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REQUESTS OF APHARESIS PLATELET CONCENTRATES IN THE TUNISIAN NATIONAL CENTER OF BLOOD TRANSFUSION

REQUESTS OF APHARESIS PLATELET CONCENTRATES IN THE TUNISIAN NATIONAL CENTER OF BLOOD TRANSFUSION. ASMA RYM BEN ROMDHANE MAY 2012. INTRODUCTION. In Tunisia: Legislative recommendations 49/05 Manual  of procedures for managing blood and its components :

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REQUESTS OF APHARESIS PLATELET CONCENTRATES IN THE TUNISIAN NATIONAL CENTER OF BLOOD TRANSFUSION

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  1. REQUESTS OF APHARESIS PLATELET CONCENTRATES IN THE TUNISIAN NATIONAL CENTER OF BLOOD TRANSFUSION ASMA RYM BEN ROMDHANE MAY 2012

  2. INTRODUCTION In Tunisia: • Legislative recommendations 49/05 • Manual of procedures for managing blood and its components : National guidelines for platelet component requests • The Aim: Evaluation of platelet requests by determining their compliance to these national guidelines

  3. Materials & methods • Prospective study • Extended on 20 days (02/03/12 to 21/03/12) • Every request for platelet transfusion from different public and private institutions in the capital was daily analyzed.

  4. RESULTS

  5. GENERAL FEATURES

  6. NON CONFORMITIES RATE

  7. Rate of platlet& apc transfusion

  8. Rate of platlet& apc transfusion [3000-43 000/μL] [2000-40000/μL] 17 142/µL ?

  9. APC CONSUMPTION

  10. APC CONSUMPTION IN THE PUBLIC SECTOR

  11. COMMENTS • Our results show poor compliance with the current national guidelines. Clinical information were often missing on the prescription. Some of them were part of legislativerequirements or recommendations

  12. circular 49/05 for blood safety • « Any request for blood or its derivatives will be honored only on written medical prescription. Any request non conform to the model in Annex I will be rejected » • « Toute demande de sang ou de ses dérivés ne sera honorée que sur prescription médicale écrite. Toute demande non conforme au modèle de l’annexe I sera rejetée. »

  13. WEIGHT PLATLET COUNT

  14. COMMENTS • In addition to circular 49/05 recommendations, Manual of procedures for managing blood and its components states that platelet request must include : • The patient’s weight • The platlet count Our study: 99% weight were not 51% platelet count mentioned

  15. COMMENTS • Reasons explaining this high rate of non-compliance: • Unawareness of the importance of these information in the platelet component prescription • Lack of communication between the hospital transfusion committees / NCBT A well filled request allows the distributor to deliver the product that best suits the patient’s clinical situation BEST ADVICE TRANSFUSION

  16. COMPARISON

  17. COMMENTS BettercompliancewithNG : An APC better use

  18. Recommendations&CONCLUSION • Guidelines: Written local guidelines, given by hospital transfusion committees, must be available in all clinical specialties where APC are transfused • Communication: Hospital transfusion committees/ NCBT • Education: Training must be provided to physicians • Audit: Hospitals should carry out regular audits of compliance with these guidelines Improve optimization of APC use

  19. THANK YOU FOR YOUR ATTENTION

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