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Abstract
One of the strategies to reduce the risk of harming a patient by transfusion therapy
is to limit the overall risk of transfusion-transmitted disease. Central to this approach
is minimizing the number of allogeneic blood products with which a patient is transfused.
The usual dose of platelets for an adult patient is either six to 10 random donor
platelets vs. one unit of platelets, pheresis (so-called single donor apheresis platelets).
Consequently, the transfusion services at the University of Southern California Health
Sciences Campus (USC University Hospital, the Norris Cancer Hospital, and Los Angeles
County+USC Medical Center) routinely use single donor apheresis platelets (SDPs) rather
than random donor platelets (RDPs) in an effort to minimize allogeneic platelet transfusions,
and thereby reduce risk of transfusion-transmitted infection. Although there are other
compelling medical, technical, and medical-legal reasons to use SDPs instead of RDPs,
the authors believe that a decrease in allogeneic donor exposures alone is sufficient
reason to make SDPs the platelet component of choice at their insitutions.
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Article info
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© 1997 Published by Elsevier Inc.
