Characteristics of donors in platelet bank of Taiyuan and application evaluation of the bank
10.13303/j.cjbt.issn.1004-549x.2022.09.021
- VernacularTitle:太原地区血小板库供者特征及应用评价
- Author:
Demei ZHANG
1
;
Qing LI
1
;
Yi XU
1
;
Yajun LIANG
1
;
Fei WANG
1
;
Peizhe ZHAO
1
;
Lin BAI
1
Author Information
1. Taiyuan Blood Center, Taiyuan 030024, China
- Publication Type:Journal Article
- Keywords:
platelet transfusion refractoriness (PTR);
active apheresis donors;
compatible platelets
- From:
Chinese Journal of Blood Transfusion
2022;35(9):970-973
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To establish the donor bank for local region and distinguish the donors based on the past blood donation frequency and blood donation type, so as to improve the application efficiency of platelet bank. 【Methods】 1) According to the donation type and frequency of blood donors, the blood donors who had joined China Marrow Donor Program(CMDP)in our center from 2011 to 2020 were screened and classified. They are classified as reserve donors, prospective donors, and active donors. The donors, who met the selection conditions of active donors, were enrolled from all apheresis donors in 2020 to expand the local platelet bank. 2) In 2020, 739 blood donors who met the conditions of active donors were screened(including donors who had entered CMDP), and their HLA-A/B loci were detected by HLA high-resolution genotyping, and HPA was detected by Q-PCR genotyping. 3) The compatible platelets provided by three types of donors in 2021 were calculated. 【Results】 1) Taiyuan platelet bank, composed of donors with different previous donation experiences, had been constructed, including 739 active donors, 3840 prospective donors and 18 715 reserve donors. The composition ratio of ABO blood groups among three types of donors was found to be similar via chi square test; there were more male than female in three groups. 2) In 2021, the ratio of the average redonation by active donors in the platelet bank to the regular donation by the general donors was 14.4∶3.98. 3) Of the 142 compatible platelets, supplied to PTR patients in 2021, 83.8% of them came from the redonation of active donors after registration in the bank, and 9.9% and 6.3% from prospective donors and reserve donors, respectively. 4) In 2021, 28.1% of the stored pheresis platalets in our center had HLA typing data, and 54.2% of compatible platelets were retrieved from the inventory, which timely met the needs of clinical patients. 【Conclusion】 Integrating resources and distinguishing the activity degree of donors in platelet bank can reduce the cost of bank building and improve the application efficiency of the platelet bank.