Pre-transfusion testing of blood examples at WU transfusiology at General Hospital in Stip, Republic of Macedonia

Kamcev, Nikola and Kamceva, Gordana and Vitlarova, Jordanka and Kamceva, Milka and Velickova, Nevenka and Ikonomovska, Lidija (2010) Pre-transfusion testing of blood examples at WU transfusiology at General Hospital in Stip, Republic of Macedonia. Vox Vox Sanguinis, 99 (1). ISSN 1423-0410

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Abstract

Aim: To present the technical and the organizational procedures which are used at RE Transfusion for procuring safe blood transfusion. Material and methods: The safety of blood transfusion starts with an indication of the need of blood transfusion and filling in of request which consist of:name and surname, date of birth, unique birth number, hospital identification number of the patient and signature and seal of the doctor which fills in the request, type and quantity of the blood component, diagnosis, short anamnesis, date, hour, institution, the unit where the request comes from and the degree of emergency. The next step is proper blood drawing from patient, signing the blood sample with information from the patient, evidence number of barcode, date, hour and a signature of the health worker. This blood sample is submitted to the RE of Transfusion. The transfusion worker accepts the request and the blood sample, writes the date, the houre of acceptance and puts its own signature. If the blood sample is not urgent, it is kept at +4°C. ABO and RhD blood type of the blood samples of the patient is determined with two technique and two different series monoclonal reagents. The techniques which are used are disc and microgel-agglutinative technique on an adequate cad. The determination of the blood samples subtype of A and AB is done if necessery. For determination of the RhD phenotype, a monoclonal anti-D reagent is used. The result is signed by the transfusion worker and the transfusiologist independently from one another. The test for detecting anti-erythrocyte antibodies is compulsorily done as an additional part of the test of compatibility. The above mentioned is conveyed with microgel method on an adequate card. Once again the blood type is checked and the Rh factor of the patient or the donor. A documentation is being filled in with the name and surname of the patient, year of birth, unit, blood type and Rh factor, date and hour of the issuing, evidence number of the blood components and the transfusion worker and transfusiologist put their signatures. Results: In the last five years at the Clinical hospital in Stip, 12.500 transfusion of erytrocyte concentrate are being done. Only 10 (0,08%) post-transfusion unwanted reaction are detected. Not so heavy non-haemolitic febrile reaction are detected with 4 (0,08%) of the patients and allergic post-transfusion reaction with 6 (0,048%) of the patients. Other difficulties and late reactions are not detected. Conclusion: The use of pre-transfusion techniques and prosedures in the modern transfusion unquestionably lead to safe blood transfusion and blood components.

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Nevenka Velickova
Date Deposited: 27 Nov 2012 13:58
Last Modified: 29 Nov 2012 11:22
URI: http://eprints.ugd.edu.mk/id/eprint/1499

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