Transfusion Reactions Encountered at The Children’s Hospital and Institute of Child Health, Lahore, Punjab – A Clinical Audit
Keywords:Audit, Children, Transfusion reaction
Abstract: Any adverse event that occurs during or after transfusion for which no other cause can be established is labeled as a transfusion reaction. Since the advancements in screening tests for infectious diseases, non-infectious transfusion reactions are on the rise. The aim of this study was to assess the frequency of transfusion reactions and to do an audit of reaction reporting. It was a retrospective study done from 1st December 2014 to 31st December 2015 at The Children’s Hospital and Institute of Child Health, Lahore Punjab. The data was retrieved from blood bank records. 22 transfusion reactions were reported, out of which the most common reaction was febrile non haemolytic transfusion reaction. Only one haemolytic transfusion reaction was seen. Among the blood components, most reactions were seen with packed red blood cells. In 90% of cases completely filled reporting forms were received, in 86% of cases post reaction EDTA samples were received, and in only 50% cases urine samples were received in blood bank. Pyrexia was the most frequent symptom in recipients. Re-audit will be done next year. Guidelines need to be followed and updated.