Volume: 9 Issue: 2
Year: 2021, Page: 6-9, Doi: https://doi.org/10.47799/pimr.0902.02
Received: Feb. 27, 2021 Accepted: April 29, 2021 Published: April 29, 2021
In a developing country such as India, each unit of blood/blood component should be considered indispensable and be used judiciously to avert misuse and wastage.Hence, proper utilisation of blood is crucial. This study aims to identify the lacunae in procedures and protocols in blood banksand ascertain measures to minimize wastage of precious blood and blood components.A cross-sectional study was conducted in a regional blood bank in Western Maharashtra over a time duration of 4 years.Highest discard was seen in Random donor platelet unit (46.5%), followed by whole blood units (23.1%) and packed cell volume (3.1%). Expiry was the main reason or discard in PCV (59.9%), RDP (97.2%), and SDP (100%). TTIs were the most common cause of discarding blood unit in FFP (77.3%) and WB (82.6%).The findings of this study emphasize on the need for strict adherence to Standard Operating Protocols (SOP) and donor selection criteria, meticulous history taking, thorough counselling and exhaustive record keeping.
Keywords: Blood, Component, Discard, TTI.
1. An Action Plan for Blood Safety. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare Government of India, MOHFW; 2003.
2. Zarabo RJ, Jones A, Friedberg RC, Valenstein PN, Renner SW, Schifman RB, Walsh MK, Howanitz PJ (2002) Q-tricks: a college of American pathologists program of continuous laboratory monitoring and longitudinal tracking. Arch Pathol Lab Med 126:10136–10144.
3. Novis DA, Renner S, Walsh MK, Saladino AJ (2002) Quantity indicators of blood utilizations: three college of American pathologists Q-probes studies of 12, 268, 404 red blood cell units in 1639 hospitals. Arch Pathol Lab Med. 126:150–156
4. World Health organization. Recommendations. Developing a Normal Policy and Guidelines on the clinical use of Blood. Geneva: WHO; 2009.
5. Kumari N, Maheshwari A, Kumar N, Rabab S. Reasons and recommendations to reduce wastage pattern of the blood components in the newly started tertiary care hospitalbased blood center in East India. International Journal of Contemporary Medical Research 2019;6(5):E1-E4.
6. Mukherjee G, Ghosh S, Halder S, Mondal S. Study of “Discard Rate” of Whole Human Blood: Useful Blood Center Quality Indicator. J Sci Soc.2018;45:116-8.
7. Mahapatra S, Sahoo BB, Ray GK, Mishra D, Panigrahi R, Parida P. Discard of blood and blood components with study of causes – a good manufacture practice. Wjpmr. 2017,3(2), 172-175.
8. Kanani AN, Vachhani JH, Dholakiya SK, Upadhyay SB. Analysis on discard of blood and its products with suggested possible strategies to reduce its occurrence in a blood bank of tertiary care hospital in Western India. Glob J Transfus Med.2017;2:130-6.
9. Suresh B, Sreedhar Babu KV, Arun R, Chandramouli P, Jothibai DS. Reasons for discarding whole blood and its components in a tertiary care teaching hospital blood bank in South India. J Clin Sci Res.2015;4:213-9.
10. Kumar A, Sharma SM, Ingole NS, Gangane N. Analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital in central India: A prospective study. Int J Med Public Health.2014;4:72-4.
11. Morish M, Ayob Y, Naim N, Salman H, Muhamad NA, Yusoff NM. Quality indicators for discarding blood in the National Blood Center, Kuala Lumpur. Asian J Transfus Sci.2012;6:19-23.
Patil SB, Vadavadgi AP, Patil BK, Deshmukh SV, Gade T, Chimankar PM. Analysis of Causes of Discarding Blood and its Components in a Blood Bank:A Crosssectional study. Perspectives in Medical Research 2021; 9 (2): 6-9 DOI:10.47799/pimr.0902.02