Exchange Transfusion: Indication and Adverse Effect

  • Suraiya Begum Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Abdul Baki BIRDEM Hospital, Dhaka
  • Gopen Kundu Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Imnul Islam Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Manik Kumar Talukdar Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Kaniz Fatema Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: excahnge transfusion

Abstract

Objective: To determine the indication and complications of exchange transfusion (ET) performed for neonatal hyperbilirubinaemia.

Methods: The medical records of infants < 28 days old who required exchange transfusion (ET) due to neonatal jaundice in Special Care Baby Unit (SCABU), BIRDEM hospital from January 2009 to April 2010 were retrospectively reviewed.

Results: Exchange transfusion was performed in 30 neonates during the study period. Indications of exchange transfusion were ABO incompatibility (30.0%), Rh incompatibility (13.3%), septicaemia (6.6%) and in majority causes, were unidentified (50%). Most common complication were thrombocytopenia (33.3%) hyperkalaemia (20%), hypocalcaemia (16.7%)

Conclusion: Indication of ET was unidentified in majority cases and among identified cases most common causes was ABO incompatibility. Adverse events were common after exchange transfusion.

DOI: http://dx.doi.org/10.3329/bjch.v36i1.13029

Bangladesh J Child Health 2012; Vol 36 (1): 16-19

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Author Biographies

Suraiya Begum, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Paediatrics
Md Abdul Baki, BIRDEM Hospital, Dhaka
Registrar, Department of Paediatrics
Gopen Kundu, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Paediatrics
Imnul Islam, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Paediatrics
Manik Kumar Talukdar, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Paediatrics
Kaniz Fatema, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Paediatrics
Published
2012-12-20
How to Cite
Begum, S., Baki, M., Kundu, G., Islam, I., Talukdar, M., & Fatema, K. (2012). Exchange Transfusion: Indication and Adverse Effect. Bangladesh Journal of Child Health, 36(1), 16-19. https://doi.org/10.3329/bjch.v36i1.13029
Section
Original Articles