Evaluation of Fresh Frozen Plasma Usage At A Tertiary Care Hospital In Vadodara
Evaluation of Fresh Frozen Plasma Usage At A Tertiary Care Hospital In Vadodara
Keywords:
Appropriate, audit, fresh frozen plasmaAbstract
Background: Concerns regarding transfusion-transmitted infections and non-availability of blood components in developing nations make it crucial to optimize fresh frozen plasma (FFP) transfusions and reduce wastage. Method: A prospective study was done between January 2016 to September 2016 in terms of appropriateness and inappropriateness. The total number of patients during our study period was 207 receiving 785 units of plasma. Each file record was checked for the diagnosis of the patient, coagulation profile and doctor’s indications for blood transfusion. The indications of FFP were checked according to guidelines for plasma transfusion as given in American Association of Blood Banking and WHO manuals in terms of indication and adequate volumes for transfusion. Result: In this study 785 units of FFP were used during study in 207 patients in 218 episodes in which in 53(24.4%) episodes transfusion was appropriate and in 165(75.6%) episodes transfusion was inappropriate. Department of general Surgery and Medicine were the departments with maximum number of inappropriate requests. Conclusion: The study highlighted the inappropriate use of FFPs in a tertiary care hospital and threw light on poor transfusion practices and the lack of implementation of the principles of hemovigilance in the utilization of FFPs. Specific recommendations include, administrative intervention with regular screening of requests by blood bank doctors and senior doctors of the departments using FFP and establishment of guidelines in departments regarding the use of blood components including FFP. [Trupti B NJIRM 2017; 8(2):99-102]
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