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. 2021 Jun;60(3):103131.
doi: 10.1016/j.transci.2021.103131. Epub 2021 Apr 15.

Survey based cross-sectional study to analyse the variation of practices at blood centres during COVID-19 pandemic in India

Abhishekh Basavarajegowda  1 , Meenu Bajpai  2 , Satyam Arora  3 , Ashish Maheshwari  2 , Seema Dua  4 , Dibyajyoti Sahoo  1
Affiliations

Survey based cross-sectional study to analyse the variation of practices at blood centres during COVID-19 pandemic in India

Abhishekh Basavarajegowda et al. Transfus Apher Sci. 2021 Jun.

Abstract

India has almost 3,000 blood centres collecting more than 11 million units annually. Maintaining blood supply during the COVID-19 pandemic is a huge challenge. We conducted a cross-sectional study by an online survey to analyse the variation of practices across blood centers of India during this pandemic. A total of 196 blood centers completely responded to the online survey. Most of the blood centres who responded were part of Government hospitals (60 %), part of an academic institutes (55.6 %) and were directly supporting a COVID hospital (67.5 %). Almost 95.4 % blood centers reported reduction of blood donation mainly due to lockdown (50 %) and inability to conduct camps (17.3 %). Scheduling blood donations was one of the most difficult to implement strategy for maintaining adequate blood donation (40.2 %). Blood center manpower management was also a challenge and upto 48 % blood centers operated in two batches to ensure social distancing in blood banks and reduce the risk of exposure. Hemato-oncology (36.8 %) and obstetrics (33.7 %) were major utilizer of blood during the pandemic. There were marked variations in use of PPE by blood banks staff as well as strategies adopted while conducting immunohematology tests on COVID-19 positive patients samples. This pandemic has highlighted some of the major limitations of the health services but blood services have risen to the challenge and strived to maintain the blood supply chain while ensuring blood donor and staff safety. The wide variations in the practices adopted highlights the need for uniform guidelines for blood services in future pandemics.

Keywords: Blood banks in pandemic; COVID-19; COVID-19 pandemic; Transfusion services.

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Conflict of interest statement

The authors report no declarations of interest.

Figures

Fig. 1
Fig. 1
Pictorial Map of India showing the states with the number of Blood Centers Surveyed.
Fig. 2
Fig. 2
Difficulties faced by the blood centers in the blood donor screening and registration area.
Fig. 3
Fig. 3
COVID-19 Pandemic specific screening questions included in donor screening.
Fig. 4
Fig. 4
Measures taken by the blood centers while receiving blood samples of known/ suspect COVID-19 patients.
Fig. 5
Fig. 5
Modification adapted in the pre transfusion testing section of the reporting center.
See this image and copyright information in PMC

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