title: Complex Transfusion Issues in Pediatric Hematopoietic Stem Cell Transplantation.
abstract: Advances in the fields of pediatric transfusion medicine and hematopoietic stem cell transplant have resulted in improved outcomes but also present new questions for research. The diagnostic capabilities involved in transfusion medicine have improved in recent times, now including methods for determination of red blood cell minor antigens, detection of anti-human leukocyte antigen antibodies, and noninvasive iron quantification. At the same time, transplants are being performed for more indications including nonmalignant disease and with less intense conditioning regimens that allow some recipient blood cells to persist after transplant. We are therefore faced with new opportunities to understand the implications of transfusion medicine testing and to develop data-driven guidelines relevant to the current-day approach to transfusion and transplantation.
authors.affiliation: Division of Transfusion Medicine, Children's National Medical Center, Washington, DC. Electronic address: jwebb@childrensnational.org.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Webb
authors.affiliation: Division of Blood and Marrow Transplantation, Children's National Medical Center, Washington, DC.
authors.forename: Allistair
authors.initials: A
authors.lastname: Abraham
mesh_terms: D000017:ABO Blood-Group System / Q000097:blood*; D001787:Blood Group Incompatibility / Q000276:immunology*; D001803:Blood Transfusion; D002648:Child; D003029:Coagulants / Q000627:therapeutic use; D006405:Hematology / Q000379:methods; D006410:Hematopoiesis; D018380:Hematopoietic Stem Cell Transplantation; D006461:Hemolysis; D006801:Humans; D036341:Intercellular Signaling Peptides and Proteins / Q000627:therapeutic use; D017713:Platelet Transfusion; D019172:Transplantation Conditioning / Q000379:methods*; D014184:Transplantation, Homologous
chemical_list: D000017:ABO Blood-Group System; D003029:Coagulants; D036341:Intercellular Signaling Peptides and Proteins
keywords: ABO incompatibility; Hematopoietic stem cell transplant; Pediatric; Transfusion