Mater Pathology

Iron Deficiency Anaemia Pathways

August 23, 2016

All patients with iron deficiency should receive iron supplementation to replete their iron stores, or to correct (or prevent) anaemia. The underlying cause(s) of iron deficiency should always be investigated, though physiological demands on iron stores in growing children, adolescents and in pregnancy should be noted.

Oral supplementation is suitable and effective in the majority of patients with iron deficiency. Clear indications exist for the use of intravenous iron supplementation.

To assist in determining the most appropriate treatment path for patients, Mater Pathology and Mater's Clinic Safety and Quality Unit have collaboratively developed an Iron Deficiency Anaemia Pathways chart as a handy reference tool for clinicians.

It is useful to distinguish between the different scenarios in which patients with iron deficiency may present, as the speed at which iron stores should be replenished, the concurrent use of other means of improving the haemoglobin levels (for example, Erythropoietin), and the appropriateness of oral versus intravenous supplementation may differ in the different categories. For this purpose, patients are divided into the following categories: Otherwise healthy, Pre-operative, Chronic kidney disease/anaemia of chronic disease, Pregnancy, Chronic gastro-intestinal bleeding and Paediatric patients.

View Iron Deficiency Anaemia Pathways.

Please feel free to contact a Mater Pathology (or clinical) haematologist should you need more information.