Before contamination, the baseline sterility of 40 bags of PLTs was confirmed by microbiologic controls in accordance with the standard operating procedure used in our laboratory. In addition, 8 mL of sample was inoculated in both aerobic and anaerobic (
BacT/ALERT SN; bio-M erieux) culture bottles and incubated for up to 7 days.
For inoculation of 40 bags of PLTs, the eight bacterial reference species solution was serially diluted in sterile water to reach a final concentration of approximately 100 CFU/mL. The inoculate concentrations were quantified in duplicate by direct plating of 1 mL onto Colombia blood agar plates, incubating them at 378C and enumerating after 24 hours, and were then identified according to our procedure using mass spectrometric methods (i.e.,
MALDI-TOF MS, Bruker Daltonics).
One milliliter of inoculum of each bacterial suspension strain was spiked into each bag with a sterile syringe to obtain a final concentration of approximately 0.3 CFU/ mL. After contamination, the 40 bags of PLTs were stored under standard blood bank storage conditions for 24 hours with agitation at 50 turn/min in PLT incubator bags at ambient temperature, according to US Food and Drug Administration recommendations. 2
Chetouane Y., Dubourg G., Gallian P., Flaudrops C., Chiaroni J., Chabrière E., Raoult D, & Camoin-Jau L. (2018). Rapid identification of microorganisms from platelet concentrates by matrix-assisted laser desorption ionization time-of-flight mass spectrometry after short-term incubation on liquid medium. Transfusion, 58(3).