Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria

Background. Donated blood is an essential component of the management of many diseases, and hospital-based blood banks in Nigeria are saddled with the responsibility of provision of safe blood and coordination of its appropriate utilization for patient care. Objective. This study reviewed the extent...

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Main Authors: Oluomachi Charity Nnachi, Charles Uzor, Chukwuma David Umeokonkwo, Emeka Ogah Onwe, Augustine Ejike Okoye, Richard Lawrence Ewah, Favour Ogonna Nwani
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2022/2622291
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author Oluomachi Charity Nnachi
Charles Uzor
Chukwuma David Umeokonkwo
Emeka Ogah Onwe
Augustine Ejike Okoye
Richard Lawrence Ewah
Favour Ogonna Nwani
author_facet Oluomachi Charity Nnachi
Charles Uzor
Chukwuma David Umeokonkwo
Emeka Ogah Onwe
Augustine Ejike Okoye
Richard Lawrence Ewah
Favour Ogonna Nwani
author_sort Oluomachi Charity Nnachi
collection DOAJ
description Background. Donated blood is an essential component of the management of many diseases, and hospital-based blood banks in Nigeria are saddled with the responsibility of provision of safe blood and coordination of its appropriate utilization for patient care. Objective. This study reviewed the extent to which the hospital blood transfusion service ensures adequate safe blood supply and utilization. Materials/Methods. This was a retrospective study of 2 years record of the blood bank service of Alex Ekwueme Federal University Teaching. Methods of donor blood procurement, transfusion transmissible infection status, the pattern of blood, and blood component usage across the hospital’s clinical departments were evaluated. Statistical analysis was conducted using IBM SPSS, and data were presented as percentages. Fisher’s tests were used to test significance, and p value <0.05 is significant. Results. The highest proportion of donors was male family replacement donors aged 26–35 years (3634 (39.68%)) while total voluntary donors were 315 (2.65%). Hepatitis B had the highest seroprevalence 267 (2.22%) among blood-borne diseases screened. National Blood Transfusion Service (NBTS) supplied only 3 (0.03%) of total blood units used. The accident and emergency department had the highest proportion of persons who utilized whole blood; 4568 (99.96%). Conclusion. The hospital blood bank relies heavily on family replacement donors with little or no assistance from the National Blood Transfusion Service. Family replacement donors have the highest risk of TTIs, and hepatitis B infection has the highest prevalence. The high cost of blood component therapy increases the need for whole blood.
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spelling doaj-art-19cf92a0edb8497aae709a3616f81dc02025-08-20T02:02:05ZengWileyAnemia2090-12752022-01-01202210.1155/2022/2622291Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in NigeriaOluomachi Charity Nnachi0Charles Uzor1Chukwuma David Umeokonkwo2Emeka Ogah Onwe3Augustine Ejike Okoye4Richard Lawrence Ewah5Favour Ogonna Nwani6Department of HaematologyDepartment of HaematologyDepartment of Community MedicineDepartment of PaediatricsDepartment of HaematologyDepartment of AnaesthesiaDepartment of HaematologyBackground. Donated blood is an essential component of the management of many diseases, and hospital-based blood banks in Nigeria are saddled with the responsibility of provision of safe blood and coordination of its appropriate utilization for patient care. Objective. This study reviewed the extent to which the hospital blood transfusion service ensures adequate safe blood supply and utilization. Materials/Methods. This was a retrospective study of 2 years record of the blood bank service of Alex Ekwueme Federal University Teaching. Methods of donor blood procurement, transfusion transmissible infection status, the pattern of blood, and blood component usage across the hospital’s clinical departments were evaluated. Statistical analysis was conducted using IBM SPSS, and data were presented as percentages. Fisher’s tests were used to test significance, and p value <0.05 is significant. Results. The highest proportion of donors was male family replacement donors aged 26–35 years (3634 (39.68%)) while total voluntary donors were 315 (2.65%). Hepatitis B had the highest seroprevalence 267 (2.22%) among blood-borne diseases screened. National Blood Transfusion Service (NBTS) supplied only 3 (0.03%) of total blood units used. The accident and emergency department had the highest proportion of persons who utilized whole blood; 4568 (99.96%). Conclusion. The hospital blood bank relies heavily on family replacement donors with little or no assistance from the National Blood Transfusion Service. Family replacement donors have the highest risk of TTIs, and hepatitis B infection has the highest prevalence. The high cost of blood component therapy increases the need for whole blood.http://dx.doi.org/10.1155/2022/2622291
spellingShingle Oluomachi Charity Nnachi
Charles Uzor
Chukwuma David Umeokonkwo
Emeka Ogah Onwe
Augustine Ejike Okoye
Richard Lawrence Ewah
Favour Ogonna Nwani
Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
Anemia
title Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
title_full Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
title_fullStr Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
title_full_unstemmed Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
title_short Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria
title_sort donor blood procurement safety and clinical utilization a study of blood transfusion services in a tertiary care hospital in nigeria
url http://dx.doi.org/10.1155/2022/2622291
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