Overview of the Department of Immunohematology and Blood Transfusion

The Blood Centre (now known as the Department of Immunohematology and Blood Transfusion) was started in the year 1999 and supports the himalayan hospital, a 1200 bedded tertiary care referral centre as well as the nearby hospitals in and around the Dehradun district of Uttarakhand. The main goal of our department is to promote the rational use of blood components and achieve safer blood transfusions by adopting the state-of-the-art technologies.

The annual blood collected at our blood centre is nearly 11,000 units with almost 80% voluntary donations. Our blood centre is also having a great voluntary donor base from several NGOs and nearby industries (with an average of 70 to 80 camps conducted annually). The greater participation of female voluntary blood donors (almost 7-10%) is a good reflector of the efficacious promotional activities of the department regarding the importance of voluntary blood donation.

Our blood transfusion services are integrated with the healthcare system of the hospital and provide nearly 20,000 to 25,000 units of blood components annually. Use of blood is optimized by 100% component separation and good inventory of blood products are ensured through regularly conducted donor motivational and recruitment programs.

The clinical services of our department include patient blood management, donor apheresis, convalescent plasma harvest for use in COVID-19 patients, therapeutic plasma exchange, therapeutic phlebotomy, autologous PRP, transfusion support with special blood components such as leuco-depleted, irradiated, saline-washed, minor phenotype matched and reconstituted whole blood for use In neonatal exchange transfusions. Hematopoietic stem cell harvest from peripheral blood is also performed by apheresis technology and the transfusion medicine specialist plays an active role in the bone marrow transplantation team of the hospital. A range of immunohematological tests are standardized in the department, such as antibody screening and identification using panel cells, elution and adsorption studies. Additionally, the laboratory work-up of patients with allo and autoimmune hemolytic anemia, hemolytic disease of newborn and antenatal (ANC) serology is routinely being performed.

Our serology laboratory houses four fully automated testing platforms to perform blood grouping, antibody screening, pre-transfusion testing and the screening of transfusion transmissible infections by 4th generation ELISA and Nucleic acid amplification technique (ID-NAT). Our blood centre was the first in Uttarakhand for providing ID-NAT tested blood to the recipients. For such unique features, this centre was also awarded the National AIDS Control Organization (NACO) regional training centre for the training of medical officers, technicians, nurses and blood donor counsellors.

The blood centre data management is performed by using a dedicated software.Our facility also participates in the National hemovigilance program of India with prompt reporting of both transfusion reactions as well as donor related adverse events. Our department conducts regular educational programs for MBBS, and graduates from other disciplines such as laboratory technology. The core curriculum while training them involves both laboratory and clinical aspects of transfusion medicine.

FACULTY 

Dr. MANISH RATURI

Qualifications : MBBS, MD Immunohematology and Blood Transfusion

Designation : Associate Professor

Teaching Experience : 5.0 Years

Publications : 25 ( PubMed Indexed)

Special Interest  : Hematopoietic Stem cell harvest & transplantation, Immunohematology & Transfusion Medicine

Awards : Gold medal in MBBS (2005)

Indian Society of Transfusion Medicine (ISTM) quiz - secured 2nd position in National level quiz held in Transmedcon at Jaipur, India (2012)

Research Grant: STS- ICMR (2016)

International Travel Grant for Young Scientists by SERB, Govt of India –Glasgow, United Kingdom (2017)

Research Grant and Early Career Research Award from the Science & Engineering Research Board, Govt. of India, New Delhi (2017)

International Travel Grant for Non ICMR Scientists – ISBT Conference, Toronto Canada (2018)

International Travel Grant for Young Scientists by CISR, Govt of India–Platelets Symposium, Ramat Gan, Israel (2018)