Blood transfusion practice in surgery at Bugando Medical Centre in northwestern Tanzania

Background: Preoperative over-ordering of blood for surgical intervention, in excess of the actual and anticipated needs is a common practice in many developing countries. This can be decreased by simple means of changing the blood cross matching and ordering schedule depending upon the type of surgery performed. The aim of this study was to assess the blood transfusion practice in surgery at Bugando Medical Centre in northwestern Tanzania.Methods and Patients: This was a prospective cross sectional study among patients undergoing major operations at Bugando Medical Centre. We evaluated blood ordering and transfusion practices in emergency and elective surgical procedures at our centre and calculated different indices such as cross-match to transfusion ratio (C/T ratio), transfusion probability (% T) and transfusion index (TI). Next Maximal Surgical Blood Ordering System (MSBOS) was estimated for each procedure.Results: The overall blood utilization was only 28.2% at our centre, consisting of 17.1% in the elective operations and 26.9% in the emergency operations. Significant blood utilization was nil in most of the routine elective cases suggesting cross-matching of blood to be a culture than necessity. Generally, the overall blood transfusion of the requested blood as indicated by indices of C/T ratio, %T, TI and MSBOS were 3.5, 28.7%, 0.33 and 0.45, respectively. The overall CT ratio, %T, Ti and MSBOS in the elective operations were 5.8, 15.9%, 0.2 and 0.3, respectively. In the emergency operations, the overall CT ratio, %T, Ti and MSBOS were 3.7, 22%, 0.32 and 0.48, respectively.Conclusion: This study demonstrated that over-ordering of blood in excess of the actual needs is a common practice in our setting. Blood ordering pattern needs to be revised and over-ordering of blood should be minimized. This can be possible by the estimation of MSBOS for each procedure and requisition as calculated.

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Predictors of foeto-maternal outcome of patients with abruptio placenta at Bugando Medical Centre, Tanzania

Tanzania Journal of Health Research ◽

10.4314/thrb.v18i1.3 ◽

2015 ◽

Vol 18 (1) ◽

Author(s):

Dismas Matovelo ◽

Kelvin Nandonde ◽

Anthony Massinde ◽

Richard Rumanyika

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Birth Asphyxia ◽

Cross Sectional Study ◽

Adverse Outcomes ◽

Medical Centre ◽

Cross Sectional ◽

Bugando Medical ◽

Abruptio Placenta ◽

Bugando Medical Centre

Background: Abruptio placenta (AP) is one of the life-threatening obstetric complications for both the foetus and mother. We conducted this study to determine the incidence and predictors of adverse outcomes of abruptio placenta at Bugando Medical Centre (BMC) in northwest Tanzania.Methods: This descriptive cross-sectional study was conducted from October 2012 to April 2013. Women with clinical features of abruptio placenta attending BMC were recruited. Data were collected using a structured checklist and analysed with STATA 11.Results: A total of 3,800 deliveries occurred during study period. The incidence of AP was 2.5% (95/3800). Among patients with AP, 49 (51.6%) delivered by Caesarean section. Three (3.2%) maternal deaths occurred. These deaths were strongly associated with the presence of maternal anaemia (p<0.05), and postpartum haemorrhage (p<0.05). The foetal adverse outcomes were prematurity 78 (82.1%), foetal distress 65 (68.4%), low birth weight 46 (48.4%) and intrauterine foetal deaths 30 (31.6%). Perinatal deaths occurred in 52 (54.7 %) of the cases, and were predicted by low birth weight (p<0.001), vaginal delivery (p=0.001), birth asphyxia (p<0.001), and retroplacental clot (>700ml) (p<0.001).Conclusion: The incidence of AP at BMC is high and characterised by poor maternal and foetal outcomes. Patients with AP should be delivered promptly to improve their survival.

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Blood Transfusion Practice in Operating Rooms in Nemazee Hospital in Southern Iran

Archives of Iranian Medicine ◽

10.34172/aim.2021.16 ◽

2021 ◽

Vol 24 (2) ◽

pp. 107-112

Author(s):

Sezaneh Haghpanah ◽

Shima Miladi ◽

Leila Kasraian ◽

Ali Zamani ◽

Maryam Gholami

Keyword(s):

Blood Transfusion ◽

Surgical Procedures ◽

Laboratory Data ◽

Operating Rooms ◽

Cross Sectional Study ◽

Transfusion Practice ◽

Cross Sectional ◽

Southern Iran ◽

Blood Utilization ◽

Transfusion Ratio

Background: The requests for blood products in elective surgeries exceed actual use, leading to financial wastage and loss of shelf-life. In this study, we assessed the blood transfusion indices in elective surgeries performed in the operating rooms. Methods: In this cross-sectional study, from January to June 2017, a total of 970 adult patients who underwent elective surgeries in the operating rooms of Nemazee hospital, a general referral hospital in southern Iran, were investigated. Demographic, clinical, and laboratory data, such as hemoglobin (Hb), hematocrit (Hct), platelets, prothrombin time (PT), and partial thromboplastin time (PTT) were gathered from medical records. Blood utilization was evaluated using the following indices: cross-match to transfusion ratio (C/T ratio), transfusion probability (T%), transfusion index (TI), and Maximum Surgical Blood Order Schedule (MSBOS). Results: The overall C/T, T%, and TI ratios were 2.49, 46.6%, and 0.83 for all procedures, and the highest and lowest ratios pertained to the thoracic and cardiac surgeries, respectively. The C/T ratio was ≥2.5 for all surgical procedures except for cardiac surgeries. T% was <30 for thoracic and orthopedics surgeries and ≥30 for other surgical procedures. In all surgical procedures, TI was less than 0.5, except for cardiac surgeries. Also, the MSBOS was about 3 units for cardiac surgeries and ranged from 0.5 to 1 units in other surgeries. Conclusion: The results of this study showed a high quality blood transfusion practice in cardiac surgeries, possibly due to more focus on this critical ward. Assessing difficulties in the process of reservation, utilization, and preparation of standard protocols and policies are required to improve the blood utilization practice in operating rooms.

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Prevalence and Correlates of Depression among Bugando Medical Centre and Catholic University of Health and Allied Sciences staff – Mwanza Tanzania, A Cross Sectional Study

Neurology - Research & Surgery ◽

10.33425/2641-4333.1026 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Mwita M ◽

Beda M ◽

Kidenya B ◽

Magwiza C

Keyword(s):

Cross Sectional Study ◽

Medical Centre ◽

Sectional Study ◽

Cross Sectional ◽

Catholic University ◽

Bugando Medical ◽

Bugando Medical Centre

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Blood Requisition and Utilization Practice in Surgical Patients at University of Gondar Hospital, Northwest Ethiopia

Journal of Blood Transfusion ◽

10.1155/2013/758910 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 10

Author(s):

Tadesse Belayneh ◽

Gashaw Messele ◽

Zewditu Abdissa ◽

Birehanemeskel Tegene

Keyword(s):

Blood Transfusion ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Transfusion Practice ◽

Surgical Patients ◽

Cross Sectional ◽

Elective Surgical Procedures ◽

Surgical Field ◽

Blood Utilization ◽

Transfusion Ratio

Background. Although blood ordering is a common practice in surgical field, the average requirement for a particular procedure is usually based on subjective anticipation of blood loss rather than on evidence based estimates. Overordering with minimal utilization squanders technical time, reagent and imposes extra expenses on patients. This study was conducted to assess blood utilization practices. Methods. Cross-sectional study was conducted in Gondar Hospital. Five-month data were collected from all discharged surgical patients and blood bank registries. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (%T), and transfusion index (TI) indices. Results. A total of 982 patients were requested to prepare 1,072 crossmatched units. Of these, 468 units were transfused for 286 patients. The overall ratios of C/T, %T, and TI index were 2.3, 47%, and 0.77, respectively. Blood transfusion from the units crossmatched was 43.6%. Moreover, the highest C/T ratio was observed in elective surgical patients. Conclusions. The overall blood utilization was encouraging, but excessive crossmatching with minimal transfusion practice was observed in elective surgical patients. Blood ordering pattern for elective procedures needs to be revised and overordering of blood should be minimized. Moreover, the hospital with blood transfusion committee should formulate maximum surgical blood ordering policies for elective surgical procedures and conduct regular auditing.

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Prevalence Of Syphilis, Neurosyphilis And Associated Factors In a Cross-Sectional Analysis Of HIV Infected Patients Attending Bugando Medical Centre Mwanza Tanzania

10.21203/rs.2.13375/v2 ◽

2020 ◽

Author(s):

Adeodatus Richard Haule ◽

Betrand Msemwa ◽

Evarista Mgaya ◽

Peter Masikini ◽

Samuel Kalluvya

Keyword(s):

Associated Factors ◽

Neurological Complications ◽

Medical Centre ◽

Rapid Progression ◽

Cross Sectional ◽

Early Syphilis ◽

Bugando Medical ◽

Sectional Analysis ◽

Bugando Medical Centre ◽

Latent Syphilis

Abstract BACKGROUND HIV-syphilis co-infection is a combination that enhances rapid progression of early syphilis or late latent syphilis to neurosyphilis and can cause catastrophic neurological complications. In studies in Mwanza, syphilis affects ~8% of healthy outpatients, and older studies have suggested that up to 23.5% of HIV-syphilis co-infected patients also have neurosyphilis

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Risk factors for mortality among tuberculosis patients on treatment at Bugando Medical Centre in north-western Tanzania: a retrospective cross-sectional study

Tanzania Journal of Health Research ◽

10.4314/thrb.v18i4.1 ◽

2016 ◽

Vol 18 (4) ◽

Author(s):

Daniel W. Gunda ◽

Semvua B. Kilonzo ◽

Salum M. Bulegesi ◽

Bonaventura C.T. Mpondo ◽

Elichilia R. Shao

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Risk Of Death ◽

Tb Treatment ◽

Bugando Medical ◽

Increased Risk ◽

Bugando Medical Centre ◽

North Western

Background: Tuberculosis (TB) is still an important cause of morbidity and mortality worldwide. Though it can effectively be treated, still a significant proportion of patients die on the course of their treatment. The objective of this study was to determine the outcome and risk factors of mortality among patients diagnosed with TB in a tertiary hospital in north-western Tanzania.Methods: A retrospective cross sectional study was done among all patients diagnosed with TB between January and December 2015 at Bugando Medical Centre. Information of demographic characteristics, smear positivity, haemoglobin concentration, HIV status, CD4 counts for HIV positive patients and treatment outcomes were collected and analysed. TB treatment outcomes as dead or alive were calculated and logistic regression was done to determine the factors associated with increased risk of death of patients on anti-TB treatment.Results: In total 701 patients were diagnosed with TB during the study period. Of these, 361 (51.5%) were males with a median age of 38 (IQR 27- 47) and 421 (60.06%) were younger than 40 years. Majority of the participants 409 (58.35%) had smear positive pulmonary tuberculosis and about half of patients (51.07%) tested positive for HIV. Of the enrolled patients 610 (87.02%) were alive at the end of TB treatment while 91 (12.98%) died in the course of treatment. The odds of deaths of patients on anti-TB treatment were strongly associated with male sex, HIV co infection and severe anaemia.Conclusion: The proportion of patients who die from TB treatment at BMC is high, with an increased risk of death among HIV co-infected, older than 40 years and severely anaemic patients. Improvement of strategies for early diagnosis and prompt treatment of TB patients will potentially improve treatment outcome.

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Prevalence Of Syphilis, Neurosyphilis And Associated Factors In a Cross-Sectional Analysis Of HIV Infected Patients Attending Bugando Medical Centre Mwanza Tanzania

10.21203/rs.2.13375/v3 ◽

2020 ◽

Author(s):

Adeodatus Richard Haule ◽

Betrand Msemwa ◽

Evarista Mgaya ◽

Peter Masikini ◽

Samuel Kalluvya

Keyword(s):

Associated Factors ◽

Neurological Complications ◽

Medical Centre ◽

Rapid Progression ◽

Cross Sectional ◽

Early Syphilis ◽

Bugando Medical ◽

Sectional Analysis ◽

Bugando Medical Centre ◽

Latent Syphilis

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Efficiency of blood utilization and characteristics of patients receiving blood transfusion at an associated hospital in North India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211350 ◽

2021 ◽

Vol 9 (4) ◽

pp. 1056

Author(s):

Irm Yasmeen ◽

Ibrar Ahmed ◽

Shazia Bashir

Keyword(s):

Blood Transfusion ◽

Blood Donation ◽

Cross Sectional Study ◽

North India ◽

Periodic Review ◽

Cross Sectional ◽

Medical College ◽

Inappropriate Use ◽

Blood Utilization ◽

Transfusion Ratio

Background: Blood is the liquid connective tissue composed of cells and plasma. It is the most precious and unique gift that one person gives to another. Blood banks are not the manufacturing factories. It can only be available on replacement basis. Periodic review of blood components usage is essential to assess the blood utilization pattern in hospitals. This study was conducted to analyse the efficiency of blood utilization and to minimize the inappropriate use of blood.Methods: A retrospective cross-sectional study was conducted in the department of blood transfusion and immunohematology, government medical college and associated hospital, Rajouri for a period of one year with effect from November 2019 to November 2020. Data was collected using blood bank record. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (T%) and transfusion index (TI) indices.Results: A total of 974 patients were requested to prepare 1270 crossmatched units. Of these 1141 blood units were transfused for 664 patients. The total donations during that period were 1197. 998 donors were replacement donors and 199 were voluntary non-remunerated blood donors donated at various blood donation camps. The overall values of C/T, T% and TI were 1.1:1, 68.1% and 1.1 respectively.Conclusions: Blood utilization indices show efficient usage of blood. However, a blood ordering policy (MSBOS) must be developed to guide the clinicians regarding blood usage which can decrease overordering of blood thereby reducing unnecessary usage of reagents, manpower and also wastage of blood due to outdating.

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