scholarly journals Wastage of blood components in a rural tertiary care neonatal unit: A retrospective hospital-based study

2021 ◽  
Vol 50 (4) ◽  
pp. 687
Author(s):  
Prabodh Chandra Mondal ◽  
Rincy Mathew ◽  
Asaduzzaman Laskar ◽  
Dhruba Kumar Mahata
Keyword(s):  
Tertiary Care ◽  
Neonatal Unit ◽  
Blood Components

A Study on Day Care Transfusion Services in Transfusion Medicine Department of a Tertiary Care Hospital

2019 ◽  
Vol 3 (01) ◽  
pp. 12-15
Author(s):  
Farida Parvin ◽  
Mohammed Abdul Quader ◽  
Daanish Arefin Biswas ◽  
Mohammed Ali ◽  
Bepasha Naznin ◽  
...  
Keyword(s):  
Day Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fresh Frozen Plasma ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Transfusion Medicine ◽  
Blood Components ◽  
Medicine Department ◽  
Long Term Study

Background: Transfusion of blood components and derivatives in day care unit is an eminent part of management of transfusion dependent patients. Day care transfusion service is an alternative to hospital admission and beneficial for those patients who receive blood more frequently for their survival. Objective: The aim of present study is to assess Transfusion Services provided in a Day Care Unit (DCU) of a tertiary care hospital. Methodology: This study was carried out in DCU of Transfusion Medicine Department, Bangabandhu Sheikh Mujib Medical University, (BSMMU) at Dhaka during January 2014 to December 2014. Data were collected from record registers. Recorded retrospective data were analyzed as percentage and proportion. Results: Total recipients were 718. Among those 424 (59.05%) were male and 294 (40.95%) were female and 562 (78.27%) were between 10 to 40 years. A total of 8587 units of blood components were used during this period. Red Cell Concentrate was most commonly utilized product 6388 (74.39%) followed by Fresh Frozen Plasma (FFP) 1360 (15.83%), Platelet Concentrate 544 (6.33%), Whole blood 260 (3.05%) and Cryoprecipitate 35 (0.40%). Transfusion was required more frequently in thalassaemic 365(50.88%) patients. Haemophilia 77(10.72%) and aplastic anaemia patients 49 (6.82%) were next high. The main transfusion reaction observed during transfusion was febrile non-haemolytic reactions. Conclusion: For increasing use of specific blood product and hassle-free transfusion services this kind of day care unit services should be strengthened. Long term study of this kind will help us to develop safe clinical transfusion practice.

scholarly journals An Innovative Three-in-One Face Protective Gear (FPG): A Feasibility Study in a Neonatal Unit in Times of Pandemic!

2021 ◽  
Vol 35 (3) ◽  
pp. 113-115
Author(s):  
Astha Panghal ◽  
Ashok Kumar Gupta ◽  
Girish Gupta ◽  
Kirti M. Naranje ◽  
Anita Singh
Keyword(s):  
Low Cost ◽  
Tertiary Care ◽  
Neonatal Unit ◽  
Protective Equipment ◽  
Adhesive Tape ◽  
Protective Gear ◽  
Northern India ◽  
Global Pandemic ◽  
Feasible Alternative ◽  
Test Feasibility

Background: Healthcare workers (HCWs) are at greatest risk of acquiring infection in times of global pandemic of COVID-19 disease. There is an unprecedented demand of several forms of personal protective equipment (PPE) for HCWs leading to possible acute shortage of these equipment. This has paved way for development of local innovative PPEs. Objective: To test feasibility of a low cost, indigenous three-in-one face protective gear (FPG) in HCWs of a neonatal unit of a tertiary care institute in northern India. Methodology: A three-in-one FPG was developed using the commonly available items in a ward or intensive care and few trash items. Items used were sterile surgical sheet, cling wrap piece/transparency sheet, cover of umbilical catheter/any sterile hollow plastic pipe, or straw and adhesive tape. The FPG was tested in 17 HCWs regarding its ease to use, comfort, and feasibility with the help of questionnaire. Results: A total of 17 HCWs participated in this study. Majority (10, 58.8%) were doctors. Eight (47%) participants have never used any form of PPE previously. Thirteen (76.4%) participants found the FPG comfortable to wear; 12 (70.5%) found it comfortable to wear up to 8 h. Three HCWs found it difficult to work when wear the FPG; 1 out of 3 found it suffocating. Conclusion: Three-in-one FPG is an indigenous, low cost, and may be a feasible alternative in low-risk situations when there is scarcity of conventional protective equipment.

Profile of Neonatal Sepsis in a Tertiary Care Neonatal Unit from India: A Retrospective Study

2006 ◽  
Vol 20 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Upadhyay A ◽  
Aggarwal R ◽  
Kapil A ◽  
Singh S ◽  
Paul VK ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Neonatal Sepsis ◽  
Tertiary Care ◽  
Neonatal Unit

scholarly journals Analysis of Reasons for Discard of Blood and Blood Components in a Tertiary Care Hospital in South India

2020 ◽  
Vol 7 (9) ◽  
pp. A478-482
Author(s):  
Deepika Mani ◽  
Megala C ◽  
Thamil Selvi R
Keyword(s):  
Blood Transfusion ◽  
Care Delivery ◽  
Tertiary Care ◽  
Health Care Delivery System ◽  
Fresh Frozen Plasma ◽  
Care Hospital ◽  
Blood Components ◽  
Expiry Date ◽  
Emergency Situations ◽  
Safe Blood

Background: Blood transfusion is an important and essential constituent of present health-care delivery system. Millions of lives are saved every year in regular and emergency situations by the accessibility of safe blood transfusion services. This emphasizes the need for proper utilization of blood and its components with preferably “NO” or minimal wastage. The aim of this study was to find out causes for discarding blood and blood components.   Methods: Retrospective analysis was carried out at Vinayaka Missions Medical College and Hospital Blood Bank from October 1st, 2018 to October 31st, 2019.   Results: The total number of donors from whom blood was collected during this study period was 2522. Out of which 2507 units of components were prepared. The overall discard rate of blood and its components was 5.95%. Among those 5 (33.33%) whole blood, 28 (1.25%) packed red blood cell concentrate, 93 (4.16%) fresh frozen plasma, 157 (57.51%) platelet concentrate were discarded. The common causes of discarding blood components were due to expiry date 211 (74.56%), 30 (10.60%) were due to sero-reactivity for transfusion transmitted infections, 23 (8.13%) due to leakage of components, 13 (4.59%) due to low volume and other causes were 6 (2.12%).   Conclusion: Blood being irreplaceable source, discard rate can be reduced by proper counselling of blood donors, conducting donor screening, adhering to strict donor deferral criteria, notification and counselling of permanently deferred donors. Properly implementing blood transfusion policies will help to utilize the blood components in a proper way, thus resulting in discarding a smaller number of blood bags due to expiry. Continued medical education for technicians with regards to maintenance of proper stock, quality indicators, review of blood management system will further help in reducing discard rate.

scholarly journals Pattern of blood component cross-matching and their utilization in a tertiary care hospital of Jammu region

2018 ◽  
Vol 6 (4) ◽  
pp. 1337 ◽  
Author(s):  
Irm Yasmeen ◽  
Ibrar Ahmed ◽  
Meena Sidhu
Keyword(s):  
Whole Blood ◽  
Tertiary Care ◽  
Blood Component ◽  
Care Hospital ◽  
Blood Components ◽  
Cross Sectional ◽  
Inappropriate Use ◽  
Wide Range ◽  
Surgical Conditions ◽  
Cross Matching

Background: Transfusion of donated blood remains the mainstay of treatment for a wide range of medical and surgical conditions. Although it can save life, but transfusion of blood is not without risk. Clinicians should cautiously assess the appropriateness of indications before requesting various blood components thereby preventing misuse of blood and unnecessary exposure of patient to various transfusion transmitted infections and antibodies production. This study was conducted to determine the pattern of whole blood (WB) and blood component cross-matching and their utilization and to minimize the inappropriate use of blood and its components.Methods: This cross-sectional prospective study was performed at SMGS Hospital Blood Bank, Jammu from April 2016 to September 2016. The requisition forms were analysed at the reception counter and inside the pre-transfusion testing laboratory for any error. The department wise utilization of blood and its components, Crossmatching to transfusion (C/T) ratio, transfusion probability (T%) and transfusion index (TI) were calculated.Results: A total of 14376 requests for cross-matching of blood and its components were received. All the units were cross-matched. Out of these, 12766(88.8%) units of blood and its components were issued to various departments. The most common indication for using packed red cells and whole blood was anemia and bleeding (APH/PPH/Trauma). The total C/T Ratio, transfusion probability (T%) and Transfusion index(TI)  of various blood components were 1.12:1, 88.8% and 0.88 respectively.Conclusions: Our study indicates efficient usage of blood and its component. However, awareness is still needed amongst the clinicians and residents to ensure the appropriate use of blood and its components in the future as well. Hospital transfusion committee has to develop transfusion guidelines and subsequent implementation of such guidelines to assure effective blood utilization. MSBOS (maximum surgical blood ordering schedule) should be formulated for elective procedures with regular auditing, feedback, and modifications to improve blood ordering and utilization.

Sign in / Sign up

Export Citation Format

Share Document