DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20182640

Donor blood wastage: a study from blood bank Chamba (H.P)

Ishan Arora, Shairoly Singh, Shireen Singh

Abstract


Background: Blood and its components are very important for human life as there is no substitute for human blood. No major surgical procedure can be performed without the use of blood in any hospital or clinic. Ideally in a good set up, wastage of blood and blood products should never occur. The aim of this study was to assess the burden of blood wastage in our blood bank, reasons for the wastage, and to cut down blood wastage to a minimal amount by adopting new methods and techniques.

Methods: A retrospective study was carried out in Department of Blood Bank of Pt. Jawaharlal Nehru Govt. Medical College, Chamba (H.P) over a time period of one year from 1st January 2017 to 31st December 2017.

Results: In our study period, there were 35 discarded blood units due to various reasons forming 3.52% of total discard. Majority of units were discarded due to expiry (51.4%).

Conclusions: Our study found expiry/outdated units to be most common reason for discard (51.4%). This kind of wastage may be reduced by better management of blood bag collection, storage and utilization. TTI was another significant reason for blood discard in our blood bank (14.28%). We can bring down the number of discard units by proper training and educating our blood bank staff. Strict adherence to donor selection criteria and proper past medical history should be obtained from blood donors.


Keywords


Blood donors, Blood wastage, Blood discard, Blood bank

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References


Bugge HF, Karlsen NC, Oydna E, Rake MM, Wexels N, Bendabenda J, et al. A study of blood transfusion services at a district hospital in Malawi. Vox Sang. 2013;104:37–45.

Schneider WH. History of blood transfusion in sub-Saharan Africa. Transfus Med Rev. 2013;27:21–28.

Mafirakureva N, Khoza S, Hassall O, Faragher BR, Kajja I, Mvere DA, et al. Profiles of blood and blood component transfusion recipients in Zimbabwe. Blood Transfus. 2015;13(4):600–9.

Stanger SH, Yates N, Wilding R, Cotton S. Blood inventory management: hospital best practice. Transfus Med Rev. 2012;26(2):153–63.

Baesler F, Nemeth M, Martinez C, Bastias A. Analysis of inventory strategies for blood components in a regional blood center using process simulation. Transfusion. 2014;54:323–30.

Heddle NM, Liu Y, Barty R, Webert KE, Whittaker S, Gagliardi K, et al. Factors affecting the frequency of red blood cell outdates: an approach to establish benchmarking targets. Transfusion. 2009;49(2):219–26.

Zoric L, Daurat G, Demattei C, Martine M, Christophe B, Olivieet B, et al. Blood wastage reduction: a 10-year observational evaluation in a large teaching institution in France. Eur J Anaesthesiol. 2013;30:250–5.

WHO 2011. Waste of healthcare activities. Available at: http://www.who.int/mediacentre/

factsheets/fs253/en/. Accessed on 15 March 2015.

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.

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

Jariwala K, Mishra K, Patel G, Seliya R, Shukla R, Ghosh K. Reasons for discarding of Whole Blood /Red Cell Units in a Regional Blood Transfusion Centre in Western India. Indian J Hematol Blood Transfusion. 2017.

Chavan SK. Determination of rate and analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital: a retrospective study. Int J Res Med Sci. 2017;5:1111-5.

Chitnis V, Vaidya K, Chitnis DS. Biomedical waste in laboratory medicine: audit and management. Indian J Med Microbiol. 2005;23(1):6–13.

Lakum NR, Makwana H, Agnihotri A. An analytical study of discarded units of whole blood and its components in a blood bank at a tertiary-care hospital in Zalawad region of Saurashtra. Int J Med Sci Public Health. 2016;5:318-21.

Bobde V, Parate S, Kumbhalkar D. Seroprevalence of viral trans¬fusion transmitted infections among blood donors at a govern¬ment hospital blood bank in central India. Health Agenda. 2015;3(1):15–9.

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.