Audit of blood transfusion practices in a neonatal care unit of a tertiary Hospital
Mots-clés :
Blood transfusion, neonatal care unit, PRBC, platelets, FFPRésumé
Introduction: SSNB (Small and sick newborns), particularly the very preterm infants, may require multiple blood transfusions when they stay in neonatal care unit (NCU) for an extended period of time. Transfusion is often based on the clinical opinion of the clinician rather than specific guidelines.
Objective: To audit the practice of blood transfusion in SSNB admitted in NCU at a tertiary hospital in Sub-Saharan Africa.
Methodology: This is a hospital based retrospective study of all SSNB who received blood transfusion in NCU for three months. Analysis was done by SPSS.
Results: A total of 125 SSNB received 292 blood transfusions: male were 65 (52.0%) and preterm<37 weeks of gestational age were 96 (76.8%). A total of 184(63.0%) units were packed red blood cells, 53 (18.2%) platelets, 35 (12.0%) fresh frozen plasma and 20 (6.8%) were whole blood. Majority (48%) had their first transfusion during the second week of life: with 58 (46.4%) requiring transfusion due to infections, 23 (18.4%) due to acute hemorrhage and 20 (16%) due to anemia of prematurity. Very preterm
neonates required multiple transfusions the most (p= 0.024): 82 (65.6%) of first transfusions, adhered to the blood transfusion
guideline of the unit.
Conclusion: Premature neonates were transfused the most (76.8%) among all SSNB. Majority of first transfusions were done in the second week of life (48.0%). The commonest reason for transfusion was infections. Eighty two (65.6%) infants were transfused according to the guideline in NCU.
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