Partal A, Scott E
Department of Ophthalmology, Cornea and External Disease, University of Tennessee Health Sciences Center, Hamilton Eye Institute, Memphis, Tennessee 38103, USA.
Transfus Med. 2011 Aug;21(4):271-7. doi: 10.1111/j.1365-3148.2011.01072.x. Epub 2011 Mar 3.
To create a low-cost protocol for the production of autologous serum eye drops (ASEs) by blood collection and processing centres using standard equipment and staff already available. The protocol must observe local and federal regulatory authorities' requirements for good manufacturing practice.
The final aim is to improve accessibility to ASEs for patients who need them and to implement similar production parameters at all institutions producing ASEs.
Despite evidence of the beneficial effects of ASEs in the treatment of severe ocular surface diseases, ASEs are not approved by most federal regulatory bodies in the United States or Europe. In some countries, such as the United States, access to ASEs is extremely limited and cost-prohibitive. Blood processing centres are in optimal position to help in increasing accessibility and lowering the cost of these products.
MATERIALS/METHODS: Standard blood processing equipment, staff and materials were chosen for the protocol. The protocol was designed to minimise the risk of contamination as much as possible.
A low-cost, open system protocol for production of ASEs was generated that can be implemented by most blood collection and processing centres in the United States and Europe.
Efforts should be made to propagate a similar protocol for the production of ASEs in blood centres capable of collecting and processing blood products, making this service affordable and uniformly accessible to patients.
制定一种低成本方案,使采血和处理中心利用现有的标准设备和人员来生产自体血清滴眼液(ASEs)。该方案必须遵守当地和联邦监管机构对良好生产规范的要求。
最终目的是改善有需求患者获取ASEs的途径,并在所有生产ASEs的机构实施类似的生产参数。
尽管有证据表明ASEs对治疗严重眼表疾病有有益效果,但在美国或欧洲,大多数联邦监管机构并未批准使用ASEs。在一些国家,如美国,获取ASEs的途径极为有限且成本高昂。血液处理中心最有条件帮助增加这些产品的可及性并降低成本。
材料/方法:该方案选用了标准的血液处理设备、人员和材料。该方案旨在尽可能降低污染风险。
生成了一种低成本、开放式的ASEs生产方案,美国和欧洲的大多数采血和处理中心均可实施。
应努力在有能力采集和处理血液制品的血站推广类似的ASEs生产方案,使患者能够负担得起这项服务并普遍可及。