Premium
Poor procedures and quality control among nonaffiliated blood centers in Burkina Faso: an argument for expanding the reach of the national blood transfusion center
Author(s) -
Nébié Koumpingnin,
Ouattara Siaka,
Sanou Mahamoudou,
Kientega Youssouphe,
Dahourou Honorine,
Ky Lassina,
Kienou Kisito,
Diallo Samba,
Bigirimana Françoise,
Fretz Catherine,
Murphy Edward L.,
Lefrère JeanJacques
Publication year - 2011
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/j.1537-2995.2011.03222.x
Subject(s) - medicine , blood transfusion , donation , blood collection , medical prescription , syphilis , blood bank , abo blood group system , transfusion medicine , blood supply , blood donor , medical emergency , emergency medicine , family medicine , human immunodeficiency virus (hiv) , surgery , nursing , immunology , political science , law
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.