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ORIGINAL ARTICLE
Year : 2007  |  Volume : 10  |  Issue : 1  |  Page : 19-23

Survey of blood transfusion needs in a tertiary Nigerian institute


Department of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, P.M.B. 3452, Kano, Zaria Road, Kano, Nigeria

Correspondence Address:
A Kuliya-Gwarzo
Department of Haematology and Blood Transfusion, Aminu Kano Teaching Hospital, P.M.B. 3452, Kano, Zaria Road, Kano
Nigeria
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Introduction: Inappropriate blood transfusion has been reported from all over the world. Objectives: This survey examined the use of blood and blood products in Aminu Kano Teaching Hospital with a view of assessing appropriateness of transfusion, so as to suggest ways of minimizing inappropriate transfusion if they occur. Materials and Methods: Three year blood transfusion records were analysed using simple arithmetic methods and in some instances Microsoft excel was used for graphical illustration. Results: A total of 7788 requests for transfusion were made during the period under review. Request for whole blood consisted of 6702 (86.1%), Red Blood Cells 1006(12.6%), Cryoprecipitate 33(0.39%) Fresh Frozen Plasma 10(0.13%) and for platelet concentrate was 37(0.5%). The highest no of transfusions were seen in Adult Medical wards 2327(29.9%) and the lowest transfusion rate was in ICU 15(0.2%). There were three main indications for transfusions recorded with Anaemia being the major cause for transfusion 3835(49.1%), and others being for Surgery 1863(23.9%) and Haemorrhage 1634(21.0%). Four hundred and forty nine (4.95) units of blood were wasted with majority being due to expired units 208(42%) and others due to infectious markers [(HIV 120(24.3%) HBV 75(15.2%), HCV 11(2.25)] while some were from units punctured 62(16.2%) and not used. Conclusion: inappropriate transfusion was prevalent in our hospital and we need to develop guidelines that would be used to edit the transfusion service in due course.


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