MBAA MAZEYI Glodi*, N’SINABAU EYAY Raïs, KASAI HUMBU Fontaine, MAGOGA KUMBUNDU Mago, MWAMPINA MPO Lydie

Survey on the Consumption of Labile Blood Products in a Pediatric Unit: Case of the General Reference Hospital of N’djili / ISTM-Kinshasa.

In the Democratic Republic of Congo, according to the National Blood Transfusion Center report of 2013, large quantities of blood were transfused and pediatric services accounted for the vast majority of its consumption. This work aims to take stock of the consumption of blood products in the pediatric emergency department. A descriptive study based on patients records who received blood transfusion in the pediatric emergency department of the General Reference Hospital of N’djili / ISTM-Kinshasa was carried out from January 1 to December 31, 2017. The frequency of blood transfusion was 36.9% in one year. The 0 to 4 years old group was the most affected by blood transfusion (60.1%) with a predominance of males (52.9%). The transferred patients (49.3%) and those who benefited from self-medication at home before the consultation (48.6%) were the most affected by blood transfusion. Severe malaria with anemia dominated the table of conditions requiring transfusion (90.9%) and the majority of transfusions were made on the basis of clinical intolerance (59.4%). The pre-transfusion workup included hematocrit and / or hemoglobin, ABO blood group and Rhesus factor. Red blood cell concentrate was the most widely used blood product (97.1%). The mortality rate in transfused patients was high (29.0%) and the majority of transfused patients did not receive post-transfusion follow-up (81.9%). Epidemiological survey on the consumption of labile blood product showed a high frequency of blood transfusion in the pediatric emergency department. Télécharger l'article