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Category: Volume 09 Issue 01 January 2021
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Title: Analysis of Reasons for Discarding whole blood in a blood bank of District hospital of Himachal Pradesh: A Five Year Retrospective Study

Authors: Dr Digvijay Singh Dattal, Dr Mukta Rastogi, Dr Anchana Gulati, Dr V Anish Chandran

 DOI: https://dx.doi.org/10.18535/jmscr/v9i1.29

Abstract

Background: Blood is the most common organ donation that can be done by an ordinary healthy person. It plays an important role in saving human life. Since there is no blood substitute available till date, blood so collected during voluntary (blood donation camps) and replacement donations, should be used in a proper and judicious manner. The aim of all the blood banks should be to have discarded rate/wastage of zero or to keep it to a minimum level.

Aim: The aim of the present study was to know about the causes of blood wastage, calculate the discard rate and to plan or formulate the strategy to reduce the wastage of blood at the district hospital.

Materials and Methods: It is a retrospective study carried out over a period of 5 years (1st January 2015 to 31st 2019) at a blood bank in a district hospital of Himachal Pradesh. The data was collected and analysed.

Results: A total of 7306 units of blood were collected over the period of 5 years with 6824 (93.3%) units through voluntary donations and majority (n=6911, 94.6%) of them being males. One hundred and two (1.39%) units of blood were discarded due to the various reasons with seropositivity for transfusion transmitted infection (TTIs) (70.6%) being the most common. Under collection (20.5%), expiry date (4.6%) lipemia plasma, hemolysis of blood and blood clots in the bag were the other rare causes for discarding blood.

Conclusion: To reduce the discard rate and have minimal wastage of blood, it is important to do proper and strict donor selection as per the WHO guidelines and   to have trained pheblolists, experienced and  motivated staff in the blood bank. There should be proper coordination between the clinicians and the blood bank staff.

Keywords: Transmission transmitted infection (TTIs), blood donors, seropositivity, discard rate.

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Corresponding Author

Dr Digvijay Singh Dattal

Senior Resident, Department of Pathology, IGMC Shimla & Ex Medical officer (Blood bank incharge) District Hospital, Solan, Himachal Pradesh, India