Asian Journal of Transfusion Science
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ORIGINAL ARTICLE
Year : 2009  |  Volume : 3  |  Issue : 2  |  Page : 60-65

Bedside practice of blood transfusion in a large teaching hospital in Uganda: An observational study


1 Academic Institute IDTM, Groningen, Netherlands
2 Department of Orthopaedics, Makerere University Medical School, Kampala, Uganda
3 Department of Pathology, Makerere University Medical School, Kampala, Uganda
4 Groningen Research Institute of Pharmacy (GRIP), Groningen and Department of Epidemiology, University of Groningen, Groningen, Netherlands

Correspondence Address:
C Th. Smit Sibinga
University Medical Centre Groningen, Triade Building UMCG E3, Hanzeplein 1, PO Box 11085, 9700 CB, Groningen
Netherlands
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6247.53872

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Background: Adverse transfusion reactions can cause morbidity and death to patients who receive a blood transfusion. Blood transfusion practice in Mulago Hospital, Kampala, Uganda is analyzed to see if and when these practices play a role in the morbidity and mortality of patients. Materials and Methods: An observational study on three wards of Mulago Hospital. Physicians, paramedics, nurses, medical students and nurse students were observed using two questionnaires. For comparison, a limited observational study was performed in the University Medical Centre Groningen (UMCG) in Groningen, The Netherlands. Results: In Mulago Hospital guidelines for blood transfusion practice were not easily available. Medical staff members work on individual professional levels. Students perform poorly due to inconsistency in their supervision. Documentation of blood transfusion in patient files is scarce. There is no immediate bedside observation, so transfusion reactions and obstructions in the blood transfusion flow are not observed. Conclusion: The poor blood transfusion practice is likely to play a role in the morbidity and mortality of patients who receive a blood transfusion. There is a need for a blood transfusion policy and current practical guidelines.


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2006 - Asian Journal of Transfusion Science | Published by Wolters Kluwer - Medknow
Online since 10th November, 2006