Dr Tina Noutsos

Head of Global & Tropical Health Division, Senior Research Fellow

Qualifications:

Doctor of Philosophy, Charles Darwin University, 2021; Graduate Australian Institute Company Directors, 2021; Fellow Royal Australasian College of Physicians, 2010; Fellow Royal College Pathologists of Australasia, 2010; Bachelor of Medicine Bachelor of Surgery, Flinders University, 1999; Bachelor of Science, University of Melbourne, 1996

Approved level of HDR supervision at Charles Darwin University:

Principal

Location:

Darwin – Royal Darwin Hospital campus

Biography:

Dr Tina Noutsos is the Head of the Division of Global and Tropical Health, and a Senior Research Fellow at Menzies, Senior Specialist Clinical and Laboratory Haematologist at Royal Darwin Hospital, and an Associate Professor at Flinders University.

Tina’s research aims to transform blood transfusion decision-making and patient blood management, with a particular focus on First Nations peoples, in rural and remote populations. Her other research interests include snakebite, as well as thrombotic microangiopathies, antiphospholipid antibody syndrome and immune thrombocytopenic purpura – immune related blood conditions which disproportionately affect First Nations Territorians. 

Tina’s research with the Australian Snakebite Project on snakebite-associated thrombotic microangiopathy has established the global epidemiology, diagnostic criteria, effectiveness of treatments, and long-term outcomes of this important complication of snakebite. Tina is a chief investigator on an MRFF grant ($2.99 million) funding a stepped wedge randomised control trial of full blood examination point of care testing in remote Aboriginal communities across the NT; a National Blood Authority research grant investigating blood transfusion outcomes in First Nations peoples admitted to intensive care, women and babies during childbirth across the NT, and NT patients referred to South Australia for heart surgery; and a Menzies small grant examining the mechanism of thrombotic microangiopathy in Sri Lankan hump nosed viper envenoming.

Tina is a partner investigator with the Blood Synergy Group, an NHMRC-funded program of research focused on addressing Australia’s national transfusion priorities, and the Northern Territory expert member of the multijurisdictional Serious Transfusion Incident Reporting System of Blood Matters, Victorian Government. Tina also chairs the NT cancer clinical trials unit committee.

Tina has a solid foundation in medical education and leadership and was previously Director of the Flinders University Doctor of Medicine (2017-2020), the NT Medical Program Course Director (2015-2020), and acting Associate Dean for Flinders NT (2016).

Research Themes
  • Are red cell transfusion requirements and patient outcomes in Aboriginal and Torres Strait Islander (First Nations) versus non-Aboriginal Torres Strait Islander peoples different? A Northern Territory and South Australian multicentre five-year retrospective cohort study
  • Equitable access to full blood examination testing at the point of care in remote primary health: a stepped wedge randomised controlled trial using sepsis as a case study
  • The pathophysiology of thrombotic microangiopathy due to Hypnale envenoming: A Sri Lankan prospective cohort study
  • Clinical outcomes of antiphospholipid antibody syndrome in the Northern Territory
  • Clinical outcomes of immune thrombocytopenic purpura in the Northern Territory
  • The Australian Snakebite Project
  • Blood Synergy - addressing Australia’s national transfusion priorities
  1. Noutsos, T., Perry, M.A., Secombe, P.J., Roxby, D.J., Sinha, R., & Campbell, L.C. (2023). A retrospective cohort study of red cell alloimmunisation in rural, remote, and Aboriginal and Torres Strait Islander peoples admitted to intensive care in the Northern Territory, Australia. Journal of Clinical Medicine, 12 (4), 1606. https://doi.org/10.3390/jcm12041606 
  2. Noutsos, T., Currie, B.J., Wijewickrama, E.S., & Isbister, G.K. (2022). Snakebite Associated Thrombotic Microangiopathy and Recommendations for Clinical Practice. Toxins, 14(1), 57. https://doi.org/10.3390/toxins14010057
  3. Noutsos, T., Currie, B.J., Isoardi, K.Z., Brown, S.G., & Isbister, G.K. (2021). Snakebite associated thrombotic microangiopathy: an Australian prospective cohort study [ASP30]. Clinical Toxicology. https://doi.org/10.1080/15563650.2021.1948559
  4. Noutsos, T., Laidman, A.Y., Survela, L., Arvanitis, D., Segalla, R., Brown, S.G., & Isbister G.K. (2021). An evaluation of existing manual blood film schistocyte quantitation guidelines and a new proposed method. Pathology, 53(6), 746-752. https://doi.org/10.1016/j.pathol.2021.01.008
  5. Noutsos, T., Currie, B.J., Brown, S.G., & Isbister, G.K. (2021). Schistocyte quantitation, thrombotic microangiopathy and acute kidney injury in Australian snakebite coagulopathy [ASP28]. International Journal of Laboratory Hematology, 43, 959-965. https://doi.org/10.1111/ijlh.13497
  6. Noutsos, T., Currie, B.J., Lek R.A. & Isbister, G.K. (2020). Snakebite associated thrombotic microangiopathy: a systematic review of clinical features, outcomes, and evidence for interventions including plasmapheresis. PLOS Neglected Tropical Diseases, 14(12), e0008936. https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008936
  7. Noutsos, T., Currie, B.J. & Isbister, G.K. (2019). Snakebite associated thrombotic microangiopathy: a protocol for the systematic review of clinical features, outcomes, and role of interventions. Systematic Reviews, 8(212). https://doi.org/10.1186/s13643-019-1133-2
  8. Patil, S., Spencer, A., Schwarer, A., Lewis, I., Hertzberg, M., Avery, S., Wei, A., Noutsos, T., Paul, E., Taouk, Y., & Muirhead, J. (2010). Reduced-intensity conditioned allogeneic haematopoietic stem cell transplantation results in durable disease-free and overall survival in patients with poor prognosis myeloid and lymphoid malignancies: eighty-month follow-up. Bone Marrow Transplant, 45, 1154–1160. https://doi.org/10.1038/bmt.2009.322
  9. Worley, P., Lowe, M., Notaras, L., Strasser, S., Kidd, M., Slee, M., Williams, R., Noutsos, T., & Wakerman, J. (2019). The Northern Territory Medical Program – growing our own in the NT. Rural and Remote Health, 19, 4671. https://doi.org/10.22605/RRH4671
  10. Campbell, N., Kennedy, E., Rissel, C., Gill, E., Bergin, S., Noutsos, T., & O'Donoghue, O. (2021). Workplace locations of 2011–2017 Northern Territory Medical Program graduates. Rural and Remote Health, 21, 6662. https://doi.org/10.22605/RRH6662