Table 6.
Summary of transfusion reactions
| Feature | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7 | Case 8 | Case 9 | Case 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| Age (yrs) | 25 | 20 | 22 | 22 | 32 | 28 | 34 | 31 | 23 | 25 |
| Gestational age (wks) | 30 | 35 | 37 | 35 | 20 | 28 | 32 | 34 | 38 | 25 |
| Parity | 2 | 1 | 3 | 0 | 4 | 4 | 2 | 4 | 0 | 1 |
| Indication | Anaemia | Anaemia | Anaemia | Anaemia | H’age | H’age | Anaemia | Anaemia | Anaemia | H’age |
| Blood/component | PRBC | PRBC | PRBC | PRBC | PRBC | PRBC | PRBC | PRBC | PRBC | PRBC |
| Blood group | B+ | A+ | A+ | B+ | A+ | A+ | B+ | B+ | B+ | A+ |
| Vol. transfused (ml) | 150 | 10 | 150 | 150 | 150 | 100 | 50 | 200 | 100 | 100 |
| Time of reaction (min) | 90 | 10 | 30 | 120 | 50 | 15 | 10 | 60 | 20 | 25 |
| Symptoms/Signs | Chills, rigors | Rigors, hypotension | Chills | Fever, chills | Palpitations | Chills, rigors | Tingling, numbness | Dyspnoea | Palpitations | Hypotension |
| Colour of RBC | Red | Red | Red | Red | Red | Red | Red | Red | Red | Red |
| Color of plasma | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear |
| Colour of urine | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear | Clear |
| Any abnormal mass/clot | No | No | No | No | No | No | No | No | No | No |
| Any peculiar odor | No | No | No | No | No | No | No | No | No | No |
| Leakage/breakage | No | No | No | No | No | No | No | No | No | No |
| Ports | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken | 1 broken |
| Transfusion set filter | Present | Present | Present | Present | Present | Present | Present | Present | Present | Present |
| Bacterial and fungal culture | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative |
| DCT | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative |
| ICT | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative |
| Repeat crossmatch | Compatible | Compatible | Compatible | Compatible | Compatible | Compatible | Compatible | Compatible | Compatible | Compatible |
| Type of reaction | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic | Immediate/Non-haemolytic |
Abbreviations: WHO- world Health Organisation, BMI- Body Mass Index, FFP- Fresh frozen plasma, ANC- Antenatal care, Hb- Haemoglobin, HCT- Haematocrit, TLC- Total Leucocyte count - Red blood cell, MCH- Mean corpuscular Haemoglobin, MCV- Mean Corpuscular Volume, MCHC- Mean Corpuscular Hemoglobin Concentration, RDW- Red cell distribution width, TIBC- Total Iron Binding Capacity, UIBC- unsaturated iron-binding capacity, INR- International normalized ratio, DCT- Direct Coombs Test, ICT- Indirect Coombs Test, PRBC- Packed Red Blood Cell, CI- confidence interval.