Audit on Platelet Transfusion at MGM Blood Bank: A Retrospective Study

Abstract

AIMS AND BACKGROUNDPlatelet transfusion is an important treatment modality for prevention and treatment of bleeding. Indiscriminate use and noncompliance to platelet transfusion have been found despite having various guidelines and recommendations. This study is aimed at assessing the preparation, utilization and discard of platelets in our hospital. MATERIAL AND METHODSWe conducted a retrospective study in the Department of Immunohematology and Blood Transfusion at MGM Medical College and Hospital, Kamothe, Navi Mumbai, for a period of 4 months from 1 st July to 31 st October 2015, wherein appropriate utilization, major users, ABO group specific or non-group specific platelet transfusions and expiry rates were analysed. RESULTA total of 1806 whole blood units were collected, of which 1708 (94.5%) units were separated into components. Of these, 1067 platelets were prepared; 213 platelet requisitions were received for 162 patients at our blood bank. Of these, 185 platelet requisitions were evaluable in which 128 (69.1%) had appropriate utilization pattern conforming to the BCSH guidelines. Out of 992 RDP transfusions, 684 (68.9%) were ABO group specific, while remaining were given across the barrier. Major users were dengue patients followed by malaria, which together accounted for 61.49%. Expiry rate was found to be 7.02%. CONCLUSIONRegular audits, application of transfusion guidelines and clinician training programmes are necessary for rational and judicious use of platelet.