Bacterial Contamination of Allografts (Oral Presentation)

 

Lyn Ireland, MSc MBus*, Denis Spelman, MD**

*Donor Tissue Bank of Victoria, Victorian Institute of Forensic Medicine

**Department of Microbiology & Infectious Diseases, Alfred Hospital

 

a. Objective. The objective of this study is to report the experience of the Donor Tissue Bank of Victoria with bacteria isolated from musculoskeletal, skin and cardiac allografts retrieved from cadaveric donors.

 

b. Introduction. The isolation of organisms from allografts and their significance has not been widely explored. However, the interpretation of results of microbiological culture of allografts is a major factor in determining the suitability of tissue for implantation.

 

c. Materials and methods. Routine specimens for bacterial culture were collected from all allografts at retrieval and processing. The results of all quality control samples for bacterial culture, taken over a 12 month period, were extracted and analysed.

 

d. Results. It was found that 15.7% of skin, 15.1% of heart valves and 5.8% of musculoskeletal samples had positive culture results. The number and types of organisms isolated varied. The most commonly isolated organisms were Staphylococcus species.

 

e. Discussion. Contamination of allografts can result in infections with potential severe adverse outcomes for recipients. The present study indicates that the frequency and spectrum of organisms isolated from tissue retrieved from cadaveric donors varies with tissue type.

 

f. Conclusion. Allograft tissue is not infrequently contaminated with microorganisms. The number of specimens returning positive cultures as well as the types of organisms isolated will have a bearing on the suitability of the tissue for implantation.