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Health experts have raised alarms over the inappropriate use of blood transfusions in medical facilities, warning that it not only endangers patients’ lives but also contributes to the wastage of a precious resource. Dr. Aggrey Dhabangi, a transfusion physician and lecturer at Makerere University Medical School, emphasized the need to address the issue of unnecessary blood transfusions to minimize associated risks and preserve blood resources.
In an interview in Kampala, Dr. Dhabangi highlighted concerns about the indiscriminate use of blood transfusions, noting that while they are sometimes necessary, they are not without risks. He cautioned against the overreliance on blood transfusions, citing potential adverse reactions and the importance of minimizing the need for transfusions to mitigate associated risks.
Dr. Dhabangi’s assertions are supported by research findings, including a study conducted by Prof. Robert Opoka of Makerere University Medical School and colleagues, which revealed significant discrepancies in the appropriateness of blood transfusions in pediatric wards. The study found that over half of the children who received blood transfusions did not meet the standard criteria for transfusion, leading to higher inpatient mortality rates among those transfused inappropriately.
According to the research report, the threshold for blood transfusion is a hemoglobin level of six grams per deciliter (6g/dL), and deviations from this criterion resulted in inappropriate transfusions. The study underscores the importance of adhering to established guidelines to ensure the appropriate use of blood resources and improve patient outcomes.
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Dr. Dhabangi’s remarks were made during the 11th Africa Society for Blood Transfusion (AfSBT) Congress in Munyonyo, Kampala, where healthcare professionals, researchers, and government officials gathered to discuss advancements in blood transfusion technology and global innovations in the field.
During the congress, Health Minister Dr. Jane Ruth Aceng acknowledged the progress made in Uganda’s blood transfusion services but emphasized the need for continued efforts to address challenges such as blood wastage and inadequate collection. She stressed the importance of preventing diseases and events that necessitate blood transfusions through public health interventions and improved healthcare practices.
Dr. Mohammed Farouk, the managing director of AfSBT, commended Uganda’s efforts to improve blood transfusion services, highlighting achievements such as achieving step two certification in the AfSBT’s accreditation program. He underscored the importance of raising awareness among healthcare workers about appropriate blood management practices to optimize patient outcomes and reduce the reliance on blood transfusions.
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