Accidents in blood and blood product transfusion practice at B Department of Hai Phong Pediatric Hospital

ABSTRACT

Background: Blood and blood products are biological products that can not be replaced. Blood transfusion plays an enormous role in the treatment. However, in blood transfusion patients may have severe complications that can lead to death.\r\n', u'Objective: to describe accidents in blood and blood product transfusion practice. Subjects and method: The prospective, clinically descriptive study was carried out on 134 patients with 175 times of blood and blood transfusion at B Department of Hai Phong Pediatric Hospital from 1/1/2004 to 30/06/2008. Each time of transfusion was followed up according to an uniform medical record. Results and conclusion: Amount of blood used was 40.95 lit including total blood 10.75 lit (26.6%), red cells mass 28.85 lit (63.2%), fresh plasma 2.45 lit (5.8%), platelet rich fresh plasma rich 1.9 lit (4.6%). Number of accidents occurring were 20, accounting for 14.1%. Patients with acute leukemia had the highest of incidence rate for transmission accidents (12.5%). Three kinds of the most frequently encountered blood and blood product transfusion accidents were high fever and chill (6.9%), rash (4%) and shock (0.5%). There were no deaths from blood transfusion. Accidents happened mainly to patients who get transfused many times.\r\n', u'