Treatment of severe anaemia in children in a rural hospital
Trop. dr
; 19(4): 155-8, 1989.
Article
in English
| AIM
| ID: biblio-1272963
Responsible library:
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RESUMO
In a rural hospital in Malawi a protocol was developed for the treatment of severely anaemic children to improve the chances of survival of children with haemoglobin levels of 5 g/dl or less (referred to here as severe anaemia); and also to reduce the risks of transmission of human immunodeficiency virus (HIV) by blood transfusion in a unit where the routine screening of donated blood for HIV positivity is not available. Comparison of the results of applying the protocol (using digoxin; frusemide and selective delayed transfusion) with the results of using a widely accepted regimen of routine transfusion of all children with haemoglobin (Hb) of 5 g/dl or less suggests that stabilization of a severely anaemic child's cardiac state before transfusion improves the chances of survival. Many children with very low haemoglobin values do not then require transfusion; thus avoiding the dangers of transfusing blood that is potentially HIV positive. Those who do need transfusion withstand the procedure better
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Index:
AIM (Africa)
Main subject:
Rural Health
Type of study:
Practice guideline
Language:
English
Journal:
Trop. dr
Year:
1989
Type:
Article
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