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Reticulocyte Count


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...whether reticulocyte counts have a bearing on your decision to transfuse or not, and whether or not you have a set guideline.


I have no fixed protocol for this topic but personally (and I think that my colleagues share this opinion) is to check both Hb, EVF and reticulocytes when we check for anemia in "recovering" preterm infants. If reticulocytes are low and Hb/EVF can be accepted (and the baby is gaining weight and is reasonably well/stable of course!), I try to postpone a transfusion as much as possible to stimulate reticulocyte production. Similarly, high reticulocytes and an acceptable Hb/EVF... same strategy.

When I come to think of this... we try hard to postpone all tranfusions, we only give erytrocytes when we feel anemia is truly "symtomatic" (whatever that may mean :))

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I have the same 'strategy' as Stefan. Usually I try to postpone transfusions as much as possible, and if the reticulocytes count is high, I try even harder. I managed to avoid transfusions many times with the 'help' of reticulocytes count (situations I wouldn't wait anymore, unless the retic count is high).

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