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Ntawuyamara E, Manirakiza A, Nduwimana F, Iradukunda A, Nyandwi R, Nsanzabagenzi D. Transfusion transmitted infections among blood donors of Kamenge Teaching Hospital blood bank in Burundi. Afr Health Sci 2024; 24:94-103. [PMID: 38962345 PMCID: PMC11217855 DOI: 10.4314/ahs.v24i1.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024] Open
Abstract
Background The current risk of contracting a transfusion transmitted infections (TTIs) is unknown in Burundi. Objectives The aim of this study was to assess sociodemographic profiles of blood bank donors at Kamenge Teaching Hospital, the prevalence and associated risk factors of HIV, syphilis, HBV and HCV from 2015 to 2020. Methods We conducted a cross-sectional study including all blood donors of Kamenge Teaching Hospital blood bank. During this study, 1370 blood samples were screened for HIV, Syphilis, HBV and HCV. We calculated prevalence of TTIs and performed logistic regression to know associated risk factors. Results Blood donors were males at 77% and 23% females. They were mostly students (54.2%). On screening, 83 blood samples (6.06%) were seropositive for at least one TTI. The overall prevalence rate of HIV, Syphilis, HBV and HCV among blood donors was 1.3%, 0.2% ,1.6%, 2.9% respectively. There was difference in distribution of the four TTIs among blood donors which is statistically significant (x2=33.997, ϱ-value<0.001). Private donors were associated with a high risk of syphilis and being a first-time donor was associated with a high HBV risk factor. Conclusion The prevalence of TTIs found still to be high; mandatory and continuous screening is necessary.
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Affiliation(s)
- Epipode Ntawuyamara
- Department of Dermatology and Venereology, Faculty of Medicine, Kamenge Teaching Hospital of University of Burundi, P. Box 1020, Bujumbura, Burundi
- Department of Dermatology, Cosmetology and Venereology, Shenzhen Hospital of Southern Medical University, Shenzhen, Guangdong, China
| | - Astere Manirakiza
- Service of Oncology, Department of Internal Medicine, Kamenge Teaching Hospital, Burundi
- Doctoral School of University of Burundi, Bujumbura, Burundi
| | - Ferdinand Nduwimana
- Department of Clinical Biology, Faculty of Health Sciences and Medical Skills, Hope Africa University, Bujumbura, Burundi
| | - Arnaud Iradukunda
- Department of Statistics, Lake Tanganyika University, Mutanga, PB 5304, Burundi
- Royal Society of Tropical Medicine and Hygiene, 303-306 High Holborn, London, UK
- Department of research and Innovation, ARNECH Research and Consulting Office, Burundi
| | - Ramadhan Nyandwi
- Doctoral School of University of Burundi, Bujumbura, Burundi
- Department of Laboratories Kamenge Teaching Hospital of University of Burundi, Bujumbura, Burundi
| | - Dionys Nsanzabagenzi
- Department of Nephrology, Zhujiang Hospital of Southern Medical University, Guangzhou, China
- Department of Nephrology, Kamenge Military Hospital, Bujumbura, Burundi
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Haseeb Khan S, Ahmed Khan H, Ijaz Bhatti M, Mudasir Khan M. Profiles of Whole Blood Transfusion Recipients at a Teaching Hospital in Lahore, Pakistan. Cureus 2022; 14:e21728. [PMID: 35251802 PMCID: PMC8887547 DOI: 10.7759/cureus.21728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2022] [Indexed: 11/12/2022] Open
Abstract
Background Blood transfusion plays a vital role in medical practice. Evaluation of blood utilization in a blood bank is a crucial step in good transfusion practice. It is the inception towards assessing the present and future demands for blood and also avoiding unnecessary transfusions. Methods Retrospective analysis of one-year data, available in the blood bank of Gulab Devi Hospital Lahore, was done to study blood transfusion practice. Issue registers were accessed to retrieve the required information such as gender, age, blood group, pre-transfusion Hemoglobin level, ward, clinical diagnosis, and indication for the transfusion. The data was analyzed using SPSS version 20 software. Frequency and percentages were used to summarize categorical demographics and clinical variables. Results A total of 1181 units were requested from the hospital during our study period. Majority of the requests were for the female patients (69%) of the reproductive age group (21 to 30 years). Blood group B positive was most frequent in our study population. Maximum requests were from reproductive health departments (39.9%). Surgery was the major diagnostic category to require blood transfusions (31.8%). Elective surgery constituted the major indication requiring blood transfusion at our hospital (41.3%). Conclusion Blood utilization patterns vary significantly within geographical regions, hospital to hospital, and according to clinical practices as well as patients’ clinical findings. Moreover, diseases burden, level of organization, and advancement of healthcare facilities in various settings contribute to the significant contrast in blood utilization trends.
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Vhanda D, Chinowaita F, Nkomo S, Timire C, Kouamou V. Effects of repeated blood donation on iron status of blood donors in Zimbabwe: A cross-sectional study. Health Sci Rep 2021; 4:e426. [PMID: 34754947 PMCID: PMC8562310 DOI: 10.1002/hsr2.426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 09/28/2021] [Accepted: 09/29/2021] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION Iron deficiency is a major complication of repeated blood donation. However, most of the blood screening methods employed by blood collection agents do not include iron status markers, leading to possible subclinical iron deficiency. The aim of this study was to evaluate the effects of repeated blood donation on the iron status of this vulnerable population in Zimbabwe. METHODS All donors were categorized into groups based on number of donations made in the previous 2-year period prior to enrolment into the study. Serum iron, total iron-binding capacity (TIBC), and ferritin were analyzed on automated chemistry analyzers while transferrin saturation (TSAT) was calculated. The Wilcoxon rank-sum and ANOVA tests were used to assess the variation of iron profiles by gender and frequency of donations. All data analysis was performed using Stata software v13. RESULTS Study participants included 170 repeat donors and 20 first-time blood donors. The median (IQR) age was 23 (19-27) years, while the majority were males 57% (n = 109/190). The overall prevalence of iron deficiency and reduced iron stores was 12.6% and 38.9%, respectively. There were statistically significant differences between males and females in all the iron status parameters (P < .05). TIBC increased with number of donations, while iron, ferritin, and TSAT decreased with increased number of donations. CONCLUSION A high proportion of blood donors had iron deficiency despite being eligible to donate. Repeated blood donation may lead to substantial reduction in iron stores among blood donors. Inclusion of iron biochemical markers may enhance proper screening and monitoring of blood donors in Zimbabwe to prevent development of iron deficiency anemia.
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Affiliation(s)
- Donald Vhanda
- Diagnostic DepartmentPremier Services Medical InvestmentsHarareZimbabwe
- Department of Chemical PathologyUniversity of ZimbabweHarareZimbabwe
| | - Frank Chinowaita
- Diagnostic DepartmentPremier Services Medical InvestmentsHarareZimbabwe
- Department of Pathology (Microbiology)Midlands State UniversityGweruZimbabwe
| | - Sisodwa Nkomo
- Safety, Health, Environment and QualityNational Blood Service ZimbabweHarareZimbabwe
| | - Collins Timire
- AIDS and TB DepartmentMinistry of Health and Child CareHarareZimbabwe
| | - Vinie Kouamou
- Unit of Internal Medicine, Faculty of Medicine and Health SciencesUniversity of ZimbabweHarareZimbabwe
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Adedayo T, O'Mahony D, Adeleke O, Mabunda S. Doctors' practice and attitudes towards red blood cell transfusion at Mthatha Regional Hospital, Eastern Cape, South Africa: A mixed methods study. Afr J Prim Health Care Fam Med 2021; 13:e1-e8. [PMID: 34212740 PMCID: PMC8252156 DOI: 10.4102/phcfm.v13i1.2889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 03/28/2021] [Accepted: 04/01/2021] [Indexed: 01/28/2023] Open
Abstract
Background Unnecessary blood transfusion exposes recipients to potential harms. Aim The aim of this study was to describe blood transfusion practice and explore doctors’ attitudes towards transfusion. Setting A hospital providing level 1 and 2 services. Methods A mixed-methods study design was used. In the cross-sectional descriptive component, a sample was taken from patients transfused over a 2-month period. Blood use was categorised as for medical anaemia or haemorrhage, and appropriate or not. The qualitative component comprised a purposeful sample for focus group and individual semi-structured interviews. Results Of 239 patients sampled, 62% were transfused for medical anaemia and 38% for haemorrhage. In the medical anaemia group, compliance with age-appropriate transfusion thresholds was 69%. In medical anaemia and haemorrhage, 114 (77%) and 85 (93.4%) of recipients had orders for ≥ 2 red blood cell (RBC) units, respectively. In adults ≥ 18 years old with medical anaemia, 47.1% of orders would have resulted in a haemoglobin (Hb) > 8 g/dL. Six doctors participated in focus group and eleven in individual interviews. There was a lack of awareness of institutional transfusion guidelines, disagreement on appropriate RBC transfusion thresholds and comments that more than one RBC unit should always be transfused. Factors informing decisions to transfuse included advice from senior colleagues, relieving symptoms of anaemia and high product costs. Conclusion Most orders were for two or more units. In medical anaemia, doctors’ compliance with RBC transfusion thresholds was reasonable; however, almost half of the orders would have resulted in overtransfusion. The attitudes of doctors sampled suggest that their transfusion practice is influenced more by institutional values than formal guidelines.
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Affiliation(s)
- Temitope Adedayo
- Department of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha.
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Feyisa T, Tesfaye Kiya G, Maleko WA. Assessment of recipients' characteristics, transfusion appropriateness, and utilization pattern of blood and blood products in Jimma Medical Center, Jimma, Ethiopia. PLoS One 2021; 16:e0250623. [PMID: 33901253 PMCID: PMC8075257 DOI: 10.1371/journal.pone.0250623] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 04/10/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND As blood transfusion remains life-saving and is being frequently prescribed, a greater number of its practice is unnecessary or inappropriate. This important clinical intervention is reported as one of the five overused medical treatments, with gross over-ordering and whole blood transfusions as the sole component being common in developing countries. Study of recipient's demographics, clinical conditions, appropriate blood utilization, and continuous clinical audits for quality assurance and service improvement plan are important factors to this practice. This study was designed to assess the recipient's characteristics, blood type distributions, appropriateness of blood transfusion, and utilization practice of the big medical center. METHODS Institution based cross-sectional study was conducted from February 1 to June 30, 2018. Data were collected using a structured data collection format prepared for this study. All transfusion prescriptions were followed from requisition up to completion. Patient's age, sex, requesting departments, hemodynamics, number and component of units requested and issued, and units transfused were collected. Transfusion appropriateness was assessed by a criterion-based method while blood utilization was calculated. RESULTS A total of 545 units of blood for 425 patients were cross-matched of the 809 units of total blood prescribed. The mean and median age of transfused individuals was found to be 27.47 ±15.28 years and 26 years respectively, and 65.4% females most in reproductive age groups. O and A Rhesus-positive blood types were the two major blood groups observed. Overall 82.1% of transfusions were appropriate; while only 27.8% of patients received appropriate components as 96.5% of individuals received a whole blood transfusion. Significant blood utilization was recorded with a C/T ratio of 1.05, TP% of 100%, and TI of 1.23. CONCLUSION Much of the transfusion recipients were relatively young aged and females, most in the reproductive age group. Although whole blood was used as a sole component, significant blood transfusion utilization and appropriateness were recorded; while appropriate component transfusion was recorded to be significantly low. Local transfusion guidelines and appropriate component preparation and utilization are required to improve the sub-optimal blood component transfusion practice.
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Affiliation(s)
- Tufa Feyisa
- Hematology Laboratory Unit of Jimma Medical Center, Jimma University, Jimma, Ethiopia
| | - Girum Tesfaye Kiya
- School of Medical Laboratory Sciences, Jimma University, Jimma, Ethiopia
| | - Wondimagegn Adissu Maleko
- School of Medical Laboratory Sciences, Jimma University, Jimma, Ethiopia
- Clinical Trial Unit, Jimma University, Jimma, Ethiopia
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Zewdie K, Genetu A, Mekonnen Y, Worku T, Sahlu A, Gulilalt D. Efficiency of blood utilization in elective surgical patients. BMC Health Serv Res 2019; 19:804. [PMID: 31694644 PMCID: PMC6836486 DOI: 10.1186/s12913-019-4584-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 10/09/2019] [Indexed: 12/04/2022] Open
Abstract
Background Requesting blood prior to a surgical procedure for perioperative transfusion is a common practice in surgical patients. More unit of blood is requested than used by anticipating the patient will be transfused to provide a safety margin in an event of unexpected haemorrhage. Over requesting with minimal utilization results in significant wastage of blood, reagents and human resource. This study was conducted to assess blood utilization practice of the largest tertiary hospital in Ethiopia. Methods A cross-sectional prospective study method was used. Data was collected using a Proforma questionnaire by perusal of each individual patient’s records from December 1, 2017 to February 28, 2018.patient age, sex, department requesting the blood, level of operating surgeon, hemodynamic status, number of unit requested, number of unit crossed matched and number of unit transfused were collected. Efficiency of blood utilization was calculated with three indices: Crossmatch to transfusion ratio, transfusion probability, and transfusion index indices. Results Blood was requested for 406 patients and a total of 898 units were crossmatched for this patients. Overall Crossmatch to transfusion ration, transfusion probability and transfusion index were 7.6, 15.3% and 0.29 respectively. Results showed insignificant blood usage. Among different departments and units, better blood utilization was seen in neurosurgical unit with C/T ratio, TP and TI of 4.9, 24.4 and 0.6% respectively, while worst indices were from obstetrics unit with C/T ratio, TP and TI of 31.0, 6.5% and 0.06. Conclusion Using all the three parameters for evaluation of efficiency of blood utilization, the practice in our hospital shows ineffective blood utilization in elective surgical procedure. Blood requesting physician should order the minimum blood anticipated to be used as much as possible.
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Affiliation(s)
- Kibruyisfaw Zewdie
- Department of Surgery, Neurosurgery Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia.
| | - Abraham Genetu
- Department of Surgery, Cardiothoracic Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia
| | - Yeabsera Mekonnen
- Department of Surgery, Cardiothoracic Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia
| | - Tewodros Worku
- Department of Surgery, Cardiothoracic Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia
| | - Abat Sahlu
- Department of Surgery, Neurosurgery Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia
| | - Dereje Gulilalt
- Department of Surgery, Cardiothoracic Unit, Tikur Anbessa Specialized Hospital, Collage of Health Science, Addis Ababa University, P.O. box 9086, Addis Ababa, Ethiopia
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Okoroiwu HU, Okafor IM. Demographic characteristics of blood and blood components transfusion recipients and pattern of blood utilization in a tertiary health institution in southern Nigeria. BMC HEMATOLOGY 2018; 18:16. [PMID: 30079249 PMCID: PMC6069751 DOI: 10.1186/s12878-018-0112-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 07/15/2018] [Indexed: 12/24/2022]
Abstract
Background An insight into the utilization pattern helps in future planning of blood drive. This study was conducted to describe the demographic characteristics of the transfusion recipients and pattern of blood and blood product utilization in Nigeria. Methods Blood bank registers of University of Calabar Teaching Hospital (UCTH) Calabar were analysed for a 12 month period. Number of blood units requested, number of units issued, Cross-match to transfusion ratio (C/T), age, gender, blood group, blood components received, patients ward and clinical diagnosis were computed. Diagnoses were grouped into broad categories according to the disease headings of International Classification of Diseases (ICD-10). Results Majority of the 2336 transfusion recipients studied were females (69.09%) and are in the reproductive age group; 15-49 years (75.23%). The median age of the recipients was 35 years (range, 0-89). Most of the recipients (n = 1636; 70.04%) received whole blood transfusion. Majority (94.46%) of the cross-matched units were issued giving C/T ratio of 1.06. The common blood group type was O Rhesus positive (62.63%). Obstetrics and Gynecology had the highest blood requisition (41.40%). The majority of the patients were diagnosed with conditions related to pregnancy and childbirth (38.70%), conditions originating in prenatal period (14.38%). The age range of 25-54 years had the highest blood transfusion requests (n = 501; 51.07%), of these, females were majority (n = 390;77.84%). Conclusions Our study recorded mostly young patients who received mostly whole blood. Most of the patients in the reproductive age group received transfusion for pregnancy and child-birth related cases.
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Affiliation(s)
- Henshaw Uchechi Okoroiwu
- Haematology Unit, Department of Medical Laboratory Science, University of Calabar, Calabar, Nigeria
| | - Ifeyinwa Maryann Okafor
- Haematology Unit, Department of Medical Laboratory Science, University of Calabar, Calabar, Nigeria
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Kurup R, Anderson A, Boston C, Burns L, George M, Frank M. A study on blood product usage and wastage at the public hospital, Guyana. BMC Res Notes 2016; 9:307. [PMID: 27297566 PMCID: PMC4907253 DOI: 10.1186/s13104-016-2112-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 06/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Blood is a valuable resource and blood wastage in a low socio economic country could impose a very serious impact on healthcare. This study therefore analyzes the usage and wastage of blood and blood products at the Georgetown Public Hospital Cooperation (GPHC), Guyana. METHODS A retrospective study was conducted on the data retrieved from laboratory blood banking information system on usage and wastage of blood products during the years 2012-2014 at the public hospital. The data were analyzed in MS Excel and SPSS 20.0. RESULTS A total of 16,426 units of blood were issued from National Blood Transfusion Services. During the study period the most frequently requested blood component was packed cells followed by fresh frozen plasma (FFP), platelet, cryoprecipitate (CRYO) and whole blood respectively. Data indicated that 4167 units (25 %) of blood were wasted due to various reasons at GPHC. CONCLUSIONS There is a need for intervention through raising awareness among medical staff in reducing blood wastage.
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Affiliation(s)
- Rajini Kurup
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America.
| | - Audrey Anderson
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America
| | - Cecil Boston
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America
| | - Lynn Burns
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America
| | - Marian George
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America
| | - Marana Frank
- Faculty of Health Sciences, University of Guyana, Georgetown, Guyana, South America
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