Original article / research
Year : 2024 Month : April Volume : 13 Issue : 2 Page : PO31 - PO34 Full Version

Blood Component Usage and Discard in the Blood Centre of a Tertiary Care Hospital in a Remote Part of North-east India: A Cross-sectional Study
Topon Narzary, Amitabh Handique, Sadiqul Islam, Deepak Das
1. Assistant Professor, Department of Pathology, Diphu Medical College and Hospital, Diphu, Assam, India. 2. Associate Professor, Department of Pathology, Diphu Medical College and Hospital, Diphu, Assam, India. 3. Associate Professor, Department of Medicine, Diphu Medical College and Hospital, Diphu, Assam, India. 4. Assistant Professor, Department of Pathology, Diphu Medical College and Hospital, Diphu, Assam, India.
 
Correspondence Address :
Topon Narzary, Amitabh Handique, Sadiqul Islam, Deepak Das,
Dr. Deepak Das,
Assistant Professor, Department of Pathology, Diphu Medical College and Hospital, Diphu-782460, Assam, India.
E-mail: dpkds9142@gmail.com
 
ABSTRACT
: Introduction: Blood and its various components are valuable resources for sustaining life. They are routinely used and form an integral part of patient care. The judicious use of blood and its components is necessary in low socio-economic countries.

Aim: To estimate the usage of blood and blood components and its discard in a tertiary care hospital.

Materials and Methods: A hospital-based retrospective cross- sectional study was conducted in the Blood Centre, Diphu Medical College and Hospital, Karbi Anglong, Assam, India. Data was retrieved from Blood Centre registers over a period of 12 month, from July 2021 to June 2022. Both replacement and voluntary donors were selected based on donor selection criteria. All collected blood units were stored and subsequently subjected to Transfusion Transmitted Infections (TTI) testing. The data was tabulated using Microsoft Excel sheet.

Results: During the study period, a total of 4,525 units of whole blood were collected, and 7,539 blood units, including both whole blood and blood components, were prepared. The highest number of issues during the period comprised of whole blood at 2,468 units. Among blood components, 1,854 units of Packed Red Blood Cells (PRBCs) were most commonly utilised, followed by 1,824 units of Fresh Frozen Plasma (FFP). A total of 334 units (4.43%) of blood/ blood components were discarded due to various reasons, with the highest discard rate observed for Platelet Concentrates (PC) at 71 (6.28%) units. The major reason for discard was seropositivity, accounting for 212 (63.5%) units.

Conclusion: Adequate blood inventory, along with proper training and sensitisation of hospital staff, should be conducted at timely intervals regarding proper donor selection, collection, and storage of blood/ blood products. Clinicians should also be engaged to optimise the usage of blood/ blood products. These steps can help minimise wastage in resource limited countries.
Keywords : Donors, Platelet concentrates, Seropositivity, Transfusion transmitted infections
DOI and Others : DOI: 10.7860/NJLM/2024/66219.2840 Date of Submission: Jun 27, 2023 Date of Peer Review: Sep 18, 2023 Date of Acceptance: Dec 12, 2023 Date of Publishing: Apr 01, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METHO
 
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