Background: Thalassemia is a hereditary autosomal recessive
haemoglobinopathy that remains a major health problem
throughout the world.
Aims and Objectives: The aim of this study was to evaluate
knowledge of the relatives of Thalassemia patients regarding
different aspects of Thalassemia with special emphasis on the
role of splenectomy.
Material and Methods: This was a cross-sectional study
conducted at a Government Tertiary Thalassemia day care
centre. Initially, 131 relatives of Thalassemia patients were
interviewed. Excluding 10 relatives, 87 (66.4 %) relatives having
knowledge of splenectomy were further interviewed regarding
various aspects of splenectomy.
Result: In our survey, 67.2 % relatives had knowledge about
the congenital origin of the disease. The knowledge about
premarriage counselling, risk of consanguineous marriage,
antenatal screening and medical termination of pregnancy was
55%, 29.8%, 70.2% and 64.1% respectively.
Although all (100%) relatives knew about regular blood
transfusion and iron chelation, only 74% and 63.4% of the
relatives had the knowledge about splenectomy and bone
marrow transplant as a treatment modality, respectively.
In 87 relatives interviewed further, 37.9 % came to know about
splenectomy from other relatives. The indications of
splenectomy known were: splenomegaly (98.8%), increased
blood transfusion (68.9%), low platelet count (20.6%) and low
TLC (4.6%). Only 47.1% were aware about the optimal age of
splenectomy.
Awareness about serious complication of OPSI, its prevention
by preoperative vaccinations and postoperative
chemoprophylaxis was only 48.3%, 62% and 46% respectively.
Around 59% knew about role of blood transfusion and 74.7%
were aware about the need of regular follow up after
splenectomy