Blood donation practices, processing and utilisation of blood components in government tertiary hospitals in Nigeria: a multicentre cooperative study.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Health Pub Date : 2024-11-04 DOI:10.1093/inthealth/ihad105

Garba Umar, Ibrahim Abdulqadir, Ngozi Ugwu, Titilope Adeyemo, Nabila Yau, Abdulazziz Hassan, John Olaniyi, Abubakar Musa, Sharafa Abubakar, Muhammad Ndakotsu, Jasini James, Chika Uche, Awwal Musa, Chikadibia Ukoma, Benedict Nwogoh, Ekaete David, Angela Ugwu, Chizoba Nwankwo, Olaitan Omokanye, Aisha Abba, Temilola Owojuyigbe, Mujtabba Isyaku, Esther Obi, Ezra Jatau, Timothy Ekwere, Rashidat Oladosu-Olayiwola, Hezekiah Isah, Sirajo Diggi, Alexander Nwannadi, Saleh Yuguda, Obinna Iheanacho, Hadiza Tikau, Ibijola Adeleke, Mabel Ekanem, Anazoeze Madu, Augustina Ikusemoro, Celestine Chukwu, Amal Galadanci, Okon Bassey, Theresa Otu, Obineche Agwu, Patrick Osho, Aisha Gwarzo, Sadiya Hassan, Adepoju Majeed, Anas Umar, Habib Abubakar, Mohamed Gimba, Michael Ugbor, Abdulmalik Ali, Clara Ajuba

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Abstract

Background: Timely access to safe blood and blood components is still a challenge in Nigeria. This study aimed to determine blood donation practices, processing and utilization of blood components across government tertiary hospitals (THs) in Nigeria.

Methods: This was a descriptive cross-sectional study done in Nigeria in June-July 2020. Data were analysed with SPSS version 21.0.

Results: Data were collected from 50 THs. The majority (68%) of the THs lack facilities for blood component preparation and only 18% and 32% provide cryoprecipitate and platelet concentrate, respectively. Whole blood was most commonly requested (57.04%). All facilities tested blood for HIV, HBV and HCV, but the majority (23 [46%]) employed rapid screening tests alone and nucleic acid testing was not available in any hospitals. The manual method was the most common method of compatibility testing in 90% (45/50) and none of the THs routinely perform extended red cell typing. The average time to process routine, emergency and uncross-matched requests were a mean of 109.58±79.76 min (range 45.00-360.00), 41.62±25.23 (10.00-240.00) and 11.09±4.92 (2.00-20.00), respectively.

Conclusion: Facilities for blood component preparation were not widely available. Concerned government authorities should provide facilities for blood component preparation.

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尼日利亚三级政府医院的献血做法、血液成分的处理和利用:多中心合作研究。

背景:在尼日利亚，及时获得安全血液和血液成分仍然是一个挑战。本研究旨在确定尼日利亚政府三级医院(THs)的献血做法、血液成分的处理和利用。方法:这是一项描述性横断面研究，于2020年6月至7月在尼日利亚完成。数据分析采用SPSS 21.0版。结果:收集了50例试验组的数据。大多数(68%)的此类医院缺乏血液成分制备设施，分别只有18%和32%的医院提供低温沉淀和血小板浓缩物。全血要求最多(57.04%)。所有机构都对血液进行HIV、HBV和HCV检测，但大多数(23家[46%])仅采用快速筛查试验，任何医院都没有核酸检测。手工方法是90%(45/50)中最常见的相容性测试方法，没有任何一种THs常规进行扩展红细胞分型。处理常规、紧急和非交叉匹配请求的平均时间分别为109.58±79.76 min(45.00-360.00)、41.62±25.23 min(10.00-240.00)和11.09±4.92 min(2.00-20.00)。结论:血液成分制备设备不普及。有关政府部门应提供血液成分制备设施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.