The impact of the International Atomic Energy Agency (IAEA) program on radiation and tissue banking in Brazil |
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Authors: | Marisa Roma Herson Monica Beatriz Mathor Jorge Morales Pedraza |
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Institution: | (1) Donor Tissue Bank of Victoria, 57083 Kavanagh St, Southbank, Melbourne, Australia;(2) Instituto de Pesquisas Energéticas e Nucleares, IPEN – CNEN/SP, Av. Prof. Lineu Prestes, 2242 Cidade Universitária, CEP 05508-000 Sao Paulo, SP, Brasil;(3) Charasgasse 3, apart. 13, 1030 Vienna, Austria |
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Abstract: | Until 2000, efforts into organising tissue banks in Brazil had not progressed far beyond small “in house” tissue storage repositories,
usually annexed to Orthopaedic Surgery Services. Despite the professional entrepreneurship of those working as part time tissue
bankers in such operations, best practices in tissue banking were not always followed due to the lack of regulatory standards,
specialised training, adequate facilities and dedicated personnel. The Skin Bank of the Plastic Surgery Department of the
Hospital das Clinicas of Sao Paulo, the single skin bank in Brazil, was not an exception. Since 1956, restricted and unpredictable
amounts of skin allografts were stored under refrigeration for short periods under very limited quality controls. As in most
“tissue banks” at that time in Brazil, medical and nursing staff worked on a volunteer and informal basis undergoing no specific
training. IAEA supported the implementation of the tissue banking program in Brazil through the regional project RLA/7/009
“Quality system for the production of irradiated sterilised grafts” (1998–2000) and through two interregional projects INT/6/049 “Interregional Centre of Excellence in Tissue Banking”, during the period 2002–2004 and INT/6/052 “Improving the Quality of Production and Uses of Radiation Sterilised Tissue Grafts”, during the period 2002–2004. In 2001–2002, the first two years of operation of the HC-Tissue Bank, 53 skin transplants
were carried out instead of the previous 4–5 a year. During this period, 75 individuals donated skin tissue, generating approximately
90,000 cm2 of skin graft. The IAEA program were of great benefit to Brazilian tissue banking which has evolved from scattered make shift
small operations to a well-established, high quality tissue banking scenario. |
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Keywords: | Brazil Tissue banking Radiation processing Sterilisation Allografts |
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