New post for ongoing discussion: to test or not to test?

Is your institution using leukoreduced and not performing CMV testing?

Are you giving CMV seronegative and leukordeuced only for neonatal patients?

Depends on the docs and your Medical Director . . . some docs will accept leukoreduced in lieu of CMV ab typed units . . . when they specifically order CMV negative we give them the typed units (from the red cross)

All of our blood products are leuko-reduced. We give CMV seronegative to BM/SC transplant patients until we know their CMV status. If they are CMV +, they no longer get tested units.

We don't usually transfuse neonates (we transfer them out), but if we ever had to, we would get CMV seronegative from the blood center (if the physician can wait)

If we get an order from the physician, we do question it. We have found many physicians don't have a clue as to why to give CMVN products.

I had an ER physician order CMVN/Irradiated for his patient. When I explained which patients truly need those products, he said never mind. He was just trying to prevent the patient from "getting anything".

Currently we only give CMV= to our VLBW neonates (<1000g) when requested by physician, and for all IUTs. All our pt recieve leukoreduced products (any exceptions must have approval from out Medical Director).

We only have neonates>1500g, so we give leukoreduced (CMV "safe"). We would order CMV neg if a neonatologist specifically requested it that way.

We have a 100% leukoreduced inventory, but for our Blood and Marrow Transplant patients and our solid organ transplant patients, our doctors request CMV negative products if the patient is CMV negative. So we provide CMV neg products as requested.

testing?

Are you giving CMV seronegative and leukordeuced only for neonatal patients?

Edited March 22, 201312 yr by BBCLS
duplicate

Does anyone give CMV negative to pregnant women?  We have it in our policy, but our inventory is exclusively leukoreduced, so I am questioning the validity of this requirement.

 

Does anyone give CMV negative to pregnant women?  We have it in our policy, but our inventory is exclusively leukoreduced, so I am questioning the validity of this requirement.

 

No, we are also exclusively leukoreduced so it is all CMV safe. We would only give CMV sero-negative if a physician ordered it for a CMV neg pregnant woman.

In the UK, the Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO) have mandated that any blood, blood component or blood product capable of transmitting CMV, transfused to a pregnant woman during her pregnancy (but not during the birth itself) should be CMV seronegative, in addition to being leucodepleted.

We are mostly 100% leukoreduced for general population and considered 'CMV safe'. However, for the neonates, we give leukoreduced and CMV negative.

We issue CMV seronegative blood for IUTs and for exchange transfusions only. For top up transfusions we usually do not give CMVN blood unless consultant asks for it. For BMT/SCT all blood is leukoreduced as well as CMVN.