| Transfusion safety in francophone African countries: an analysis of strategies for the medical selection of blood donors. | |
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MedLine Citation:
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PMID: 22014098 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: The goal of selecting a healthy blood donor is to safeguard donors and reduce the risks of infections and immunologic complications for recipients. STUDY DESIGN AND METHODS: To evaluate the blood donor selection process, a survey was conducted in 28 blood transfusion centers located in 15 francophone African countries. Data collected included availability of blood products, risk factors for infection identified among blood donor candidates, the processing of the information collected before blood collection, the review process for the medical history of blood donor candidates, and deferral criteria for donor candidates. RESULTS: During the year 2009, participating transfusion centers identified 366,924 blood donor candidates. A mean of 13% (range, 0%-36%) of the donor candidates were excluded based solely on their medical status. The main risk factors for blood-borne infections were having multiple sex partners, sexual intercourse with occasional partners, and religious scarification. Most transfusion centers collected this information verbally instead of having a written questionnaire. The topics least addressed were the possible complications relating to the donation, religious scarifications, and history of sickle cell anemia and hemorrhage. Only three centers recorded the temperature of the blood donors. The deferral criteria least reported were sickle cell anemia, piercing, scarification, and tattoo. CONCLUSIONS: The medical selection process was not performed systemically and thoroughly enough, given the regional epidemiologic risks. It is essential to identify the risk factors specific to francophone African countries and modify the current medical history questionnaires to develop a more effective and relevant selection process. |
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Authors:
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Claude Tayou Tagny; Maxime Diané Kouao; Hamane Touré; Jalel Gargouri; Ahamada Said Fazul; Siaka Ouattara; Ludovic Anani; Habiba Othmani; Lochina Feteke; Honorine Dahourou; Guy Olivier Mbensa; Simplice Molé; Yacouba Nébié; Madeleine Mbangue; Michel Toukam; Mahommed Ould Boulahi; Lalatiana Valisoa Andriambelo; Olivat Rakoto; Mounirou Baby; Rakia Yahaya; Amelia Bokilo; Florent Senyana; Dora Mbanya; Caroline Shiboski; Edward L Murphy; Jean Jacques Lefrère |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-20 |
Journal Detail:
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Title: Transfusion Volume: - ISSN: 1537-2995 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417360 Medline TA: Transfusion Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 American Association of Blood Banks. |
Affiliation:
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From the Centre Hospitalier et Universitaire, Yaoundé, Cameroun; the Centre National de Transfusion Sanguine, Abidjan, Cote d'Ivoire; the Centre de Santé de Référence, Kidal, Mali; the Centre Régional de Transfusion Sanguine, Sfax, Tunisie; the Centre Hospitalier d'El Maarouf, Comores; the Centre Régional de Transfusion Sanguine, Fada N'Gourma, Burkina-Faso; the Service Départemental de la Transfusion Sanguine Atlantique Littoral, Cotonou, Bénin; the Centre Régional de Transfusion Sanguine, Rabat, Maroc; the Centre National de Transfusion Sanguine, Lomé, Togo; the Centre Régional de Transfusion Sanguine, Bobo-Dioulasso, Burkina-Faso; the Centre National de Transfusion Sanguine, Kinshasa, République Démocratique du Congo; Hôpital Central, Yaoundé, Cameroun; the Centre National de Transfusion Sanguine, Ouagadougou, Burkina-Faso; Hôpital Laquintinie, Douala, Cameroun; Hôpital Général, Yaoundé, Cameroun; the Centre National de Transfusion Sanguine, Nouakchott, Mauritanie; the Centre National de Transfusion Sanguine, Antananarivo, Madagascar; the Centre National de Transfusion Sanguine, Bamako, Mali; the Centre Régional de Transfusion Sanguine, Niamey, Niger; the Centre National de Transfusion Sanguine, Brazzaville, République du Congo; the Centre National de Transfusion Sanguine, Kigali, Rwanda; the University of California San Francisco and Blood Systems Research Institute, San Francisco, California; and the Institut National de la Transfusion Sanguine, Paris, France. |
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