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Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
Our experience with Bombay Blood Group
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Our experience with Bombay Blood Group

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Sankalp India Foundation(r)'s experience with management of Bombay Blood Group shared at the 2nd Annual Conference of Indian Society of Transfusion Medicine, Bangalore on 15th September 2013. Visit …

Sankalp India Foundation(r)'s experience with management of Bombay Blood Group shared at the 2nd Annual Conference of Indian Society of Transfusion Medicine, Bangalore on 15th September 2013. Visit www.sankalpindia.net / www.bombaybloodgroup.org

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  • 1. Our Experience With Bombay Blood Group Sankalp India Foundation®
  • 2. Bombay Blood Group? • Do we all know about it? • Individuals with the rare Bombay phenotype (hh) do not have H antigen the antigen which is present in blood group O • As a result, they cannot make A or B antigen on their red blood cells. • They have anti-H in the plasma and consequently – They can donate RBCs to any member of the ABO blood group system – but they cannot receive any member of the ABO blood group system's blood
  • 3. Prevalence • No comprehensive study done to show prevelence. • Estimates for the nation say 1 in 17,000 individuals with high prevelence in Andhra Pradesh, Tamil Nadu, Karnataka, Maharashtra and Gujarat – even up to 1 in 4500 in some areas.
  • 4. Sankalp Emergency Wing • This team of Sankalp India Foundation works to ensure that the people who don’t find blood from the blood banks are helped • Works on the corner cases of blood transfusion medicine and extremely rare blood group requests • Been handling Bombay Blood Group Requests for 5 years now.
  • 5. How many requests did we manage? • Does not include requests where we did not help. • 1 patient counted as 1 request.28 56 68 118 Total Requests Total Blood Units Requested Bombay blood group requests 2011-12 2012-13
  • 6. Where are the blood requests coming from?
  • 7. Our Experience of Relevance to Blood Banks
  • 8. Situation with Detection • We are not detecting as many BBG as we should • Not everyone is doing enough Bombay Blood Group(BBG) tests. Bombay blood group donors donated several times before being detected and informed. • Testing at time of issue it is futile as it leads to wastage. • If you are doing components then you are likely to miss Bombay blood group. Red cells are compatible and plasma rarely used.
  • 9. False Detection • Within 2012-13 we have had 5 instances of incorrect detection of blood group followed by wrong transfusions causing severe haemolytic reaction and more complications. • The patient ended up needing more units of blood than what would have been required initially.
  • 10. Problems with Availability • With 10 units required each month Sankalp pushed the limits to ensure that each willing donor and each donated unit was used optimally. Following issues were observed: – Several small lists of Bombay Blood Group donors were being maintained. Sub-critical mass leading to staggered availability. – There were attempts to reserve the donors for donations for specific institutions – The good donors, who donated regularly were being called by everyone – emotional blackmail was rampant! – Remaining units post procedures were not being utilised.
  • 11. Managing Bombay Blood Group
  • 12. WWW.BOMBAYBLOODGROUP.ORG
  • 13. Awareness and Education • Sankalp Patrika shares experience with Bombay Blood Group every month - education cum sensitisation. • All Sankalp blood donation drives has pre- screening of donors for Bombay blood group – 1 donor detected • Media and mass publicity
  • 14. Cold Chain and Logistics Minimum discomfort to donor. Minimum cost to patients. • Temperature controlled logistics for 4, 8 12, and more than 12 hours. • Resolution of regulatory and legal requirements fro transfers . • Liaison with airlines and blood banks nationally. • Consideration for poor patients • Crisis management protocols
  • 15. Aggressive use of alternatives • Family screening locally • Use of EPO • Autologous donations wherever applicable • Intra-operative blood salvage • Double red cell donations (not yet used) • Move to better centres – conservative procedures and better equipment
  • 16. Recommendations: Blood Banks • Do BBG test at screening stage for donors • Communicate collection of BBG immediately • If unutilised intimate network • Share donor details • Learn proper packaging and transportation essentials
  • 17. Recommendations: Donors • Connect and network • Keep hemoglobin high • Screen all family members – whether they can donate or not!
  • 18. Recommendation: Authorities • Make Bombay Blood Group screening at time of collection mandatory. • Make it mandatory for airlines to transport Bombay Blood Group Units – Possibly free of charge. • Come up with a clear policy for national and international transfer of blood and leave regulation in the hands of just 1 department. • Provide facility for cryopreservation – But . .
  • 19. Questions
  • 20. Thank you 

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