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Problems with a walking donor transfusion program.

R M Kakaiya, F S Morrison, J C Halbrook

    Transfusion
    |September 1, 1979
    PubMed
    Summary
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    A walking donor program provided 205 transfusions to newborns, but carried a significant risk of hepatitis transmission. Alternative methods with strict blood bank control are needed for safer neonatal transfusions.

    Area of Science:

    • Neonatal Intensive Care
    • Transfusion Medicine
    • Infectious Disease Transmission

    Background:

    • Walking donor transfusion programs offer a potential solution for immediate blood needs in Neonatal Intensive Care Units.
    • This study details the implementation and outcomes of such a program over a nine-month period.

    Observation:

    • A total of 205 transfusions were administered to 57 newborns from 72 walking donors.
    • The average recipient weight was 1,762 g, with an average transfusion volume of 15 ml.
    • Regular adult blood units were also used when walking donors were unavailable.

    Findings:

    • No immediate or delayed transfusion reactions were observed in the neonates.
    • One fatal case of serum hepatitis transmission occurred, highlighting a critical risk.

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  • The program experienced challenges with donor availability.

    • Implications:

    • Walking donor programs pose a significant inherent risk of hepatitis transmission.
    • Alternative transfusion methods with stringent blood bank controls are essential for neonatal safety.
    • Further research into safer neonatal transfusion strategies is warranted.