Analysis of unused blood products and its management during peak COVID period  in a rural based teritiary care hospital

S A Kanya; M Arun; C Megala; R Thamilselvi; B Vignesh

doi:10.53730/ijhs.v6nS4.11398

Authors

Kanya S A Junior Resident, Dept of immunohematology and transfusion medicine, Vinayaka Missions, Kirupanandavariyar medical college and Hospital, Salem
Arun M Senior Resident, Dept of Transfusion Medicine,Vinayaka Missions Kirupananda Medical college and Hospital, Salem
Megala C Assistant professor, Dept of Pathology, Vinayaka Missions Kirupananda Medical college and Hospital, Salem
Thamilselvi R Professor and Hod, Dept of Pathology, Vinayaka Missions Kirupananda Medical college and Hospital, Salem
Vignesh B Assistant professor, Dept of immunohematology and transfusion medicine, Vinayaka Missions, Kirupanandavariyar medical college and Hospital, Salem

Keywords:

PRBC, fresh frozen plasma, discard, unused blood products, returning units

Abstract

Background: Blood donation is one of the most noble gestures a human can make to save life. Even after so many advances in the field of blood donation till now no alternative of human blood is easily available in all places. The aim of the study is to analyse various unused blood products their causes,during the peak covid period and its management. These are done by formulating guidelines for proper donor screening, component separation, TTI screening,and proper handling of blood products. Methods: A total of 1960 whole blood units from both voluntary and replacement donors were collected from September 2020 to August 2021 in the Department of Transfusion Medicine, Vinayaka Mission Medical college Salem.Out of which 214 units were unused(4.78%) units. Results: The study showed out of 214 units,113units(52.80%) were from platelet components, 30(14.02%) were PRBC,71(33.18%)were FFP. The primary cause of discard wasexpiry of units(45.79%), andsecond major cause was returning of units 24 (27.57%), which can be managed by following certain guidelines before issuing.

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References

Arora I, Singh S, Singh S. Donor blood wastage: A study from blood bank Chamba (H.P). Int J Community Med Public Health 2018;5:3016-9.

Available from: https://www.who.int/bloodsafety/Manual_on_Management,Maintenance_and_Use_of_Blood_Cold_Chain_Equipment.pdf. Last accessed on 14th Feb 2022.

Bashir F, Khalid A, Iqbal S, Ghafoor T, Ahmed M. Exploring the Causes of Wastage of Blood and Its Components in a Tertiary Care Hospital Blood Bank. Cureus. 2021 Dec 18;13(12).

Bobde V, Parate S, Kumbhalkar D. Analysis of discard of whole blood and blood components in government hospital blood bank in central India. J Evid Based Med Healthc2015;2:1215-9.

Bobde V, Parate S, Kumbhalkar D. Analysis of discard of whole blood and blood components in government hospital blood bank in central India. J Evid Based Med Healthcare March 2015;2:1215-20.

Clark JA, Ayoub MM. Blood and component wastage report. A quality assurance functions of the hospital transfusion committee. Transfusion.1989;29:139-142.

Ghaflez MB, Omeir KH, Far JM, Saki N, Maatoghi TJ, Naderpour M. Study of rate and causes of blood components discard among Ahwaz's hospital. Sci J Iran Blood Transfus Organ 2014;11:197-206.

Hardwick J. Blood processing: Introduction to blood transfusion technology. ISBT Sci Ser. 2008; 3:148–76.

Intriago, C. Z., & Posligua, T. I. Q. (2020). Telecommunications and virtualization in times of pandemic: impact on the electrical engineering career. International Journal of Physical Sciences and Engineering, 4(3), 38–44. https://doi.org/10.29332/ijpse.v4n3.630

Kanani AN, Vachhani JH, Dholakiya SK, Upadhyay SB. Analysis on discard of blood and its products with suggested possible strategies to reduce its occurrence in a blood bank of tertiary care hospital in Western India. Glob J Transfus Med 2017;2:130-6.

Luhar RK, Shah RJ. Discard rate in blood transfusion service–A critical tool to support blood inventory management.

Morish M, Ayob Y, Naim N, Salman H, Muhamad NA, Yusoff NM, et al. Quality indicators for discarding blood in the national blood center, Kuala Lumpur. Asian J Transfus Sci 2012;6:19-23.

Morish M, Ayob Y, Naim N, Salman H, Muhamad NA, Yusoff NM. Quality indicators for discarding blood in the National Blood Center, Kuala Lumpur. Asian J Transfus Sci 2012;6:19-23.

Motschman TL, Jett BW, Wilkinson SL. Quality management systems: Theory and practice. In: Fung MK, Grossman BJ, Hillyer CD, editors. Technical Manual. 18th ed. Bethesda, MD: American Association of Blood Banks (AABB); pp. 1–38.

Novis DA, Renner S, Friedberg R, Walsh MK, Saladino AJ. Quality indicators of fresh frozen plasma and platelet utilization three college of American pathologists Q-probes studies of 8 981 796 units of fresh frozen plasma and platelets in 1639 hospitals. Arch Pathol Lab Med 2002;126:527-31.

Nugraha, I. S., & Udi, W. W. (2022). The corelation of pharmaceutical services with the incidence of side effects of phase III COVID vaccination participants in RS Tingkat II Udayana. International Journal of Health & Medical Sciences, 5(4), 260-266. https://doi.org/10.21744/ijhms.v5n4.1944

Patil P, Bhake A, Hiwale K. Analysis of discard of whole blood and its components with suggested possible strategies to reduce it. Int J Res Med Sci 2016;4:477-81.

Price TH. Standards for Blood Banks and Transfusion Services. In: Price TH, editor. Bethesda, MD, USA: AABB; 2009.

Sharma DN, Kaushik DS, Kumar DR, Azad DS, Acharya DS, Kudesia S. Causes of wastage of blood and blood components: A retrospective analysis, IOSR Journal of Dental and Medical Sciences, December 2014:13:59-61.

Simon K, Ambroise MM, Ramdas A. Analysis of blood and blood components wastage in a tertiary care hospital in South India. Journal of Current Research in Scientific Medicine. 2020 Jan 1;6(1):39.

Suresh B, Babu KS, Arun R, Chandramouli P, Jothibai DS. Reasons for discarding whole blood and its components in a tertiary care teaching hospital blood bank in South India. J Clin Sci Res 2015;4:213.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Thakare MM, Dixit JV, Goel NK. Reasons for discarding blood from blood bank of government medical college, Aurangabad. Asian J Transfus Sci 2011;5:59-60.

Veihola M. Technical Efficiency of Blood Component Preparation in Blood Centres of 10 European Countries. Academic Dissertation. Finland: Department of Public Health, Faculty of Medicine University of Helsinki;2008. p. 5.

World Health Organization. Quality Systems for Blood Safety: Introductory Module Guidelines and Principles for Safe Blood Transfusion Practice. Geneva: World Health Organization; 2002. p. 65-75.

World Health organization. Recommendations. Developing a Normal Policy and Guidelines on the clinical use of Blood. Geneva: WHO; 2009.