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Leucoreduction for CMV-


bxcall1

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We use CMV - Safe (leukoreduced) products hospital wide, except for the neonates. Since I can still get them (we get one pedi unit a week for stock) it keeps the neonatologists happy. Very rarely do I need to get a CMV sero-negative unit in. Fortunately the 2 transplant centers we are affiliated with use CMV - Safe.

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My facility transfuses 100% pre-stored leukoreduced CMV-safe products to all patients (including neonates and transplants). Any requests for CMV sero-negative must be approved through our Medical Director.

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We use CMV sero-negative for pre- and post-transplants here, leukoreduced units for everything else.  If a neonatologist insisted on CMV sero-negative for a neonate we would get it, but they are usually content with leukoreduced.

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We will be transitioning to CMV-safe for everyone - neonates and transplant patients included - when our new medical director takes over this summer. This is based on the practices at the university hospital where he has just finish training and another large hospital that this university hospital is aligned with (which includes the childrens hospital in our state). They've been using CMV safe for at least 2 years. They will do a pathology consult if CMV neg is requested and provide it if the physician still requests it after the consult. Apparently there have been no requests for the consult.

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