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Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital

Received: 15 December 2020     Accepted: 24 December 2020     Published: 10 March 2021
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Abstract

Background: Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels. In order to identify the shortcomings in this process, this study has been designed to assess the current status of the transfusion medicine department services in one of the tertiary level hospital in Dhaka city. Subjects and Method: This cross-sectional study was conducted in the Transfusion Medicine department of Sir Salimullah Medical College and Mitford Hospital, Dhaka in 2018. The study population was a total of 275 (14 Service Providers purposively interviewed &261 blood donors taken as per convenience). Data was collected by using semi structured questionnaire, open- ended questionnaire from the Head of the Department and check list. Results: The findings revealed that all basic tests and mandatory screening tests were conducted in the unit except Bone Marrow examination and Apheresis. Important record registers (Donor care, Donor deferral register etc.) were present but not updated. Few SOPs were available but were not kept at work stations. No screening curtains were provided for donor privacy and no technicians used gloves at work. Only 1.5% donors were Voluntary. About 36% were first time donors. About 19% of donors mentioned a delay of nearly an hour for completion of donation process, though 80.5% donors were still satisfied with staff behavior. WHO criteria was followed for Donor selection in the unit. Pre and post donation counselling was extremely dissatisfying. Despite of no stocks, the unit organized mere Voluntary Blood donation activities. Conclusion: A huge number of patients rely on tertiary hospitals for blood transfusions, as it is a life-saving procedure. Voluntary blood donation can be increased by encouraging Government–NGO collaboration along with use of software for holding details of regular donors.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 1)
DOI 10.11648/j.ijcts.20210701.11
Page(s) 1-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Blood Transfusion, Services, Tertiary Hospital, Dhaka

References
[1] Article, O. (2010) ‘Prevalence of Transfusion Transmitted Infection in Healthy Blood Donors in Sir Salimullah Medical College’, pp. 68–70.
[2] www.who.int. (n.d.). Blood safety and availability. [online] Available at: http://www.who.int/en/news-room/fact-sheets/detail/blood-safety-and-availability [Accessed 19 Sep. 2020].
[3] Donation, B. (no date) ‘Donor Selection Donor Selection’.
[4] Interns, M. (no date) ‘WHO Clinical Transfusion Guidelines.’
[5] GoN (2011) ‘Mapping and Comprehensive Assessment of Blood Transfusion Services in Nepal’.
[6] Mohammad, N. A. sadat et al. (2010) ‘Safe Blood Transfusion and Ethical Issues in Transfusion Medicine’, Journal of Dhaka Medical College, 19 (2), pp. 144–149.
[7] Mulcahy, A. W. et al. (no date) Toward a Sustainable Blood Supply in the United States An Analysis of the Current System and Alternatives for the Future.
[8] National AIDS Control Organisation (2007) ‘Standards for Blood Banks & Blood Transfusion Services’, Ministry of Health and Family Welfare, pp. 1–101. doi: 10.1017/CBO9781107415324.004.
[9] Plan, N. S. (2013) ‘Voluntary Non - Remunerated Blood Donation in Bangladesh’.
[10] Program, B. S. (2011) ‘Comprehensive assessment study of Blood Transfusion Service, Bhutan-2011 Comprehensive Assessment Study of’.
[11] QSAEC, Q. S. A. E. C. (2014) ‘Standard Operating Procedure for Blood Transfusion’, http://education.qld.gov.au/curriculum/area/science/docs/sop-poultry.pdf (Accessed: 30/06/2015).
[12] Transfusion, C. and Safety, P. (2010) ‘Hospital requirements for safe clinical transfusion and patient safety Key elements’. Available at: www.who.int/bloodsafety.
[13] WHO Bangladesh and Government of Bangladesh (2012) ‘Situation assessment of public and private blood centers in Bangladesh’. Available at: http://apps.who.int/bloodsafety/transfusion_services/Bangladesh_SituationAssessmentPublicPrivateBloodCentres.pdf.
[14] World Blood Donor Day 2018: An Action of Solidarity.” Www.Who.Int, 14 June 2018, www.who.int/bangladesh/news/detail/14-06-2018-world-blood-donor-day-2018-an-action-of-solidarity. Accessed 19 Sept. 2020.
[15] World Health Organization, 2012. Blood donor selection: guidelines on assessing donor suitability for blood donation. World Health Organization.
[16] Dipta, T. F. and Rahman, M. T., (2009). Safe blood transfusion: past, present and future. Bangladesh Journal of Pathology, 24 (1), pp. 1-2.
[17] World Health Organization (2017) Global Status Report on Blood Safety 2016. Geneva: WHO.
[18] ‘Screening Donated Blood for Transfusion Transmissible Infections in Bangladesh National Guidelines 2013 Foreword’ (2013).
[19] South-East Asia Regional Office. (n.d.). Bangladesh is still to meet the demand of safe blood supply. [online] Available at: http://www.searo.who.int/bangladesh/blooddonor/en/ [Accessed 3 Dec. 2018].
[20] Dghs.gov.bd. (2012). safe blood transfusion. [online] Available at: http://dghs.gov.bd/licts_file/images/Health_Bulletin/HB2012_CH/HB2012_CH12_Safe-Blood-Transfusion.pdf [Accessed 3 Dec. 2018].
[21] Karim, S. et al. (2013) ‘MANAGEMENT OF VARIOUS PATIENTS IN DAY CARE TRANSFUSION CENTER AT TRANSFUSION MEDICINE DEPARTMENT OF DHAKA MEDICAL COLLEGE HOSPITAL, DHAKA - ANNUAL AUDIT OF 2013’, pp. 2013–2015.
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  • APA Style

    Kazi Mariam Naher, Shafia Shaheen, Baizid Khoorshid Riaz. (2021). Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital. International Journal of Cardiovascular and Thoracic Surgery, 7(1), 1-7. https://doi.org/10.11648/j.ijcts.20210701.11

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    ACS Style

    Kazi Mariam Naher; Shafia Shaheen; Baizid Khoorshid Riaz. Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(1), 1-7. doi: 10.11648/j.ijcts.20210701.11

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    AMA Style

    Kazi Mariam Naher, Shafia Shaheen, Baizid Khoorshid Riaz. Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital. Int J Cardiovasc Thorac Surg. 2021;7(1):1-7. doi: 10.11648/j.ijcts.20210701.11

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  • @article{10.11648/j.ijcts.20210701.11,
      author = {Kazi Mariam Naher and Shafia Shaheen and Baizid Khoorshid Riaz},
      title = {Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {7},
      number = {1},
      pages = {1-7},
      doi = {10.11648/j.ijcts.20210701.11},
      url = {https://doi.org/10.11648/j.ijcts.20210701.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210701.11},
      abstract = {Background: Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels. In order to identify the shortcomings in this process, this study has been designed to assess the current status of the transfusion medicine department services in one of the tertiary level hospital in Dhaka city. Subjects and Method: This cross-sectional study was conducted in the Transfusion Medicine department of Sir Salimullah Medical College and Mitford Hospital, Dhaka in 2018. The study population was a total of 275 (14 Service Providers purposively interviewed &261 blood donors taken as per convenience). Data was collected by using semi structured questionnaire, open- ended questionnaire from the Head of the Department and check list. Results: The findings revealed that all basic tests and mandatory screening tests were conducted in the unit except Bone Marrow examination and Apheresis. Important record registers (Donor care, Donor deferral register etc.) were present but not updated. Few SOPs were available but were not kept at work stations. No screening curtains were provided for donor privacy and no technicians used gloves at work. Only 1.5% donors were Voluntary. About 36% were first time donors. About 19% of donors mentioned a delay of nearly an hour for completion of donation process, though 80.5% donors were still satisfied with staff behavior. WHO criteria was followed for Donor selection in the unit. Pre and post donation counselling was extremely dissatisfying. Despite of no stocks, the unit organized mere Voluntary Blood donation activities. Conclusion: A huge number of patients rely on tertiary hospitals for blood transfusions, as it is a life-saving procedure. Voluntary blood donation can be increased by encouraging Government–NGO collaboration along with use of software for holding details of regular donors.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Services Available in the Transfusion Medicine Department of Sir Salimullah Medical College and Mitford Hospital
    AU  - Kazi Mariam Naher
    AU  - Shafia Shaheen
    AU  - Baizid Khoorshid Riaz
    Y1  - 2021/03/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcts.20210701.11
    DO  - 10.11648/j.ijcts.20210701.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 1
    EP  - 7
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20210701.11
    AB  - Background: Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels. In order to identify the shortcomings in this process, this study has been designed to assess the current status of the transfusion medicine department services in one of the tertiary level hospital in Dhaka city. Subjects and Method: This cross-sectional study was conducted in the Transfusion Medicine department of Sir Salimullah Medical College and Mitford Hospital, Dhaka in 2018. The study population was a total of 275 (14 Service Providers purposively interviewed &261 blood donors taken as per convenience). Data was collected by using semi structured questionnaire, open- ended questionnaire from the Head of the Department and check list. Results: The findings revealed that all basic tests and mandatory screening tests were conducted in the unit except Bone Marrow examination and Apheresis. Important record registers (Donor care, Donor deferral register etc.) were present but not updated. Few SOPs were available but were not kept at work stations. No screening curtains were provided for donor privacy and no technicians used gloves at work. Only 1.5% donors were Voluntary. About 36% were first time donors. About 19% of donors mentioned a delay of nearly an hour for completion of donation process, though 80.5% donors were still satisfied with staff behavior. WHO criteria was followed for Donor selection in the unit. Pre and post donation counselling was extremely dissatisfying. Despite of no stocks, the unit organized mere Voluntary Blood donation activities. Conclusion: A huge number of patients rely on tertiary hospitals for blood transfusions, as it is a life-saving procedure. Voluntary blood donation can be increased by encouraging Government–NGO collaboration along with use of software for holding details of regular donors.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health and Hospital Administration, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh

  • Department of Epidemiology, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh

  • Department of Public Health and Hospital Administration, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh

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