Role of transfusion in dengue patients
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Dengue is rapidly spreading arbovirus infection caused by Dengue virus and transmitted by aedes aegypti mosquito. Every year during dengue outbreak there is immense pressure on transfusion facilities to meet the requisition of blood and blood components. Aims and objective We conducted a prospective study to know the role of transfusion of blood and blood components and their misuse in dengue patients. Result: Total of 76 patients received platelet transfusion with 38 receiving both blood and platelet transfusion. 20 patients received only blood transfusion and 1 patient also received FFP transfusion. In our study 27 out of 58 patients received inappropriate blood transfusion and 15 out of 76 received inappropriate platelet transfusion. Out of 12 patients with platelet count between (10000 - 30000) who didn’t receive transfusion because of shortage of platelets, only 3 progressed to bleeding manifestations. Out of 19 patients who received prophylactic platelet transfusion, 5 still progressed to bleeding manifestations. Platelet transfusion did not prevent development of bleeding. Conclusion: There is a need to prevent inappropriate transfusion by creating awareness among clinicians. Our study also necessitates the need of transfusion committee for proper utilization of blood and its components in dengue patients on individual basis.
Authors and Affiliations
Dr Vijay Sawhney
Keywords
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