RECHERCHES SCIENTIFIQUES

SEUILS TRANSFUSIONNELS ERYTHROCYTAIRES : EVALUATION DES PRATIQUES À L’HÔPITAL MILITAIRE MOULAY ISMAÏL DE MEKNÈS ET REVUE DE LALITTÉRATURE

Référence897
Année2015
TypeThèse
Lien document
AuteurMai A
DisciplineHôpital Militaire My Ismail Meknès
EncadrantHanafi M

Red blood cell transfusion has become an indispensable practice of modern medicine , widely used in various disciplines. The transfer of red blood cells has been used over the years to ensure the survival of a large number of patients suffering from a variety of affections. Nevertheless, packed red cells are a rare and expensive resource that presents several infectious, immunological and hemodynamic risks. It is therefore necessary to optimize the use of this practice, hence the need for unified transfusion thresholds that guide the decision of doctors. The use of transfusion thresholds is however criticized on the grounds that the indication for transfusion must be decided for each case depending on the patient’s disease, its pre-existing defects and his tolerance to anemia, which pushes some practitioners to ignore these predefined thresholds in favor of a more liberal prescription. The objective of our study is to analyze the transfusion practices within the various services of the Moulay Ismail Military Hospital in Meknes and compare the results with the recommendations in place; in addition to a homogeneous literature review. Our study was conducted from a retrospective collection, over one year, of the information listed in 219 prescriptions of red blood cells from the blood bank in the hospital, including hemoglobin during transfusion and the number of red blood cell packs requested. The average rate of pre-transfusion hemoglobin was 6.37 +/- 1.69 g / dl, with some variation depending on the specialty. The average hemoglobin target after transfusion was 8.77 +/- 1.62 g / dl with an average of red blood cell pack required of 2.4 +/- 0.9. At the end of our study, and based on the hemoglobin threshold recommended for red cell transfusion from 7 to 8 g / dl, targeting a hemoglobin of 8 g / dl after transfusion, one can conclude that the transfusion practice within the Moulay Ismail military hospital in Meknes, with some exceptions, respects the implemented recommendations