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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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