| One year clinical audit of the use of blood and blood components at a tertiary hospital in Nigeria. | |
| | |
MedLine Citation:
|
PMID: 20329686 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The appropriate use of blood and blood components remains a formidable challenge faced by clinicians particularly in a developing country like Nigeria. The inadequate supply of safe blood implies that measures aimed at ensuring judicious use of the available supply should be continually identified and explored. STUDY DESIGN: Aprospective study to evaluate all blood and blood component transfusions over a period of one year from January to December 2004 was done. The appropriateness of the transfusion with respect to the clinical state and the transfusion needs of the recipient was assessed by a Haematologist. RESULTS: A total of 682 transfusion episodes were reviewed and analyzed. The commonest indication for use blood/blood component was severe anaemia in 38% of cases. Twenty nine percent of transfusions for moderate anemia, and 36% of fresh frozen plasma transfusions were found to be unnecessary. Inappropriate transfusion is most marked in the setting ofplatelet transfusion with 81% of platelet transfusion being inappropriate. CONCLUSION: Enhanced capacity for component preparation, regular auditing of transfusion practices as well as improved communication between the clinicians and laboratory physicians will lead to more judicious use of blood component therapy. The need for the development of guidelines for blood component use in hospitals in line with the national blood transfusion policy is highlighted. |
| | |
Authors:
|
O P Arewa |
Related Documents
:
|
19778336 - A prospective study of multiple donor exposure blood recipients: surveillance value and... 8770306 - The effect of blood transfusion on tumor growth in sarcoma-bearing rats. 19377226 - Vasoconstrictor-induced hypertension following multiple blood transfusions in children ... 18503616 - Microchimerism decades after transfusion among combat-injured us veterans from the viet... 708496 - Significance of luminal plasma layer resistance in arterial wall oxygen supply. 18467176 - Does activation of the blood coagulation cascade have a role in malaria pathogenesis? |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Nigerian journal of clinical practice Volume: 12 ISSN: 1119-3077 ISO Abbreviation: Niger J Clin Pract Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2010-03-24 Completed Date: 2010-04-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101150032 Medline TA: Niger J Clin Pract Country: Nigeria |
Other Details:
|
Languages: eng Pagination: 429-33 Citation Subset: IM |
Affiliation:
|
Department of Haematology and Immunology, College of Health Sciences, Niger Delta University, Nigeria. oladimejiarewa@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Blood Transfusion
/
statistics & numerical data,
utilization* Clinical Audit / methods*, standards Erythrocyte Transfusion / statistics & numerical data, utilization* Female Hospitals, Teaching / statistics & numerical data Humans Male Nigeria Plasma* Platelet Transfusion / statistics & numerical data, utilization* Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Situation analysis of the existing infant feeding pattern at the commencement of the prevention of m...
Next Document: Subjective assessment of childhood fever by mothers utilizing primary health care facilities in Osog...