Nepal | January 18, 2020

Docs stress need for haemovigilance system

Himalayan News Service

Kathmandu, March 7

Hundreds of people donate blood to save the lives of patients, but due to lack of proper haemovigilance system in the country, many patients are facing various health issues after blood transfusion.

Haemovigilance is defined as a set of surveillance procedures covering whole transfusion chain from the collection of blood and its components to the follow-up of its recipients, intended to collect and access information on unexpected or undesirable effects resulting from the therapeutic use of labile blood products, and to prevent their occurrence and recurrence.

Haemovigilance plays an essential role in ensuring patient safety with regard to blood transfusions. The data generated through the haemovigilance system helps in framing important changes in the whole blood transfusion process which are useful for better patient safety.

According to Dr Bipin Dhakal, consultant of transfusion medicine, in every 100 blood recipients, 10 persons face health issues due to lack of well organised haemovigilance system.

After blood transfusion, some recipients suffer from fever, itching, rashes, chills, alteration in pulse, alteration in blood pressure. This mainly happens due to lack of haemovigilance system.

“None of the organisations, government bodies and hospitals that collect blood and transfuse blood follow proper haemovigilance system,” he added. As per the proper haemovigilance system, blood donation should not be conducted in polluted open places, there must be a detail history of blood donor before collecting blood, and collected blood should be maintained in a cold chain.

“Within four hours of collecting blood from donors, it must be transfused to another person. If this is not possible it should be kept in temperatures between 2 and 6 degrees centigrade,” said Bipul Gautam, Blood Bank In-charge at Mediciti Hospital.

“In most of the cases it is seen that right kind of temperature is not maintained in blood storage centres. Blood is collected without following standard procedure.

National Bureau for Blood Transfusion Services had started a pilot project on ‘National Haemovigilance’ in 2017 in four hospitals.

Among four hospitals, two were government hospitals and two private.

Organising a programme today, National Bureau for Blood Transfusion Services released an annual report on National Haemovigilance. As per the report, only two hospitals had submitted the reports on haemovigilance.


A version of this article appears in print on March 08, 2019 of The Himalayan Times.

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