著者

村上,和子

出版者

日本アフェレシス学会

雑誌

日本アフェレシス学会雑誌

巻号頁・発行日

vol.21, no.3, 2002-10-31

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Donor apheresis was introduced into the Japanese Blood Program in 1986. Since then more than 15 million apheresis procedures, including plateletpheresis and plasmapheresis, have been performed on healthy volunteer donors at Japanese Red Cross blood centers. Donor apheresis has contributed much to securing the safety of blood for transfusion and to procuring source plasma for plasma products. Much effort has been made to establish safe and efficient procedures, especially to prevent accidents and complications related to apheresis. Based on the annual reports by the Japanese Red Cross over the past five years,104,554 adverse events resulted from 7,397,010 apheresis procedures, an occurrence rate of 1.41%. About 59%of events were vasovagal reactions. The occurrence rate for adverse events, except for cases of hematoma and citrate effects, has been similar to that for whole blood donation. No reports have been made about serious donor reactions or complications related to apheresis procedures. This is one main reason why apheresis has been widely accepted by voluntary blood donors. Now that the procedures for recruiting apheresis donors have been established, the retention and management of donors is a key issue.