor plus dexamethasone (G‐CSF/Dex)–stimulated group, both the granulocyte and the lymphocyte counts decreased 6.51 × 109/L (−23.1%, p < 0.001) and 0.21 × 109/L (−20.4%, p < 0.001), respectively, between Donation 1 and Donation 20.
Clinical Guidelines for the use of Granulocyte Transfusions (Template Version 01/11/13) Author(s): Edwin Massey Page 4 of 13 More recent studies have suggested that the efficacy of granulocyte transfusions in neutropenic patients is proportional to the dose of granulocytes transfused. d) Stem Cell Donors: A donor should not give any routine donations for 12 months following bone marrow harvest, for six months following peripheral blood stem cell harvest and for three months following lymphocyte donation. Past granulocyte donations were found to have a statistically strong negative effect on precollection granulocyte counts and lymphocyte counts and decreased granulocyte yield both in the G‐CSF/Dex–stimulated donors and the unstimulated donors. Granulocyte transfusions: Current science and perspectives. Schedule your appointment online or give us a … All granulocyte donor candidates must be available for a platelet apheresis donation. The objective was therefore to evaluate short- and long-term adverse events (AE) in G-CSF stimulated donors. Sequential stimulated allogeneic granulocyte donations in the same year had a strong negative effect on precollection granulocyte count (b = −0.0026, SE = 0.00027, p < 0.0001). White blood cells will be collected through apheresis. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. Clinical Guidelines for the use of Granulocyte Transfusions (Template Version 01/11/13) Author(s): Edwin Massey Page 4 of 13 More recent studies have suggested that the efficacy of granulocyte transfusions in neutropenic patients is proportional to the dose of granulocytes transfused. Granulocytes are a fraction of white blood cells (WBCs) and thus a normal component of human blood. In order to minimize these risks, our granulocyte donors are drawn from those who have donated platelets within the past 30 days. Short‐ and long‐term effects of mobilization regimens in hematopoietic stem cell and granulocyte donors have been well characterized. Learn about our remote access options, Department of Transfusion Medicine, Clinical Center, National Institutes of Health, Bethesda, Maryland, Office of Biostatistics Research, National Heart, Lung, and Blood Institute, Bethesda, Maryland. Estcourt LJ, Stanworth S, Doree C, Blanco P, Hopewell S, Trivella M, Massey E. Granulocyte transfusions for preventing infections in patients with neutropenia or neutrophil dysfunction. The longitudinal change in precollection white blood cell (WBC) counts for these donor groups were modeled using a linear mixed‐effects model. For the unstimulated donor group between Donation 1 and Donation 20, the lymphocyte count decreased by 0.62 × 109/L (−51.5%, p < 0.001).

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