PROMOTING ACCESS TO AFRICAN RESEARCH

East African Medical Journal

Log in or Register to get access to full text downloads.

Remember me or Register



Audit of Blood Transfusion Practices in the Paediatric Medical Ward of a Tertiary Hospital in Southeast Nigeria

MD Ughasoro, AN Ikefuna, IJ Emodi, SN Ibeziako, SO Nwose

Abstract


Objectives: To determine the indications, practices and outcomes of transfusion on children.
Design: A descriptive retrospective study.
Setting: Paediatric wards of University of Nigeria Teaching Hospital, Enugu, Nigeria.
Subjects: Children one month to 18 years that received blood transfusion.
Main outcome measures: Indications for the transfusion, haemoglobin rise, vital signs, duration of transfusion and adverse events.
Results: The two hundred and thirty eight transfusions reviewed were given amongst 95 patients, at a ratio of 2.5 transfusions per patient. The  indicators of the transfusion were: malignancy (31.7%), sepsis (15.1%), sickle cell anaemia (12.1%), malaria (10.0%), hyperbilirubinaemia  (10.0%), HIV/AIDS (8.3%), nephrotic syndrome (7.2%) and malnutrition (5.4%). Whole blood (56.4%) and sedimented cells (36.3%) were the
main types of blood transfused. About 96.4% were transfused appropriate volume of blood. The mean Haemoglobin concentration (Hb) increase was 3.1g/dl and 12.8% of the recipients recorded an Hb increase of . 5g/dl. The mean duration of transfusion was 4.6 hours and 59.7% of the  transfusions exceeded the recommended four hours. Pulse and respiratory rates returned to normal post transfusion in 26.1 and 21.8% of the recipients respectively. In 10% of the transfusions there were minor adverse events; chills/fever (5.1%), itching (3.4%), hypothermia (1.0%) and vomiting (0.5%).
Conclusion: Blood transfusion in this tertiary institution is not common and mainly due to non-communicable diseases. The expected optimal rise in Hb and normalising of vitals sign are not always the case. The duration of most transfusions was unduly prolonged and transfusion-related adverse events are rare.



AJOL African Journals Online