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  1. Blood component recalls in the United States.

    Article - En anglais

    BACKGROUND 

    United States blood suppliers are required to recall marketed blood components later found to be in violation of Food and Drug Administration (FDA) regulations for safety, purity, and potency.

    Many recalled units have already been transfused.

    Analysis of the frequency and nature of blood component recalls would be useful for blood suppliers, transfusion services, and physicians.

    STUDY DESIGN AND METHODS 

    Each blood component recall in the weekly FDA Enforcement Report from 1990 through 1997 was examined for the number of units, recall reason, and hazard class.

    Units for manufacturing were excluded.

    RESULTS 

    In 8 years, an estimated 241,800 blood components were recalled, or approximately 1 in 700 units available to US hospitals.

    Eighty-eight percent of recalled units were in 22 large recalls of over 1000 units each.

    The most common reasons were incorrect testing for syphilis (57% of units) or viral markers (19%), reactive or previously reactive donor viral markers (6-11%), and inadequate donor-history screening (4%). Twelve units were in the FDA's highest hazard Class 1,24 percent were in Class II, and 76 percent were in Class III.

    Over 43,900 units had HIV-related problems, but only 3 units involved HIV transmission.

    Large recalls have declined since peaking in 1995, but units in small recalls increased 116 percent in 1997 over the previous 7-year average. (...)

    Mots-clés Pascal : Don sang, Etats Unis, Amérique du Nord, Amérique, Recommandation, Rappel, Food and Drug Administration, Sécurité, Pureté, Fréquence, Homme, Prévention, Transfusion, Complication

    Mots-clés Pascal anglais : Blood donation, United States, North America, America, Recommendation, Recall, Food and Drug Administration, Safety, Purity, Frequency, Human, Prevention, Transfusion, Complication

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0307735

    Code Inist : 002B27D01. Création : 16/11/1999.