Original Research Article
Year: 2017 | Month: September | Volume: 7 | Issue: 9 | Pages: 22-27
A Study of the Peripheral Smears in a Tertiary Care Teaching Hospital of Andaman & Nicobar Islands
Pooja Garg1, Archana H Deshpande2, Biswajit Dey3, Pushpanjali Ojha1
1Senior Resident, 2Professor, 3Assistant Professor,
Department of Pathology, Andaman & Nicobar Islands Institute of Medical Sciences, Port Blair, India.
Corresponding Author: Pooja Garg
ABSTRACT
Background: Peripheral blood film is one of the basic and highly informative haematological tool for screening, diagnosis and monitoring of disease progression and to look for therapeutic response. The understanding of peripheral blood interpretation is very important for a successful clinical practice as it exposes the various morphology of peripheral blood cells, which ensures its place in diagnosis of various blood and its related disorders. Therefore this study was done to know the prevalence of haematological conditions in a relatively untouched population of Andaman & Nicobar Island.
Methods: This study was conducted over a period of 1 year from January 2016 to January 2017 in tertiary care teaching hospital of Port Blair. Peripheral smear along with CBC were done of all the patients. Smears were prepared by Leishman stain and Microscopy was done. The data was compiled as per Age, gender and peripheral smear findings and was presented in percentage and proportions.
Observations: A total of 1629 patients were enrolled in this study, out of which 940 were females and 689 were males with female: male ratio of 1.49:1. Out of 1629, Normal PBF picture was seen in 266(16.3%) patients, Anaemia of different types was seen in 1015(62.3%) patients. Severe Cases of Anaemia were 184(18.1%) females and 96(9.5%) males. Incidence of neutrophilic leucocytosis was observed in 131(8.04%) and eosinophilia in 60(3.6%) patients. Prevalence of anaemia, thrombocytopenia and leukaemia was 1015(62.3%), 106(6.5%), 07(0.42%) respectively.
Conclusion: In a resource limited area such as Andaman group of Islands, Peripheral blood smear examination is a simple and inexpensive tool, yet its value is very high in diagnosing various haematological disorders which serves as a guide for further management & patient welfare.
Key words: Anaemia, peripheral blood smear, Leishman stain, neutrophilic leucocytosis, thrombocytopenia.