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Hemolytic Transfusion Reactions
Hemolytic Transfusion Reactions
Journal Article

Hemolytic Transfusion Reactions

2019
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Overview
To the Editor: In contrast to the low priority given to donor–recipient ABO compatibility of plasma in Western countries, as noted in the review article by Panch et al. (July 11 issue), 1 ABO-identical, single-donor apheresis platelets are routinely supplied by the Japanese Red Cross Society. 2 However, when there is a need for HLA-matched platelets, which account for approximately 2.5% of supplied platelets, HLA matching is given priority over ABO compatibility. Currently, approximately 70% of supplied HLA-matched platelets are ABO-identical, which means 30% are not ABO-identical. Non–ABO-identical HLA-matched platelets with high ABO antibody titers (>1:128) are administered at the physician’s discretion. . . .