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HEMATOLOGY (160 journals)                     

Showing 1 - 151 of 151 Journals sorted alphabetically
Acta Angiologica     Open Access   (Followers: 3)
Acta Haematologica     Full-text available via subscription   (Followers: 23)
Acta Haematologica Polonica     Open Access  
Adipocyte     Open Access  
Advances in Hematology     Open Access   (Followers: 13)
Africa Sanguine     Full-text available via subscription  
American Journal of Hematology     Hybrid Journal   (Followers: 52)
Anemia     Open Access   (Followers: 6)
Annals of Hematology     Hybrid Journal   (Followers: 16)
Archives of Hematology Case Reports and Reviews     Open Access  
Arteriosclerosis, Thrombosis and Vascular Biology     Full-text available via subscription   (Followers: 28)
Artery Research     Hybrid Journal   (Followers: 4)
Artificial Cells, Nanomedicine and Biotechnology     Hybrid Journal   (Followers: 4)
ASAIO Journal     Hybrid Journal   (Followers: 2)
Best Practice & Research Clinical Haematology     Hybrid Journal   (Followers: 5)
Blood     Hybrid Journal   (Followers: 307)
Blood Advances     Open Access   (Followers: 7)
Blood and Lymphatic Cancer : Targets and Therapy     Open Access   (Followers: 7)
Blood Cancer Journal     Open Access   (Followers: 19)
Blood Cells, Molecules, and Diseases     Hybrid Journal   (Followers: 8)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 60)
Blood Pressure     Open Access  
Blood Pressure Monitoring     Hybrid Journal   (Followers: 1)
Blood Purification     Full-text available via subscription   (Followers: 6)
Blood Reviews     Hybrid Journal   (Followers: 26)
BMC Hematology     Open Access   (Followers: 7)
BMJ Open Diabetes Research & Care     Open Access   (Followers: 29)
Bone Marrow Transplantation     Hybrid Journal   (Followers: 17)
British Journal of Diabetes & Vascular Disease     Open Access   (Followers: 21)
British Journal of Haematology     Hybrid Journal   (Followers: 61)
British Journal of Primary Care Nursing - Cardiovascular Disease, Diabetes and Kidney Care     Full-text available via subscription   (Followers: 10)
Canadian Journal of Diabetes     Hybrid Journal   (Followers: 28)
Case Reports in Hematology     Open Access   (Followers: 10)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32)
Clinical Diabetes     Full-text available via subscription   (Followers: 40)
Clinical Diabetes and Endocrinology     Open Access   (Followers: 20)
Clinical Lymphoma & Myeloma     Full-text available via subscription   (Followers: 2)
Clinical Lymphoma Myeloma and Leukemia     Hybrid Journal   (Followers: 5)
Clinical Medicine Insights : Blood Disorders     Open Access   (Followers: 1)
Conquest : The Official Journal of Diabetes Australia     Full-text available via subscription   (Followers: 3)
Current Angiogenesis     Hybrid Journal   (Followers: 1)
Current Diabetes Reports     Hybrid Journal   (Followers: 24)
Current Diabetes Reviews     Hybrid Journal   (Followers: 27)
Current Hematologic Malignancy Reports     Hybrid Journal   (Followers: 2)
Current Opinion in Hematology     Hybrid Journal   (Followers: 20)
Cytotherapy     Full-text available via subscription   (Followers: 2)
Der Diabetologe     Hybrid Journal   (Followers: 2)
Diabetes     Full-text available via subscription   (Followers: 418)
Diabetes aktuell     Hybrid Journal   (Followers: 3)
Diabetes and Vascular Disease Research     Hybrid Journal   (Followers: 20)
Diabetes Care     Full-text available via subscription   (Followers: 478)
Diabetes Case Reports     Open Access  
Diabetes Educator     Hybrid Journal   (Followers: 27)
Diabetes Management     Full-text available via subscription   (Followers: 15)
Diabetes Research and Clinical Practice     Hybrid Journal   (Followers: 70)
Diabetes Spectrum     Full-text available via subscription   (Followers: 17)
Diabetes Technology & Therapeutics     Hybrid Journal   (Followers: 50)
Diabetes Therapy     Open Access   (Followers: 23)
Diabetic Foot & Ankle     Open Access   (Followers: 10)
Diabetic Medicine     Hybrid Journal   (Followers: 149)
Diabetologia     Hybrid Journal   (Followers: 215)
Diabetologia Kliniczna     Hybrid Journal  
Diabetologie und Stoffwechsel     Hybrid Journal   (Followers: 2)
Egyptian Journal of Haematology     Open Access  
eJHaem     Open Access  
European Journal of Haematology     Hybrid Journal   (Followers: 16)
Experimental Hematology     Hybrid Journal   (Followers: 6)
Experimental Hematology & Oncology     Open Access   (Followers: 6)
Expert Review of Hematology     Hybrid Journal   (Followers: 5)
Fluids and Barriers of the CNS     Open Access   (Followers: 1)
Global Journal of Transfusion Medicine     Open Access   (Followers: 1)
Haematologica - the Hematology journal     Open Access   (Followers: 34)
Haemophilia     Hybrid Journal   (Followers: 68)
Hematologia     Full-text available via subscription   (Followers: 3)
Hematología     Open Access  
Hematology     Open Access   (Followers: 15)
Hematology Reports     Open Access   (Followers: 4)
Hematology, Transfusion and Cell Therapy     Open Access   (Followers: 2)
Hematology/Oncology and Stem Cell Therapy     Open Access   (Followers: 6)
Hemodialysis International     Hybrid Journal   (Followers: 3)
Hepatitis Monthly     Open Access   (Followers: 3)
Immunohematology : Journal of Blood Group Serology and Molecular Genetics     Hybrid Journal   (Followers: 1)
Indian Journal of Hematology and Blood Transfusion     Hybrid Journal   (Followers: 2)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
InFo Hämatologie + Onkologie : Interdisziplinäre Fortbildung von Ärzten für Ärzte     Full-text available via subscription  
Integrated Blood Pressure Control     Open Access  
International Blood Research & Reviews     Open Access  
International Journal of Clinical Transfusion Medicine     Open Access   (Followers: 3)
International Journal of Diabetes in Developing Countries     Hybrid Journal   (Followers: 6)
International Journal of Diabetes Research     Open Access   (Followers: 9)
International Journal of Hematologic Oncology     Open Access   (Followers: 2)
International Journal of Hematology     Hybrid Journal   (Followers: 4)
International Journal of Hematology Research     Open Access   (Followers: 2)
International Journal of Hematology-Oncology and Stem Cell Research     Open Access   (Followers: 2)
International Journal of Laboratory Hematology     Hybrid Journal   (Followers: 25)
Iraqi Journal of Hematology     Open Access  
JMIR Diabetes     Open Access  
Journal of Blood Disorders & Transfusion     Open Access   (Followers: 3)
Journal of Applied Hematology     Open Access   (Followers: 2)
Journal of Blood Medicine     Open Access   (Followers: 1)
Journal of Cerebral Blood Flow & Metabolism     Hybrid Journal   (Followers: 3)
Journal of Diabetes     Open Access   (Followers: 20)
Journal of Diabetes and its Complications     Hybrid Journal   (Followers: 25)
Journal of Diabetes and Metabolic Disorders     Open Access   (Followers: 7)
Journal of Diabetes Investigation     Open Access   (Followers: 12)
Journal of Diabetes Mellitus     Open Access   (Followers: 5)
Journal of Diabetes Research     Open Access   (Followers: 13)
Journal of Diabetes Research     Open Access   (Followers: 10)
Journal of Hematological Malignancies     Open Access  
Journal of Hematology     Open Access   (Followers: 2)
Journal of Hematology and Transfusion Medicine     Open Access   (Followers: 1)
Journal of Hematopathology     Hybrid Journal   (Followers: 3)
Journal of Hypo & Hyperglycemia     Partially Free   (Followers: 1)
Journal of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 8)
Journal of Social Health and Diabetes     Open Access   (Followers: 1)
Journal of Thrombosis and Haemostasis     Hybrid Journal   (Followers: 81)
Journal of Thrombosis and Thrombolysis     Hybrid Journal   (Followers: 35)
Journal of Transfusion Medicine     Full-text available via subscription  
Kidney and Blood Pressure Research     Open Access   (Followers: 4)
Leukemia     Hybrid Journal   (Followers: 23)
Leukemia and Lymphoma     Hybrid Journal   (Followers: 12)
Leukemia Research     Hybrid Journal   (Followers: 9)
Leukemia Research Reports     Open Access   (Followers: 1)
Leukemia Supplements     Full-text available via subscription  
Mediterranean Journal of Hematology and Infectious Diseases     Open Access  
Nederlands Tijdschrift voor Diabetologie     Hybrid Journal  
Nutrition & Diabetes     Open Access   (Followers: 20)
Oncohematology     Open Access   (Followers: 1)
Open Diabetes Journal     Open Access  
Open Hematology Journal     Open Access   (Followers: 1)
Open Hypertension Journal     Open Access  
Open Journal of Blood Diseases     Open Access  
Pediatric Blood & Cancer     Hybrid Journal   (Followers: 8)
Pediatric Hematology Oncology Journal     Open Access   (Followers: 3)
Peritoneal Dialysis International     Hybrid Journal  
Platelets     Hybrid Journal   (Followers: 3)
Practical Diabetes     Hybrid Journal   (Followers: 7)
Primary Care Diabetes     Hybrid Journal   (Followers: 26)
Research & Reviews : Journal of Oncology and Hematology     Full-text available via subscription   (Followers: 1)
Research and Practice in Thrombosis and Haemostasis     Open Access   (Followers: 1)
Revista Cubana de Hematología, Inmunología y Hemoterapia     Open Access  
Seminars in Hematology     Hybrid Journal   (Followers: 12)
Seminars in Thrombosis and Hemostasis     Hybrid Journal   (Followers: 45)
Thalassemia Reports     Open Access   (Followers: 1)
The Lancet Haematology     Full-text available via subscription   (Followers: 38)
Therapeutic Advances in Hematology     Hybrid Journal  
Thrombosis & Haemostasis     Hybrid Journal   (Followers: 144)
Thrombosis Research     Hybrid Journal   (Followers: 47)
Transfusionsmedizin - Immunhämatologie, Hämotherapie, Immungenetik, Zelltherapie     Hybrid Journal  
Transplantation and Cellular Therapy     Hybrid Journal   (Followers: 13)
Veins and Lymphatics     Open Access   (Followers: 1)

           

Similar Journals
Journal Cover
Global Journal of Transfusion Medicine
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2468-8398 - ISSN (Online) 2455-8893
Published by Medknow Publishers Homepage  [444 journals]
  • Regulations in blood transfusion services: Impetus or impediment?

    • Authors: Aikaj Jindal
      Pages: 107 - 108
      Abstract: Aikaj Jindal
      Global Journal of Transfusion Medicine 2022 7(2):107-108

      Citation: Global Journal of Transfusion Medicine 2022 7(2):107-108
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_80_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Disaster and Emergency Preparedness: Role of the Blood Establishment and
           Hospital Transfusion Service in the Management

    • Authors: Cees Theodoor Smit Sibinga, Sangeeta Pahuja, Mujtaba Al-Lawati, Shabneez Hussain
      Pages: 109 - 114
      Abstract: Cees Theodoor Smit Sibinga, Sangeeta Pahuja, Mujtaba Al-Lawati, Shabneez Hussain
      Global Journal of Transfusion Medicine 2022 7(2):109-114
      Disasters and emergencies do happen all over the world, both natural and human-made. It is important to carry out a gap analysis and a risk assessment before making plans for disaster and emergency preparedness at national, regional, and local levels. It is equally important to decide in advance what to do and how to react to such situation to restore the “business as usual.” The blood system is an integral part of the health-care system and should be ready to act when necessary – donor mobilization, triage, personnel, stock management, and distribution. In the hospital, one should have a plan and be prepared in advance to introduce priority setting, stock management, restricted transfusion practice, and communication. The article provides a list of recommendations to prepare for such expected and unexpected situation to mitigate as much as possible the deleterious consequences.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):109-114
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_56_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Clinical audits – A quality improvement tool in transfusion
           medicine

    • Authors: Monica Gupta, Mustafa F Ranapurwala
      Pages: 115 - 122
      Abstract: Monica Gupta, Mustafa F Ranapurwala
      Global Journal of Transfusion Medicine 2022 7(2):115-122
      A clinical audit is a quality improvement process that seeks to improve services and outcomes through a systematic review of care against explicit criteria. It is now a recognized tool for improving clinical quality of care. However, in transfusion medicine, they have been utilized in a limited manner. This review intends to discuss the methodology of carrying out a clinical audit systematically. Clinical audit is not research and focuses on the improvement of ordinary and routine practices. Various methodologies for selecting and prioritizing a good audit topic can be employed. Based on the Donabedian model, process-based audits from donor selection to the actual bedside transfusion could be audited to bring in improvement. Likewise, transfusion processes can be audited based on the dimensions of quality in the context of timeliness, effectiveness, and appropriateness. Prioritization of a topic can be done through a quality impact assessment. The objectives help quantify the aim of the audit, while the standards include criteria that are quantified against targets, based on the current evidence for the best possible care. A snapshot sample (20–50 cases) is sufficient to carry out a clinical audit. Where targets are not met, root-cause analysis and quality improvement tools guide the implementation of changes in transfusion practices. To ensure that change is implemented and internalized, it is necessary to have the entire team and the management on board; communication with all stakeholders is key. Re-audit, after the change has been internalized, is an essential part of all clinical audits. Meticulously planning and proper implementation ensure improvement of the care that transfused patients receive.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):115-122
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_54_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Storage lesions after irradiation: Comparison between blood stored in
           citrate phosphate dextrose adenine and saline adenine glucose mannitol

    • Authors: Pramanya Balasubramanyam, Abhishekh Basavarajegowda, Nandeesha Hanumanthappa, Anusuya Ram, Vir Singh Negi
      Pages: 123 - 128
      Abstract: Pramanya Balasubramanyam, Abhishekh Basavarajegowda, Nandeesha Hanumanthappa, Anusuya Ram, Vir Singh Negi
      Global Journal of Transfusion Medicine 2022 7(2):123-128
      Background and Objectives: Saline adenine glucose mannitol (SAGM) with citrate phosphate dextrose (CPD) or CPD adenine (CPDA) are two common red cell preservatives used in our country. This study analyzed and compared serial biochemical changes on different days of storage in irradiated packed red blood cells stored in CPDA and SAGM solutions. The aim of this study was to see if these changes are influenced by or different, if any, in these two storage solutions. Patients and Methods: Ninety units of RBCs were randomly chosen, with 45 units each collected in CPDA and SAGM, respectively. Nine units each were irradiated by gamma irradiator using cobalt 60 (BI 2000) on days 1, 7, 14, and 21 of their storage, respectively. Nine units were not irradiated and used as controls. All the units were weekly assessed for their plasma levels of potassium, sodium, glucose, lactate dehydrogenase (LDH), and lactate by Clinical Chemistry Auto-analyzer, Beckman Coulter AU680. The values were documented and analyzed by SPSS. Results: Baseline values on day 1 for potassium, lactate, and LDH were similar between SAGM- and CPDA-stored blood bags. Glucose and sodium levels were slightly higher in SAGM bags compared to CPDA. Postirradiation, the changes (increase in K+, Lactate, LDH and decrease in Na+, glucose) were higher in CPDA bags than SAGM bags, and the difference in this trend was not significantly different from that seen in nonirradiated blood bags stored in these two preservative solutions. Conclusion: Storage lesions (biochemical parameters) after irradiation were severe, but paralleled that observed in nonirradiated bags. The storage solution, either SAGM or CPDA, made no difference to these changes.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):123-128
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_4_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Knowledge, attitude, practice, and motivation toward blood donation among
           citizens of Albania

    • Authors: Idris Sula, Mateq Ali Alreshidi
      Pages: 129 - 133
      Abstract: Idris Sula, Mateq Ali Alreshidi
      Global Journal of Transfusion Medicine 2022 7(2):129-133
      Background and Objectives: Blood donation is a remarkably safe medical procedure. However, it can easily be affected by attitudes, beliefs, and level of knowledge. A knowledgeable, attitudinal, and practical survey has been used in Albania, to understand and identify (1) The factors that influence blood donation, (2) the factors stopping people from blood donation, (3) the behavior and approach of the people toward blood donation in the future, (4) the knowledge level among donors and nondonors, and (5) misconceptions related to blood donation. Materials and Methods: This search was conducted on online surveys using Google Forms, which were shared through social media platforms such as Facebook, WhatsApp, and Gmail, and a self-administered questionnaire was shared to random people through social media platforms. Results: Of the 858 people answering the questionnaire from Albania, only 32% of the people were blood donors. The motifs that encouraged the people in Albania mostly to donate were to help others in need and save lives and donations for family members. The main reasons preventing people from donation were the fact that they were not asked for and medical reasons. In Albania, 88.6% would donate if called upon. Conclusion: Some of these results reflected an encouraging attitude toward blood donation. Further future planning with emphasis on educational programs and more organizations of donor recruitment campaigns could result in an increase of donations and thus fulfilling the needs of the patients in the country but not only.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):129-133
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_22_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Immune response against Hepatitis B vaccine in transfusion-dependent
           thalassemic children vaccinated in early infancy

    • Authors: Fatema Hossain, Ayesha Khatun, Md. Ashadul Islam, Sonia Shormin Miah, Subarna Saha, Nusrat Noor Tanni
      Pages: 134 - 138
      Abstract: Fatema Hossain, Ayesha Khatun, Md. Ashadul Islam, Sonia Shormin Miah, Subarna Saha, Nusrat Noor Tanni
      Global Journal of Transfusion Medicine 2022 7(2):134-138
      Background and Objectives: Children with thalassemia are much more vulnerable to being infected by hepatitis B virus (HBV) through transfusion of blood and blood products. Although active immunization against HBV in early infancy is being conducted in Bangladesh by the inclusion of the hepatitis B vaccine (HepB) in the expanded programme on immunization schedule, these children might have altered immune response against HepB due to inevitable iron overload resulting from the disease thalassemia itself as well as repeated transfusion therapy and also from exposure to different allogeneic antigens. The present study was designed to determine the immune response of HepB among transfusion-dependent thalassemic children. Patients and Methods: This cross-sectional study was conducted at a university hospital in Bangladesh. A total of 45 transfusion-dependent thalassemic children were included according to inclusion and exclusion criteria. Data collection was conducted through a structured questionnaire after taking written informed consent from each participant's guardian. Each patient underwent a detailed history taking and antibody to hepatitis B surface antigen (anti-HBs) titer was estimated to see the immune response against HepB. Results: Collected data were analyzed using SPSS version 23. The mean age of the studied children was 9.03 ± 3.78 standard deviation with slight female predominance (51.1% female and 48.9% male). According to the level of anti-HBs titer, the majority (44.4%) had moderate protection, whereas others had no (28.9%) or strong (26.7%) protection. No significant association between the total number of transfusions (approximate), different age groups, and postvaccination interval with anti-HBs titer was observed (P > 0.05). Conclusion: The present study observed an overall poor immune response against HepB as approximately only one-fourth of the study participants got strong protection against HBV. Assessment of anti-HBs titer followed by booster dose or revaccination if necessary is needed to be considered in transfusion-dependent thalassemic children vaccinated in early infancy.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):134-138
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_59_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • An audit of clinical cases of dengue fever and the usage of platelets in
           such cases in a Tertiary Care Hospital in Hyderabad

    • Authors: Sumaiya Isharat, Aparna Sharma, Bhawani Goru, MD Ayatullah Molla
      Pages: 139 - 143
      Abstract: Sumaiya Isharat, Aparna Sharma, Bhawani Goru, MD Ayatullah Molla
      Global Journal of Transfusion Medicine 2022 7(2):139-143
      Background and Objectives: Dengue is an acute self-limited systemic viral infection caused by the dengue virus of the family Flaviviridae. The incidence of dengue fever has been increasing for the past few years and dengue has become a global problem. The current data required for further improving the treatment policies are scanty. Our study aims to capture the demographic and clinical characteristics of the patients enrolled in the study, to see any correlation between thrombocytopenia and bleeding tendencies and other transfusion-related parameters. Methods: The study is a prospective cohort study. All seropositive dengue cases were included in the study. A format was prepared for documenting the demographic data, history, clinical characteristics, spectrum of the disease, the laboratory details of the patient (platelet count, prothrombin time, activated partial thromboplastin time, Hematocrit, and indication). All the transfusion requirement data were collected from the blood center registers. Overall mortality in the study group, number of hospital readmissions, and episodes of exacerbation of symptoms was recorded separately. Results: A total of 270 cases were included in the audit who fulfilled the inclusion and exclusion criteria. The median age of the patient pool was 27 (4–66 years range). Twenty-six percent of the cases developed hemorrhages. Eighty-four single-donor platelets (SDPs) and 340 random-donor platelets (RDPs) were used. A mean of 270 ml of products was transfused per patient. The mortality rate was 0.8%. The mean duration of hospitalization was 1 week. In 72% of cases, platelet count was restored in single-unit transfusion. Ninety-nine percent of the product utilization were within the guidelines recommended. Conclusion: A good monthly audit of blood product utilization is a good guide for treatment. Quality control and rational use of SDPs and RDPs are important in sick and thrombocytopenic patients resulting in better clinical outcomes.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):139-143
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_60_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Transfusion challenges and use of best match blood transfusion in
           autoimmune hemolytic anemia patients: Experience from a Tertiary Care
           Hospital of South India

    • Authors: Dibyajyoti Sahoo, S Anuragaa, Abhishekh Basavarajegowda, Rajendra G Kulkarni
      Pages: 144 - 148
      Abstract: Dibyajyoti Sahoo, S Anuragaa, Abhishekh Basavarajegowda, Rajendra G Kulkarni
      Global Journal of Transfusion Medicine 2022 7(2):144-148
      Background and Objectives: In autoimmune hemolytic anemia (AIHA) patients, there is decreased survival of red blood cells (RBCs) because of increased destruction by patients' autoantibodies. Due to decreased survival of RBCs, there is an increase in erythropoiesis and other biochemical parameters of hemolysis. One of the vital tests in AIHA is direct Coombs test (DCT). In this study, we share our experience on the difficulties faced by us during the compatibility testing and providing transfusion support to these patients. Methods: This is a retrospective study done in the department of transfusion medicine in a tertiary care hospital of South India. Patients from January 2020 to March 2021 with the diagnosis of AIHA requiring transfusion were included in this study. A total of 136 patients with positive DCT with AIHA diagnosis requiring transfusion support were included in our study. Results: Out of 136 cases, 58% (n=79) of patients had incompatibility during cross matching while in 42% (n=57) had cross matched compatible unit. In all incompatible cases best match blood was transfused. Most transfusions were done for patients with DCT Grade 4+. Out of 45 patients with mixed AIHA, 40 (88.8%) patients required a transfusion (P < 0.05). Of that 104 patients with transfusion support, 66 (63%) were with primary AIHA and 38 (36.04%) with secondary AIHA. Conclusion: It is tough and challenging to get compatible units in AIHA patients. Best-matched blood is useful when transfusion becomes essential during life-threatening anemia.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):144-148
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_39_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Ultrasound-tailored treatment of subacromial shoulder pain: Exploring the
           role of platelet-rich plasma versus steroids

    • Authors: Shailesh Kumar Mishra, Depinder Kaur, Manjeet Singh Dhanda
      Pages: 149 - 154
      Abstract: Shailesh Kumar Mishra, Depinder Kaur, Manjeet Singh Dhanda
      Global Journal of Transfusion Medicine 2022 7(2):149-154
      Background and Objectives: Subacromial shoulder pain is the most common cause of shoulder pain consultation in musculoskeletal practice. Partial supraspinatus tendon tears have frequently been treated using a subacromial corticosteroid injection or surgery. The clinical use of a platelet-rich plasma (PRP) injection is an alternative treatment method for the condition, despite the paucity of evidence of its efficacy. The objective of the study was to assess the clinical effectiveness of autologous PRP in comparison to steroid injection in terms of pain relief and functional restoration in subacromial shoulder pathology. Methodology: All the patients above 18 years of either sex presenting with complaints of shoulder pain and painful abduction and elevation of arm for more than 6 weeks and not received any steroid injection in the previous 6 months were included in the study. In intra-articular PRP (IA-PRP), i.e., test group, 20 patients received 3 ml of single IA PRP injection, and in the steroid group (control group), 20 patients received 1 ml of intra-articular corticosteroid (IA CS) into glenohumeral joint under ultrasound (US) guidance. All patients were prospectively followed for 6 months. Results: There were no differences in visual analog scale (VAS) and disability scores between the PRP and corticosteroid groups at 1-month follow-up. However, the PRP group had better scores than the corticosteroid group on both the VAS and disability scores at 3- and 6-month follow-up. The VAS and disability scores did not change significantly at 6-month follow-up in the corticosteroid group; however, the PRP group showed continued improvement in both VAS and disability scores between 1- and 6-month follow-up. The PRP group had better scores than the corticosteroid group on shoulder range of motion after postintervention follow-up after 1 month. There were no complications in either group. Conclusion: Both subacromial PRP and corticosteroid injections had a positive clinical response in the treatment of shoulder pain. In view of the reached results, it may be assumed that steroid injections may provide symptomatic relief but not promote healing which makes PRP injection a good alternative as it is simple, easy to use, easily available, prepared from patient's own blood, and cost-effective. US-guided injections may increase the efficacy of accurately targeted injections.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):149-154
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_20_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Utilization of blood and blood components in a Tertiary Care Hospital at
           Bogura, Bangladesh

    • Authors: Shuvra Podder, Abdullah Al Masud, Nahida Anwar Poly, Brindaban Biswas, Raed Almannie
      Pages: 155 - 158
      Abstract: Shuvra Podder, Abdullah Al Masud, Nahida Anwar Poly, Brindaban Biswas, Raed Almannie
      Global Journal of Transfusion Medicine 2022 7(2):155-158
      Background and Objectives: Blood and blood components should be transfused cautiously due to potential risks of various transfusion reactions. It is very important for clinicians to be aware of these potential risks. Great progress had been made in the 20th century, by introducing blood component therapy. Now the term “Rational use of blood” came forward. Hence, indiscriminate use of whole blood (WB) should be avoided or minimized. The aim of our article is to demonstrate and evaluate the quantity and pattern of components used in our hospital. Materials and Methods: A retrospective study was carried out in the Department of Transfusion Medicine at a Medical College Hospital from July 2021 to December 2021. Transfusion details were obtained from blood bank records for each patient. Data of all the used blood and components were evaluated and analyzed. Results: Among the male recipients, the majority was of the age group <10 and >50 years, whereas among females, the majority were of age 21–30 and then >50 years. The majority of used blood units were WB (76.48%) followed by red cell concentrate (22.23%) and then platelet concentrate (0.94%). Fresh frozen plasma and cryoprecipitate were not used. The majority of WB was used in patients of trauma or fracture (17.57%), followed by pregnancy-related cases (17.23%), malignancy (10.20%), kidney diseases (7.43%), and others. Conclusion: The use of WB was the most predominant in spite of prevailing facilities for component preparation in our hospital. Our physicians should be oriented to consider and utilize the advantages of using blood components.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):155-158
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_41_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Donor notification and response rate in a stand-alone blood center in
           Western India

    • Authors: Spruha Dholakiya, Sanjiv Nandani, Nishith Vachhani
      Pages: 159 - 163
      Abstract: Spruha Dholakiya, Sanjiv Nandani, Nishith Vachhani
      Global Journal of Transfusion Medicine 2022 7(2):159-163
      Background and Objectives: Counseling and notification of reactive blood donors play an important part in maintaining the chain of safe blood. The process of notification involves informing donors about the status of their reactivity against five major and mandatory transfusion-transmitted infections (TTIs). Such notification and timely follow-up till the donor reaches the referred place help in reducing the burden of TTI in society, thereby improving blood safety. The aim of this study is to highlight the importance of prompt donor notification, referral, and follow-up. Materials and Methods: This was a retrospective cross-sectional study carried out at a stand-alone blood center from January 2019 to October 2021. A total of 36,162 donations were screened for the five mandatory TTIs-HIV (I and II), hepatitis C virus (HCV), hepatitis B virus (HBV), syphilis, and malaria. All reactive results were retested with a duplicate tube sample and a bag sample to confirm the reactivity. Donors were notified regarding the serostatus by phone and called for reporting at our blood center, and referred to Integrated Testing & Counseling Centre (ICTC) or any other referral center. Results: A total of 212 (0.58%) out of 36162 donors were tested reactive during the study period. Out of them, 40.56% (n = 86) were hepatitis B virus reactive, 21.7% (n = 46) were HIV (I and II) reactive, 20.7% (n = 44) were HCV reactive, and remaining 17.1% (n = 36) were syphilis reactive. All the donors were informed. Out of them, 71.69% (n = 152) responded to the communication and 52.83% (n = 112) personally visited the blood center or respective ICTC for further evaluation. Conclusion: Even after laying strict criteria for predonation screening and counseling, few donors do conceal their high-risk behavior or even their serostatus and continue to donate blood, leading to the wastage of resources. Thorough follow-up of seroreactive donors helps in improving blood safety and also improves their quality of life by the commencement of timely treatment.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):159-163
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_5_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Occurrence of erythrocyte alloimmunization in women attending antenatal
           care clinic

    • Authors: Heeya Gupta, Anuradha Kusum, Manish Raturi
      Pages: 164 - 168
      Abstract: Heeya Gupta, Anuradha Kusum, Manish Raturi
      Global Journal of Transfusion Medicine 2022 7(2):164-168
      Background and Objectives: There is limited literature available on the alloimmunization rates among pregnant women in India. Our primary aim was to estimate the occurrence of irregular erythrocyte alloantibody (IEA) immunization amongst women attending our antenatal care (ANC) clinic and to guide our obstetricians for improved ANC as well as their fetal outcomes. Methods: A cross-sectional study was performed at the blood center in North India over 12 months. We recruited a total of 212 study participants. Antibody screening and identification were performed by using semi-automated column agglutination technology and commercially available 3-red cell antibody screen panel with reagent cards having anti-human globulin (AHG) (Ortho Clinical Diagnostics Inc., USA) and 11-red cell antibody identification panel with reagent cards having AHG (Resolve Panel A; Ortho Clinical Diagnostics Inc., USA) respectively. Once identified, the semi-quantitative doubling dilutions, i.e., serial titrations of the respective IEA were performed by the conventional tube technique to assess their potency. The association of various antibodies identified was analyzed using the Pearson's Chi-square test. Results: Of the 7248 pregnant women attending our ANC clinics, the antibody screening was requested for 212 cases. Out of these, 10.8% (n = 23/212) of women were positive and were sensitized both by active and passive immunization. Their average age (in years) was 27.6 ± 3.52 (20 to 34). The majority belonged to the Dehradun district of Uttarakhand. ABO system-wise, the most common type amongst the included subjects was A as recorded in 34.4%, followed by B (30.18%), O (24.12%) and AB (11.3%), respectively. Rh system-wise, nearly 47% (n=100/212) of subjects had Rh (D) negative blood group. Interestingly, amongst these 23 ANC cases with positive IAT, nearly 13% had a history of having received a blood transfusion. Conclusion: To sum up, the screening of majority of ANC in our hospital is restricted to Rh (D) negative pregnancies. Perhaps, more awareness among obstetricians regarding the universal screening of all ANC cases irrespective of their Rh (D) status is the need of the hour.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):164-168
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_42_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Incidence and analysis of acute transfusion reactions in a hospital-based
           hemovigilance system at a Tertiary Care Center in Bangladesh: A 5-year
           retrospective evaluation

    • Authors: Tamanna Afroz, Rakia Hossain Ishra, Abu Jafar Mohammed Saleh
      Pages: 169 - 173
      Abstract: Tamanna Afroz, Rakia Hossain Ishra, Abu Jafar Mohammed Saleh
      Global Journal of Transfusion Medicine 2022 7(2):169-173
      Background and Objectives: Blood transfusion is a life-saving intervention but may cause nonfatal to fatal untoward events. Therefore, for safe blood transfusion, various adverse reactions need to be identified and steps should be taken to reduce such events. The aim of this study was to determine the incidence and analyze the types of acute transfusion reactions (ATRs) with associated factors. Patients and Methods: All ATRs reported to the transfusion medicine department from January 2016 to December 2020 were retrospectively reviewed and analyzed. The incidence of ATRs and its associated factors were assessed. Results: During the study period, a total of 39,070 units of blood were issued, out of which there was an incidence of 0.24% (n = 95) ATRs mostly seen in females and older patients aged above 60 years. Most common ATR was febrile nonhemolytic transfusion reactions (51.6%, n = 49), followed by allergic reaction (35.8%, n = 34). The most common symptom was chills and rigor (41.1%). The frequency of reactions was significantly higher with packed red blood cell transfusion (62.1%). Patients with previous transfusion history (n = 63, % = 66.3, P = 0.711) had more ATRs. Conclusion: By this study, the authors want to create awareness among health personnel involved in the transfusion chain is necessary to establish a proper hemovigilance system.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):169-173
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_57_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Comparison of three methods for enumeration of residual white blood cells
           in single donor apheresis platelets: A pilot study from Eastern India as a
           part of quality monitoring process for leukoreduction

    • Authors: Nasir Nabi Naikoo, Sabita Basu, Animesh Bajpayee, Deepak Kumar Mishra, Suvro Sankha Datta
      Pages: 174 - 177
      Abstract: Nasir Nabi Naikoo, Sabita Basu, Animesh Bajpayee, Deepak Kumar Mishra, Suvro Sankha Datta
      Global Journal of Transfusion Medicine 2022 7(2):174-177
      Background and Objectives: The aim of this study was to compare three platforms side-by-side: Nageotte hemocytometer, flow cytometry (FC), and standard hematology analyzer for enumeration of residual white blood cells (rWBCs) in single donor platelets (SDPs) apheresis. Materials and Methods: This was a prospective observational study conducted in a tertiary care oncology center by evaluating 36 units of SDP that were collected and tested in parallel by three different methods for the enumeration of rWBCs. All tests were performed within 24 h of collection according to the manufacturers' recommended methods. Counting by the Nageotte hemocytometer was done by: rWBC/μl = (cells counted × dilution/gridded area volume [50 μl]) and FC calculation was performed by: rWBC/μl = (total beads × total number of leukocyte events/total beads acquired × total sample volume). Results: The number of rWBCs detected by FC was between 1 white blood cell (WBC)/μl and 8 WBCs/μl; whereas, those detected by Nageotte chamber were between 3 WBC/μl and 6 WBCs/μl. The range of rWBC detected by hematology analyzer was 100 WBC/μl to 270 WBCs/μl. There was no correlation observed between the results obtained in standard hematology analyzer with any of the other two methods. The concordance correlation coefficient was measured by kappa analysis and found to be 0.71 between hemocytometry and FC. Linear regression analysis also showed a moderate correlation (R2 = 0.42) between the two methods. However, the coefficient of variation was found to be 49.32% in Nageotte method compared to the 17.55% in FC (P < 0.001). Conclusion: FC followed by Nageotte chamber counting is a better method compared to the standard hematology analyzer for the enumeration of rWBCs. To overcome the cost of FC it is high time to explore the scope and feasibility of a centralized quality monitoring system in India for all leukoreduced blood components.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):174-177
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_30_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • A study to formulate maximum surgical blood order schedule at a Tertiary
           Care Referral Teaching Institute in Andhra Pradesh

    • Authors: Gudditi Sandhya, Bandi Suresh Babu, KV Sreedhar Babu, Arun Rajendran, Abha Chandra, Hulikal Narendra, Y Mutheeswaraiah, V Venkatarami Reddy, VV Ramesh Chandra, Nallabothula Anil Kumar, C Keerthi, C Ravikanth, G Prashanth
      Pages: 178 - 185
      Abstract: Gudditi Sandhya, Bandi Suresh Babu, KV Sreedhar Babu, Arun Rajendran, Abha Chandra, Hulikal Narendra, Y Mutheeswaraiah, V Venkatarami Reddy, VV Ramesh Chandra, Nallabothula Anil Kumar, C Keerthi, C Ravikanth, G Prashanth
      Global Journal of Transfusion Medicine 2022 7(2):178-185
      Background and Objectives: Blood transfusion is the mainstay of treatment for several serious illnesses, surgical, and trauma patients. The aim of this study is to develop maximum surgical blood order schedule (MSBOS) for surgeries in our institute to formulate certain guidelines to prevent the over-ordering of blood and promote reasonable ordering of blood. Patients and Methods: All the patients undergoing surgeries in General Surgery, Surgical Gastroenterology, surgical oncology, Cardiovascular and Thoracic Surgery, Neurosurgery, Urology, and Orthopedics Departments requesting blood were included in this study. Cross-match-to-transfusion (CT) ratios, transfusion probability (TP), and transfusion index (TI) were calculated for individual specialties and surgeries. Based on these parameters, MSBOS was formulated. Results: During the study period, a total of 2724 patients posted for elective surgical procedures necessitating blood among various surgical departments were included in the study. A total of 5812 units of packed red blood cells were requested and cross-matched for the study population. Among these, 1831 units were transfused with a blood utilization percentage of 31.50% (6%–60%). The overall CT ratio of our study was 4.21. The overall TP was 31.69% and the overall TI was 0.56. Conclusion: Implementation of MSBOS is helpful in achieving the goal of rational usage of blood. Based on the results, we grouped the surgical procedures which need type and screen, type and hold, and type and cross-match.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):178-185
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_55_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Sero-prevalence of COVID-19 in blood donors of North India &#8211;
           Single-center report

    • Authors: Aseem K Tiwari, Swati Pabbi, Geet Aggarwal, Arghyadeep Marik, Shruti Sharma, Manish Singh, Shubham Gupta, Sunil Golia
      Pages: 186 - 189
      Abstract: Aseem K Tiwari, Swati Pabbi, Geet Aggarwal, Arghyadeep Marik, Shruti Sharma, Manish Singh, Shubham Gupta, Sunil Golia
      Global Journal of Transfusion Medicine 2022 7(2):186-189
      Background and Objectives: COVID-19 has infected and caused the deaths of millions of people globally with India being the second most affected country in the world. The primary objective of the study was to determine the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) antibodies in healthy blood donors in North India. The secondary objective of the study was to find the association of vaccination and infection with seropositivity in the blood donors. Methods: All blood donor samples were screened for the presence of IgG antibodies against SARS CoV2 spike (S1) protein. Anti-SARS CoV2 IgG antibody status, demographic data, history of past COVID infection, and vaccination of all eligible donors in the study period were collected. Seroprevalence was calculated as the percentage of total number of donors positive for anti-SARS CoV2 IgG antibodies. Month-wise seroprevalence was also calculated and analyzed. Results: Out of 1456 donors, 874 were found to be seropositive, resulting in a seroprevalence of 60%. Seroprevalence was found to be 38.3% and 77%, respectively, in the months of April and May 21. Seropositivity was 100%, 92%, 79%, and 54% in those with a history of both COVID infection and vaccination, vaccination only, infection only, and no history of vaccination or infection, respectively. Conclusion: Blood donors represent an easy access to seroprevalence studies and need to be tapped at the national level to obtain a temporal picture of the COVID-19 situation to guide healthcare policies, mark regions where vaccination drives need to be intensified.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):186-189
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_6_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Syphilis reactivity in blood donors and their response rate – A
           study from 'Westernized” Western India and the need of the hour
           for a structured screening methodology

    • Authors: Merline Augustine, Ankita Mahambare, MV Mallya, Maria Jose Wiseman Pinto
      Pages: 190 - 195
      Abstract: Merline Augustine, Ankita Mahambare, MV Mallya, Maria Jose Wiseman Pinto
      Global Journal of Transfusion Medicine 2022 7(2):190-195
      Background and Objectives: An increasing prevalence of sexually transmitted infections especially Syphilis in blood donors may lead to increased donor deferrals and lessen the donor pool. Hence it is the need of the hour to device a structured screening methodology for Syphilis reactive donors. The aim of the study is to estimate the prevalence of syphilis in blood donors and to estimate the response rate of notified blood donors. Patients and Methods: This was a retrospective study, conducted in a Blood Centre (BC) on the blood donors visiting for donation from January 2020 to September 2021. The donors screened positive on chemiluminescence immunoassay were included after informed consent was obtained, and donor demographics and follow-up response rate were analyzed. Frequency and percentages were used to express descriptive statistics and Chi-square was used to test the relationship between categories( p<0.05 considered significant). Results: Out of 26,698 donations during the study period, 133 donors were screened positive for syphilis. 127 (96%) donors consented to postdonation. Out of 127, only 61 were notified regarding the infection and were advised about further followup. 52% of the donors who consented to postdonation counseling were not notified due to erroneous contact details. Out of 46 responders, only 17 underwent further testing. Conclusions: The prevalence rate of syphilis was found to be 0.49%. Among the donors notified, 75% responded back to the BC. Due to social stigma and inadequate knowledge about the disease, often, donors are hesitant to give a reliable exposure history. Adequate education and adapting to a structured screening methodology is the need of the hour to reduce the risk of transfusion-transmitted syphilis.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):190-195
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_45_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Effect of donor and patient variables on the platelet increment and
           percent platelet recovery: Experience from tertiary care center in
           North-Western India

    • Authors: Sarita Sharma, Praveen Kumar Joshi, Sunita Bundas, Amit Sharma
      Pages: 196 - 200
      Abstract: Sarita Sharma, Praveen Kumar Joshi, Sunita Bundas, Amit Sharma
      Global Journal of Transfusion Medicine 2022 7(2):196-200
      Background and Objectives: Platelet (PLT) deficiency is a common cause of bleeding and PLT transfusions are often indicated for the same. PLT refractoriness is a challenging complication in patients dependent on PLT transfusions. The present study aimed to find out any effect of the donor, recipient, and machine variables on PLT increment (PI) and percent PLT recovery. Patient and Methods: A total of 600 apheresis PLT donors and 600 patients were included in this study; however, the PI and percent platelet recovery (PPR) were analyzed for only 535 patients. The data were collected such as the donor's age, gender, preapheresis hemoglobin (Hb), PLT count, PLT product yield, patient's age, gender, weight, pre- and posttransfusion Hb, and PLT count. PI and PPR were calculated and compared across different groups. Results: Refractoriness was more seen in hematological disorders in comparison to nonhematological disorders (P = 0.00001). However, no significant association of donor and recipient characteristics with PI was seen. Conclusion: PI does not depend on recipient characteristics such as age, gender, pretransfusion PLT count, and Hb.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):196-200
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_37_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Role of therapeutic plasma exchange in neuromyelitis optica: A case series

    • Authors: Rashmi Parashar, Amit Sharma, Ankit Sharma
      Pages: 201 - 204
      Abstract: Rashmi Parashar, Amit Sharma, Ankit Sharma
      Global Journal of Transfusion Medicine 2022 7(2):201-204
      Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the optic nerves and spinal cord and generally has a relapsing course. It is an autoimmune demyelinating disorder of the central nervous system caused by the binding of aquaporin-4 immunoglobulin G to water channel protein at the astrocyte foot process. Here, we are presenting the effectiveness of therapeutic plasma exchange (TPE) therapy in the improvement of disability scores of 11 patients with NMO. A total of 49 procedures were done, and the mean number of TPE sessions was 4.45. The outcome was analyzed in the form of improvement in the Expanded Disability Status Scale score and visual acuity.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):201-204
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_19_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Detection of weak “B” phenotype while resolving an ABO
           discrepancy: A rare case of B subgroup

    • Authors: Muhammad Ibrash-uz-Zaman, Mamona Mushtaq, Aamir Saeed, Neelum Mansoor
      Pages: 205 - 208
      Abstract: Muhammad Ibrash-uz-Zaman, Mamona Mushtaq, Aamir Saeed, Neelum Mansoor
      Global Journal of Transfusion Medicine 2022 7(2):205-208
      Quantitative and/or qualitative differences in ABO phenotypes give rise to ABO discrepancies causing difficulties in establishing the accurate phenotype. These discrepant serological reactions result in significant delays in blood bank. The correct typing of the blood group is imperative to prevent ABO incompatibility issues. However, the discrepant results encountered in routine settings are a challenge to immunohematologists. The variants of the ABO occur very rarely particularly true for B subgroups. Here, we present a case study of a healthy blood donor, discrepant results in forward and reverse blood grouping led us to perform adsorption-elution test. The presence of anti-B in the eluate confirmed the presence of weaker variant of B antigen on the surface of red blood cells. Correct identification of blood group is mutually important for donor and recipient to prevent the occurrence of any transfusion reaction. The serologically determined weak B phenotypes, however, require further confirmation through genomic analysis.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):205-208
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_32_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • Role of double-filtration plasmapheresis in ABO- and human leukocyte
           antigen-incompatible kidney transplant

    • Authors: Smriti Sinha, Shri Ram Kabra, Saikat Mandal, Vivek Bansal, Tanuj Paul Bhatia, Sumit More, Ranjan Kumar, Vibhu Ranjan Gupta
      Pages: 209 - 212
      Abstract: Smriti Sinha, Shri Ram Kabra, Saikat Mandal, Vivek Bansal, Tanuj Paul Bhatia, Sumit More, Ranjan Kumar, Vibhu Ranjan Gupta
      Global Journal of Transfusion Medicine 2022 7(2):209-212
      Kidney transplant has significantly improved the quality of life in end-stage renal disease patients compared to maintenance hemodialysis. Recipients can receive a living-donor or a deceased-donor kidney transplant. However, the presence of donor specific anti human leukocyte antigen (HLA) antibodies or anti A or B antibodies in the recipient makes the transplant incompatible and provokes to cause hyperacute, acute, or chronic rejection. Desensitization which is usually applied before to reduce incompatibility can be achieved by apheresis and preventing donor-specific antibody resynthesis by targeting both T and B cells. Here, we present two such cases transplanted successfully by desensitizing with double-filtration plasmapheresis (DFPP). Case 1 which was a female with high-titer anti-HLA antibody was managed with rituximab, 4 sessions of DFPP, antithymocyte globulin, and posttransplant Tacrolimus (Tac). Case 2 who had both high-titer anti-HLA and anti-A (IgG 1:256) antibody was managed with rituximab, 3 sessions of DFPP, and posttransplant Tac. In both cases, perioperative complications due to DFPP such as bleeding, thrombocytopenia, hypotension, and need of transfusion was minimal. These cases point toward successful application of DFPP in desensitization protocol, leading to successful HLA antibody-incompatible and ABO-incompatible renal transplant with minimal adverse incident and cost.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):209-212
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_7_22
      Issue No: Vol. 7, No. 2 (2022)
       
  • A retrospective audit of red cell serology requisition forms received at a
           reference Testing Center for work-up

    • Authors: Prashant Pandey, Supriya Kumari, Divya Setya
      Pages: 213 - 216
      Abstract: Prashant Pandey, Supriya Kumari, Divya Setya
      Global Journal of Transfusion Medicine 2022 7(2):213-216
      Background and Objectives: Audits identify areas of problems in immunohematology workup and transfusion practice which can be corrected by the education of medical staff, formulation of guidelines, and algorithms. An audit is a series of simple, direct questions, which when answered and reviewed, tell us whether the laboratory is performing its procedures, activities, and policies correctly. The aim of this study was to analyze immunohematology request forms sent from red cell serology laboratories to our reference testing center (RTC) to ascertain their completeness. Materials and Methods: This was a retrospective, observational study conducted in the department of transfusion medicine at a tertiary-level health-care center from November 2019 to June 2021. We ascertained whether the immunohematology workup forms details were complete, absent, or incomplete. Results: The study was conducted over a period of 20 months, with 264 forms being audited. In this overall total number, almost one-third of 1894 (34.16%) of the immunohematology workup requisition form details were complete and 716 (12.91%) of these entries were incomplete. However, almost half of the overall number of 2934 (52.92%) of the requisitions were absent. Conclusion: From our study, we concluded that an audit of all the RTC requisitions at the point of receiving can be an important tool to detect requisition errors and results of RTC workup. We received a sample for RTC advanced immunohematological testing from all over India. There is a need for the organization of CME and training of staff to increase compliance regarding sending appropriate RTC advanced immunohematological requisitions and samples.
      Citation: Global Journal of Transfusion Medicine 2022 7(2):213-216
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_90_21
      Issue No: Vol. 7, No. 2 (2022)
       
  • Can we tweak the golden number of 12.5 gm&#37; hemoglobin for blood
           donation?

    • Authors: Abhishekh Basavarajegowda, Saptarshi Mandal
      Pages: 217 - 218
      Abstract: Abhishekh Basavarajegowda, Saptarshi Mandal
      Global Journal of Transfusion Medicine 2022 7(2):217-218

      Citation: Global Journal of Transfusion Medicine 2022 7(2):217-218
      PubDate: Sat,5 Nov 2022
      DOI: 10.4103/gjtm.gjtm_70_22
      Issue No: Vol. 7, No. 2 (2022)
       
 
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