IJCRR - 6(4), February, 2014
Pages: 26-30
STUDY OF NEWER INVASIVE AND NON-INVASIVE METHODS OF HAEMOGLOBIN ESTIMATION IN BLOOD DONOR SCREENING - A STUDY ON 200 DONORS
Author: Pankaj Malukani, M. D. Gajjar, R. N. Gonsai, Nidhi Bhatnagar, H. M. Goswami
Category: Healthcare
[Download PDF]
Abstract:
Background: Despite the wide range of methods available for measurement of haemoglobin (Hb), no single technique has emerged as the most appropriate and ideal for a blood donation setup. To cater to this need both invasive and non-invasive techniques of haemoglobin estimation were analysed. Aims and Objectives: To compare invasive and non-invasive methods of haemoglobin estimation in terms of accuracy, sensitivity and donor satisfaction. Materials and Methods: A prospective study utilizing 200 blood samples was carried out in a blood donation setting for quality evaluation of five methods of haemoglobin estimation: Haematology cell analyser (reference), DiaSpect, CuSO4, HemoCue and NBM-200. Results: Mean value of HemoCue (mean ± SD = 13.8 ± 1.7 g/dl) was higher by 0.26 compared to reference (mean ± SD = 13.54 ± 1.52 g/dl). DiaSpect proved to be the best technique (sensitivity 99.4%, specificity 94.4% and likelihood ratio 17.75). CuSO4 proved to be good with Negative Predictive Value close to 91.4%. NBM-200 shows wide variation but the mean of the difference being statistically not significant. Conclusion: CuSO4 method gives accurate results, if strict quality control is applied. HemoCue and DiaSpect are too expensive to be used as a primary screening method in an economically restricted country like India, but are accurate. NBM-200 is a non-invasive method and gives good result with better compliance and donor satisfaction.
Keywords: Blood donation, haematology cell analyser, DiaSpect, HemoCue, NBM-200, CuSO4
Citation:
Pankaj Malukani, M. D. Gajjar, R. N. Gonsai, Nidhi Bhatnagar, H. M. Goswami. STUDY OF NEWER INVASIVE AND NON-INVASIVE METHODS OF HAEMOGLOBIN ESTIMATION IN BLOOD DONOR SCREENING - A STUDY ON 200 DONORS International Journal of Current Research and Review. 6(4), February, 26-30
References:
1. The Drugs and Cosmetics Act, 1940 and the Drugs and Cosmetics Rules 1945, Amendment upto 30th September, 1999.
2. Philipps RA, VanSlyke DD, Hamilton PB, Dole VP. Measurement of specific gravities of whole blood and plasma by standard copper sulphate solutions. J Biol Chem 1950;183:305-30.
3. Ross DG, Gilfillan AC, Houston DE, Heaton WA. Evaluation of haemoglobin screening methods in prospective blood donors. Vox Sang 1986;50:78-80.
4. Radtke H, Polat G, Kalus U, Salama A, Kiesewetter H. Haemoglobin screening in prospective blood donors: Comparison of different blood samples and different quantitative methods. Transfus Apher Sci 2005;33:31-5.
5. Zwart A, van Assendelft OW, Bull BS, England JM, Lewis SM, Zijlstra WG. ICSH Recommendations for reference method for haemoglobinometry in human blood (ICSH standards 1995) and specifications for international haemoglobincyanamyde standard. J Clin Pathol 1996;49:271-4.
6. Dacie JV, Lewis SM. Practical Haematology. 9 th ed. Edinburgh: Churchill Livingstone; 2001. p. 23.
7. Tondon R, Verma A, Pandey P, Chaudhary R. Quality evaluation of four hemoglobin screening methods in a blood donor setting along with their comparative cost analysis in an Indian scenario. Asian J Transfus Sci 2009;3:66-9
8. Weinstein A, Herzenstein O, Gabis E, Korenberg A. Screening of anemia using noninvasive occlusion spectroscopy sensor. Transfusion 2010;50:91a-2a.
9. James V, Jones KF, Turner EM, Sokol RJ. Statistical analysis of inappropriate results from current Hb screening methods for blood donors. Transfusion 2003;43:400-4.
10. Boulton FE, Nightingale MJ, Reynolds W. Improved strategy for screening prospective blood donors for anemia. Transfusion Med 1994;4:221-5.
11. Timan IS, Tatsumi N, Aulia D, Wangsasaputra E. Comparison of haemoglobinometry by WHO Haemoglobin colour scale and copper sulphate against haemoglobincyanide reference method. Clin Lab Haematol 2004;26:253-8.
12. Brecher MG, leger RM, Linden JV, Roseff SD. Blood collection, storage and component preparation. Technical manual. 15thed. Maryland: American Association of Blood Banks (AABB); 2005. p. 799-800.
13. Cable RG. Haemoglobin determination in blood donors. Transfusion Med Rev1995;9:131-44.
14. von Schenck H, Falkensson M, Lundberg B. Evaluation of HemoCue: A new device for determining haemoglobin. Clin Chem 1986;32:526-9.
15. Paddle JJ. Evaluation of the Haemoglobin colour Scale and comparison with the HemoCue haemoglobin assay. Bull World Health Organ 2002;80:813-6.
16. Lewis SM and Emmanuel J. Validity of the haemoglobin colour scale in blood donor screening. Vox Sanguinis 2001;80;28-53.


|