Tissue recovery practices and bioburden: a systematic review

Cell Tissue Bank. 2016 Dec;17(4):561-571. doi: 10.1007/s10561-016-9590-5. Epub 2016 Oct 19.

Abstract

For successful transplantation, allografts should be free of microorganisms that may cause harm to the allograft recipient. Before or during recovery and subsequent processing, tissues can become contaminated. Effective tissue recovery methods, such as minimizing recovery times (<24 h after death) and the number of experienced personnel performing recovery, are examples of factors that can affect the rate of tissue contamination at recovery. Additional factors, such as minimizing the time after asystole to recovery and the total time it takes to perform recovery, the type of recovery site, the efficacy of the skin prep performed immediately prior to recovery of tissue, and certain technical recovery procedures may also result in control of the rate of contamination. Due to the heterogeneity of reported recovery practices and experiences, it cannot be concluded if the use of other barriers and/or hygienic precautions to avoid contamination have had an effect on bioburden detected after tissue recovery. Qualified studies are lacking which indicates a need exists for evidence-based data to support methods that reduce or control bioburden.

Keywords: Allograft; Allograft contamination; Tissue processing; Tissue recovery.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Allografts / microbiology*
  • Allografts / virology*
  • Cell Culture Techniques / methods
  • Decontamination / methods*
  • Humans
  • Specimen Handling / methods
  • Sterilization / methods*
  • Tissue Banks*
  • Transplantation, Homologous