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SA Orthopaedic Journal
On-line version ISSN 2309-8309Print version ISSN 1681-150X
SA orthop. j. vol.7 n.4 Centurion Oct./Dec. 2008
CLINICAL ARTICLE
Evaluating donor tissue for bacterial contamination at the South African National Tissue Bank
Dr A de VosI; Dr E MaritzI; Prof TLB le RouxII
IRegistrars: Department of Orthopaedic Surgery, University of Pretoria
IIMedical Director of the National Tissue Bank, University of Pretoria and Head of Orthopaedic Surgery at 1 Military Hospital
ABSTRACT
The internationally accepted method of acquiring allograft bone is to retrieve it in a sterile environment. In South Africa, we are limited by resources and funds, making it impossible to adhere to these standards of retrieval. The purpose of the study is to evaluate the safety of the surgically clean retrieval of allograft bone outside of a theatre set-up.
The study population consisted of all the accepted donors from the beginning of 2003 to September 2008. The donors included in the study (n=749) were tested for microbial growths at various stages of retrieval and processing.
An internal audit was done on the results and the safety of the processes was evaluated. The amount of bacterial contamination of the various samples was used to evaluate the safety of the process.
We concluded that by following a strict protocol for processing and by using mandatory gamma irradiation our allograft is bacteria-free and extremely safe, making our method comparable with international standards.
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Reprint requests:
Dr A de Vos
Department of Orthopaedic Surgery
7th Floor, Pretoria Academic Hospital
Bophelo Road, Pretoria
Tel: +27 12 354-1000; Fax: +27 12 354-2821; Cell: +27 82 926 6732
E-mail: adevos@samedical.co.za
This article was not submitted to an ethical committee for approval. The content of this article is the sole work of the authors. No benefits of any form have been derived from any commercial party related directly or indirectly to the subject of this article.