ABSTRACT
Background: Millions of patients who are in need of blood transfusion do not have timely access to safe blood. Donor selection is important to ensure safe blood supply. Blood transfusion services (BTS) have the responsibility to collect blood only from donors who are at low risk for any infection that could be transmitted through transfusion and who are unlikely to jeopardize their own health by blood donation. A rigorous process to assess the suitability of prospective donors is therefore essential to protect the safety and sufficiency of the blood supply, and safeguard the health of recipients of transfusion and blood donors themselves, while ensuring that suitable donors are not deferred unnecessarily. Aim: To study the incidence and causes for deferral of both voluntary and replacement Donors in Blood Bank. Materials and methods: The study was conducted over a period of 2 years from 2015 January to 2017 January at Gandhi Hospital Blood Bank, under Gandhi Hospital; which is a tertiary care referral Hospital. Results: A total of 2510 donors of both voluntary and replacement category were deferred, among which males were 1790 were males and 720 were females. The commonest cause of deferral among males was alcohol intake within 24 hours, followed by underweight and hypertension. The commonest cause among female donors was anemia followed by menstrual history within one week. Conclusion: Analysis and evaluation of deferral in blood donors helps us to understand the causes of deferral and deferral rate. This helps us in providing safe blood to the recipients by promoting blood donation by healthy donors. There is a need to motivate more voluntary non remunerable donors to ensure safe blood to all by conducting educational and motivational programs.
ABSTRACT
Background: Blood Transfusion plays a vital role in patient management and is lifesaving in many instances. It plays a pivotal role as a specialized modality of treatment and saves millions of lives worldwide each year and reduces morbidity. It is well known to be associated with a large number of complications, some of them trivial while others are life threatening, demanding for meticulous pre transfusion testing and screening. The priority objective of BTS is to ensure safe, adequate accessible efficient blood supply at all times. The magnitude of TTI varies from country to country and depends directly on the TTI load of society and also effective screening of donors at blood bank. Materials and methods: A retrospective study was conducted in our hospital blood bank from 2014- 1016, to study the sero- prevalence and trends in TTI, including HIV, HBV, HCV, VDRL, and malaria. The total number of voluntary and replacement donors increased steadily in 3 years. Results: The sero- prevalence of HBV, HCV and HIV decreased steadily over 3 years, whereas incidence of syphilis increased steadily. HBV was noted to be more in voluntary donors than in replacement donors. Blood unit utilization index was calculated and ranged from 90.9% in 2014 to 88.9% in 2015 and 91.6% in 2016. Most common cause for discard of the blood units was TTI followed by expiry of products. Conclusion: Strict selection of blood donors is mandatory and is recommended to ensure safe blood supply. Voluntary blood donations need to be increased to decrease the incidence of TTI.
ABSTRACT
Cancer of stomach remains the major cause of mortality worldwide despite a marked decline in the incidence of gastric carcinoma in the industrialized nations. Gastric cancer is the end result of multifactorial, multigenetic, multistep process. The knowledge of the factors that influence gastric carcinogenesis is determinant for the development of strategies effective for prevention and treatment. Our study emphasizes upon the role of p53 as a prognostic indicator of gastric carcinoma. 50 cases of gastric biopsies were taken at random over a period of 4 years, and p53 expression of these lesions was studied. Gastric carcinoma cases were followed and the TNM staging was assessed. In our study, p53 expression was associated with younger age group, increased depth of invasion and lymph node metastasis, thereby indicating that p53 is a prognostic indicator for gastric carcinoma.
ABSTRACT
Neonatal septicemia is defined as a bacterial infection documented by a positive blood culture in the first 4 weeks of life. The clinical symptoms and signs are non specific and vague. So it is important to make diagnosis and to start treatment as early as possible to prevent serious morbidity and mortality caused by non-treatment or late treatment of septicemia. This study was conducted for a period of 3 years. 200 neonates under the age of 28 days were studied to find out hematological parameters including sepsis screen, hematological scoring system and serum procalcitonin levels in neonates suspicious of sepsis. We concluded that, though blood culture is a gold standard for the diagnosis of sepsis, combined use of sepsis markers increases the diagnostic accuracy in suspected cases and simultaneously prevents over treatment of clinically suspicious cases.