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

Nigeria blood blood component blood donation hepatitis hospital

Journal

International health
ISSN: 1876-3405
Titre abrégé: Int Health
Pays: England
ID NLM: 101517095

Informations de publication

Date de publication:
13 Nov 2023
Historique:
received: 27 06 2023
revised: 08 09 2023
accepted: 17 10 2023
medline: 13 11 2023
pubmed: 13 11 2023
entrez: 13 11 2023
Statut: aheadofprint

Résumé

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. This was a descriptive cross-sectional study done in Nigeria in June-July 2020. Data were analysed with SPSS version 21.0. 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. Facilities for blood component preparation were not widely available. Concerned government authorities should provide facilities for blood component preparation.

Sections du résumé

BACKGROUND 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 METHODS
This was a descriptive cross-sectional study done in Nigeria in June-July 2020. Data were analysed with SPSS version 21.0.
RESULTS 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 CONCLUSIONS
Facilities for blood component preparation were not widely available. Concerned government authorities should provide facilities for blood component preparation.

Identifiants

pubmed: 37956086
pii: 7416735
doi: 10.1093/inthealth/ihad105
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

Auteurs

Garba Umar (G)

Department of Haematology, Federal Medical Center, Birnin Kebbi, Kebbi State, Nigeria.

Ibrahim Abdulqadir (I)

Department of Haematology and Blood Transfusion, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.

Ngozi Ugwu (N)

Department of Haematology and Immunology, Ebonyi State University, Abakaliki, Nigeria.

Titilope Adeyemo (T)

Department of Haematology, University of Lagos, Lagos, Nigeria.

Nabila Yau (N)

Department of Haematology, College of Health Sciences, Federal University, Dutse, Jigawa State, Nigeria.

Abdulazziz Hassan (A)

Department of Haematology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

John Olaniyi (J)

Department of Haematology, University College Hospital, Ibadan, Nigeria.

Abubakar Musa (A)

Department of Haematology, Federal Medical Center, Yola, Nigeria.

Sharafa Abubakar (S)

Department of Haematology, Federal Medical Center, Yola, Nigeria.

Muhammad Ndakotsu (M)

Department of Haematology, Federal Medical Center, Yola, Nigeria.

Jasini James (J)

Department of Haematology, Federal Medical Center, Yola, Nigeria.

Chika Uche (C)

Department of Haematology, Abia State University Teaching Hospital, Aba Abai State, Nigeria.

Awwal Musa (A)

Department of Haematology, Murtala Muhammad Specialist Hospital, Kano, Nigeria.

Chikadibia Ukoma (C)

Department of Haematology, Federal Medical Center, , Keffi, Nassarawa State, Nigeria.

Benedict Nwogoh (B)

Department of Haematology, University of Benin Teaching Hospital, Benin City, Nigeria.

Ekaete David (E)

Department of Haematology, Natioanl Hospital, Abuja, Nigeria.

Angela Ugwu (A)

Department of Haematology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.

Chizoba Nwankwo (C)

Department of Haematology, Asokoro District Hospital, Abuja, Nigeria.

Olaitan Omokanye (O)

Department of Haematology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

Aisha Abba (A)

Department of Haematology, University of Maiduguri Teaching Hospital, Bornu State, Nigeria.

Temilola Owojuyigbe (T)

Department of Haematology, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State, Nigeria.

Mujtabba Isyaku (M)

Department of Haematology, Federal Medical Center, Yenagoa, Bayelsa State, Nigeria.

Esther Obi (E)

Department of Haematology, Federal Medical Center, Yenagoa, Bayelsa State, Nigeria.

Ezra Jatau (E)

Department of Haematology, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.

Timothy Ekwere (T)

Department of Haematology, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria.

Rashidat Oladosu-Olayiwola (R)

Department of Haematology, Federal Medical Center, Abeokuta, Nigeria.

Hezekiah Isah (H)

Department of Haematology, University of Abuja Teaching Hospital, Abuja, Nigeria.

Sirajo Diggi (S)

Department of Haematology, Sir Yahaya Memorial Hospital, Birnin Kebbi, Kebbi State, Nigeria.

Alexander Nwannadi (A)

Department of Haematology, Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria.

Saleh Yuguda (S)

Department of Haematology, Federal Teaching Hospital, Gombe, Nigeria.

Obinna Iheanacho (O)

Department of Haematology, University of Calabar, Cross River State, Nigeria.

Hadiza Tikau (H)

Department of Haematology, Federal Medical Center, Nguru, Yobe State, Nigeria.

Ibijola Adeleke (I)

Department of Haematology, Federal Teaching Hospital, Ido Ekiti, Nigeria.

Mabel Ekanem (M)

Department of Haematology, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria.

Anazoeze Madu (A)

Department of Haematology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.

Augustina Ikusemoro (A)

Department of Haematology, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.

Celestine Chukwu (C)

Department of Haematology, National Neuropsychiatric hospital, Benin City, Edo State, Nigeria.

Amal Galadanci (A)

Department of Haematology, National Neuropsychiatric hospital, Benin City, Edo State, Nigeria.

Okon Bassey (O)

Department of Haematology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.

Theresa Otu (T)

Department of Haematology, University of Abuja Teaching Hospital, Abuja, Nigeria.

Obineche Agwu (O)

Department of Haematology, Federal Teaching Hospital, Umuahia, Abia State, Nigeria.

Patrick Osho (P)

Department of Haematology, University of Medical Sciences Teaching Hospital, Ondo State, Nigeria.

Aisha Gwarzo (A)

Department of Haematology, National Neuropsychiatric hospital, Benin City, Edo State, Nigeria.

Sadiya Hassan (S)

National Eye Centre, Kaduna, Nigeria.

Adepoju Majeed (A)

Department of Haematology, Federal Medical Center, Gusau, Nigeria.

Anas Umar (A)

General Outpatient Clinic, Federal Medical Center, Birnin-Kudu, Nigeria.

Habib Abubakar (H)

Department of Haematology, Rasheed Shekoni Specialist Hospital, Dutse, Jigawa State, Nigeria.

Mohamed Gimba (M)

Federal Neuropsychiatric Hospital, Kware, Sokoto State, Nigeria.

Michael Ugbor (M)

Federal Neuropsychiatric Hospital, Kaduna, Nigeria.

Abdulmalik Ali (A)

Department of Haematology, Muhammad Abdullahi Wase Specialist Hospital, Kano, Nigeria.

Clara Ajuba (C)

Department of Haematology, Nnamdi Azikiwe University, Nnewi, Anambra State, Nigeria.

Classifications MeSH