| Poor procedures and quality control among nonaffiliated blood centers in Burkina Faso: an argument for expanding the reach of the national blood transfusion center. | |
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MedLine Citation:
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PMID: 21736582 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The World Health Organization (WHO) recommends the creation of national blood transfusion services. Burkina Faso has a CNTS (Centre National de Transfusion Sanguine-National Blood Transfusion Center) but it currently covers only 53% of the national blood supply versus 47% produced by independent hospital blood banks. STUDY DESIGN: To evaluate blood collection, testing, preparation, and prescription practices in the regions of Burkina Faso that are not covered by the CNTS, a cross-sectional survey was conducted. METHODS: Data were collected by trained professionals from May to June 2009 at 42 autonomous blood centers not covered by the CNTS. RESULTS: Blood collection was supervised in all sites by laboratory technicians without specific training. There was no marketing of community blood donation nor mobile collection. Donation was restricted to replacement (family) donors in 21.4% of sites. Predonation screening of donors was performed in 63.4% of sites, but some did not use written questionnaires. Testing for HIV, hepatitis B virus, and syphilis was universal, although some sites did not screen for hepatitis C virus. In 83.3% of the sites, blood typing was performed without reverse ABO typing. In 97.6% of the sites, nurses acted alone or in conjunction with a physician to order blood transfusions. CONCLUSION: Shortcomings in non-CNTS blood centers argue for the development of a truly national CNTS. Such a national center should coordinate and supervise all blood transfusion activities, and is the essential first step for improving and institutionalizing blood transfusion safety and efficacy in a developing country. |
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Authors:
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Koumpingnin Nébié; Siaka Ouattara; Mahamoudou Sanou; Youssouphe Kientega; Honorine Dahourou; Lassina Ky; Kisito Kienou; Samba Diallo; Françoise Bigirimana; Catherine Fretz; Edward L Murphy; Jean-Jacques Lefrère |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Transfusion Volume: 51 ISSN: 1537-2995 ISO Abbreviation: Transfusion Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-08 Completed Date: 2011-09-15 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 0417360 Medline TA: Transfusion Country: United States |
Other Details:
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Languages: eng Pagination: 1613-8 Citation Subset: IM |
Copyright Information:
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© 2011 American Association of Blood Banks. |
Affiliation:
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Centre National de Transfusion Sanguine du Burkina Faso (National Center for Blood Transfusion in Burkina Faso), France. nebie_yacouba@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Banks
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organization & administration*,
standards*,
statistics & numerical data Blood Specimen Collection / standards, statistics & numerical data Burkina Faso / epidemiology Cross-Sectional Studies Developing Countries Geography HIV Infections / epidemiology, prevention & control Hepatitis / epidemiology, prevention & control Humans Infection Control / organization & administration, standards* Laboratory Personnel / standards, statistics & numerical data Medical Records / standards Quality Assurance, Health Care / methods*, organization & administration, standards* Quality Control Syphilis / epidemiology, prevention & control |
| Grant Support | |
ID/Acronym/Agency:
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K24 HL075036-07/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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