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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2966

Title: How Useful Are CBC and Reticulocyte Reports to Clinicians in Addis Ababa Hospitals, Ethiopia
Authors: Misganaw, Birhaneselassie
Advisors: Aster Tsegaye (PhD)
Amha Gebremedhen (MD, Hematologist)
Asaye Birhanu (MSc)
Keywords: CBC, Retics,
Differential leukocyte count,
Laboratory report form
CLM course
Copyright: Jul-2011
Date Added: 11-May-2012
Abstract: Abstract Background: The CBC/Retics are routine Hematology tests that are useful to differentially diagnose anemia and other medical conditions. However, it has been presumed that they are not applied in regular medical practice in Addis Ababa hospitals. Objective: To ascertain the reports of CBC/Retics parameters perceived as useful in medical practice in Addis Ababa hospitals. Methodology: A hospital based cross - sectional questionnaire survey was conducted on 408 clinicians working in Addis Ababa hospitals from Nov –Dec 2010, and the response on use of CBC /Retics reports was analyzed. The Always/Frequently (A/F) response was taken to consider ‘adequate / routine use’ of the CBC/Retics parameter by the clinicians. The P-value less than 0.05 were taken as statistically significant. Chi square was used to see statistical association among variables. Result: Only four of the thirteen parameters in the CBC were selected as frequently or always useful by more than 85% of the clinicians; HGB, HCT, WBC and WBC Diff. Health Officers were observed to use 12 of the 13 CBC parameters less than the other professional group; Interns and Residents demonstrated highest use of CBC results. More than a third of clinicians preferred WBC differential report in percent than the more useful absolute report. Reticulocyte parameters were not being used by majority of clinicians in patient management. Clinicians rated ‘average’ regarding the adequacy of clinical laboratory methods course they took during medical education. As service users, clinicians indicated mm3 as unit of preference in cell count on the laboratory report format. Conclusion & Recommendation: Overall, many clinicians do not use much of the data provided on routine CBC report. This should attract further research, and responsible bodies promote use of CBC/Retics reports by clinicians.
URI: http://hdl.handle.net/123456789/2966
Appears in:Thesis - Public Health

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