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Nebie K, Sawadogo S, Sawadogo S, Koulidiati J, Lengani HY, Sawadogo AG, Babinet J, Khalloufi M, Diop S, Kafando E. Red blood cell alloimmunisation in multi-transfused patients with chronic renal failure undergoing haemodialysis in Ouagadougou, Burkina Faso, 2018. Afr J Lab Med 2022; 11:1625. [PMID: 36263390 PMCID: PMC9575384 DOI: 10.4102/ajlm.v11i1.1625] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 05/26/2022] [Indexed: 11/21/2022] Open
Abstract
Background In Burkina Faso, red blood cell (RBC) transfusion remains the crucial anaemia treatment following chronic renal failure (CRF) as erythropoietin and its analogues are unavailable. However, blood group matching beyond the ABO and Rhesus is not common in Burkina Faso. Thus, alloimmunisation is a potential issue for transfused patients. Objective Our study aimed to identify anti-erythrocyte antibodies in multi-transfused CRF patients at the Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso. Methods This cross-sectional study, conducted from October 2018 to November 2019, included CRF patients who had received at least two RBC units. We screened patients for the presence of RBC antibodies using three commercial Cells panels and identified antibody specificities for positive screenings using 11 Cells panels for an indirect antiglobulin test (IAT) in a low ionic strength microcolumn gel-card system. Results Two hundred and thirty-five patients (45.1% female; average age: 41.5 years) were included. The median number of blood units received per patient was 10 (interquartile range: 5–20). The overall alloimmunisation rate was 5.9% (14/235). Antibodies identified included: anti-D (1 case), anti-C (1 case), anti-D+C (4 cases), anti-CW (1 case), anti-E (1 case), anti-S (1 case) and anti-Lea (1 case). In four positive patients, the specificity of the antibodies was indeterminate. No risk factors were associated with alloimmunisation. Conclusion In Burkina Faso, screening for RBC alloantibodies should be mandated for patients at risk. The high rate of indeterminate antibodies suggests the need to develop a local RBC antibody panel adapted to the local population.
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Affiliation(s)
- Koumpingnin Nebie
- National Blood Center of Ouagadougou, Ouagadougou, Burkina Faso
- Laboratory of Haematology, Department of Fundamental Sciences, Health Sciences Research and Training Unit, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
| | - Salam Sawadogo
- National Blood Center of Ouagadougou, Ouagadougou, Burkina Faso
- Laboratory of Haematology, Department of Fundamental Sciences, Health Sciences Research and Training Unit, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
| | - Salifo Sawadogo
- National Institute for Medical Sciences, University Nazi Boni, Bobo-Dioulasso, Burkina Faso
- Souro Sanou Teaching Hospital, Bobo-Dioulasso, Burkina Faso
| | - Jérôme Koulidiati
- Laboratory of Haematology, Department of Fundamental Sciences, Health Sciences Research and Training Unit, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
- Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
| | | | | | - Jérôme Babinet
- Centre National de Référence pour les Groupes Sanguins (CNRGS), National Institute for Blood Transfusion, Paris, France
| | | | - Saliou Diop
- Department of Haematology, University Cheikh Anta Diop, Dakar, Senegal
| | - Eléonore Kafando
- Laboratory of Haematology, Department of Fundamental Sciences, Health Sciences Research and Training Unit, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
- Laboratory of Haematology, Paediatric Teaching Hospital Charles de Gaulle, Ouagadougou, Burkina Faso
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Musumari PM, Mbikayi SM, Srithanaviboonchai K, Techasrivichien T, Tangmunkongvorakul A, Tshilolo L. Symptoms of acute transfusion reactions at a general referral hospital in Kinshasa, Democratic Republic of Congo: a cross-sectional study. BMJ Open 2021; 11:e045081. [PMID: 34290061 PMCID: PMC8296776 DOI: 10.1136/bmjopen-2020-045081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Blood transfusion is a life-saving procedure and is also associated with a range of risks including the occurrence of symptoms of acute transfusion reactions (ATRs). Very few studies in sub-Saharan Africa have reported on ATRs. The present study addresses this gap in the literature by documenting the prevalence of and factors associated with ATRs in the Democratic Republic of Congo (DRC). DESIGN This is a cross-sectional descriptive and analytical study using blood bank data from a general referral hospital. SETTING Centre Hospitalier Mère-Enfant (CHME) Monkole, a general referral hospital in Kinshasa, DRC. PARTICIPANTS General population who have received blood transfusion in CHME Monkole between 2014 and 2019. RESULTS The data set included a total of 7166 patients; 3153 (44%) men and 4013 (56%) women. The overall prevalence of symptoms of ATRs was 2.6%; the lowest prevalence was in 2017 (2.34%) and highest in 2018 (2.95%) and 2019 (2.94%). The documented symptoms included 74 (39.6%) cases of dyspnoea/respiratory distress, 60 (32.1%) cases of fever, 36 (19.2%) cases of pruritus/urticaria and 17 (9.1%) cases of vomiting. None of the studied factors was associated with symptoms of ATRs. CONCLUSION Symptoms of ATRs were not uncommon in the studied population. Dyspnoea and respiratory distress, fever and pruritus/urticaria were the most common symptoms of ATRs. This study highlights the need for a clinical and biological surveillance to detect, prevent and manage ATRs in the context of the DRC.
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Affiliation(s)
- Patou Masika Musumari
- Global Health Interdisciplinary Unit, Center for the Promotion of Interdisciplinary Education and Research, Kyoto University, Kyoto, Japan
- Chiang Mai University Research Institute for Health Sciences, Chiang Mai, Thailand
| | - Samclide Mutindu Mbikayi
- Department of Hematology, Centre Hospitalier Mère-Enfant Monkole, Kinshasa, Democratic Republic of Congo
| | - Kriengkrai Srithanaviboonchai
- Chiang Mai University Research Institute for Health Sciences, Chiang Mai, Thailand
- Department of Community Medicine, Chiang Mai University Faculty of Medicine, Chiang Mai, Thailand
| | - Teeranee Techasrivichien
- Global Health Interdisciplinary Unit, Center for the Promotion of Interdisciplinary Education and Research, Kyoto University, Kyoto, Japan
- International Institute of Socio-Epidemiology, Kyoto, Japan
| | | | - Léon Tshilolo
- Department of Hematology, Centre Hospitalier Mère-Enfant Monkole, Kinshasa, Democratic Republic of Congo
- Centre de Formation et Appui Sanitaire (CEFA), Kinshasa, Democratic Republic of Congo
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Sawadogo S, Nebie K, Millogo T, Sontie S, Nana A, Dahourou H, Yonli DY, Tapko JB, Faber JC, Kafando E, Deneys V. Traceability of Blood Transfusions and Reporting of Adverse Reactions in Developing Countries: A Six-Year Postpilot Phase Experience in Burkina Faso. Adv Hematol 2018; 2018:7938130. [PMID: 30671095 DOI: 10.1155/2018/7938130] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Revised: 10/27/2018] [Accepted: 11/18/2018] [Indexed: 11/24/2022] Open
Abstract
Traceability is an essential tool for haemovigilance and transfusion safety. In Burkina Faso, the implementation of haemovigilance has been achieved as part of a pilot project from 2005 to 2009. Our study aims to evaluate the traceability of blood transfusions and reporting of adverse reactions over the 6-year postpilot phase. A cross-sectional study including all blood units ordered between 2010 and 2015 has been conducted in public and private health care facilities supplied with blood products by the transfusion center of Bobo-Dioulasso. The complete traceability was possible for 83.5% of blood units delivered. Adverse reactions were reported in 107 cases representing 2.1/1,000 blood units per annum. Transfusions of wrong blood to wrong patient were reported in 13 cases. Our study shows that the haemovigilance system in Burkina Faso must be improved. Healthcare workers have to be sensitized on how traceability and haemovigilance could impact the quality of care provided to patients.
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Sawadogo S, Kafando E, Nébié K, Ouédraogo AS, Ouattara S, Dahourou H, Fretz C, Deneys V. [Factors associated with the satisfaction of prescribers of blood products in Burkina Faso]. Transfus Clin Biol 2017; 24:440-448. [PMID: 28571691 DOI: 10.1016/j.tracli.2017.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 04/21/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND The National Blood Transfusion Centre, unique operator of blood transfusion in Burkina Faso is engaged into the quality process according to ISO 9001. Therefore, the assessment of customer satisfaction is a main part of its system. Our study conceives "customer satisfaction" as dependant to the perceived service quality based on SERVQUAL model. OBJECTIVES To identify factors associated with the satisfaction of blood products prescribers in order to help decision-makers for continuous improvement of services. MATERIAL AND METHODS We conducted a cross-sectional survey among prescribers of blood components in Ouagadougou, between February 27 and April 30, 2015. We used an anonymous self-administered questionnaire, including 13 items associated to the 5 dimensions of SERVQUAL model. The different satisfaction gaps were calculated and linear regression was used to determine statistical associations with a significance level of 5%. RESULTS The return rate was 94.5% about the 256 questionnaires distributed. A total of 30% of respondents were satisfied to very satisfied. The overall global gap of satisfaction was -5.74. The product delivery time, the efficacy and safety of blood products, the medical and clinical support, the pro-activity of the communication, the management of blood products reservation and the satisfaction of needs in blood products were the factors associated with the prescribers' satisfaction. CONCLUSION This first study in blood transfusion services in our context was been useful to assess customer satisfaction and identify the main axes on which targeting priority actions in order to effectively use available resources.
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Affiliation(s)
- S Sawadogo
- Laboratoire d'hématologie, UFR/SDS, université Ouaga I Professeur Joseph Ki-Zerbo, 03 BP, 7021 Ouagadougou, Burkina Faso; Centre national de transfusion sanguine, avenue Kumda-Yoonré, 01 BP, 5372 Ouagadougou, Burkina Faso.
| | - E Kafando
- Laboratoire d'hématologie, UFR/SDS, université Ouaga I Professeur Joseph Ki-Zerbo, 03 BP, 7021 Ouagadougou, Burkina Faso
| | - K Nébié
- Laboratoire d'hématologie, UFR/SDS, université Ouaga I Professeur Joseph Ki-Zerbo, 03 BP, 7021 Ouagadougou, Burkina Faso; Centre national de transfusion sanguine, avenue Kumda-Yoonré, 01 BP, 5372 Ouagadougou, Burkina Faso
| | - A-S Ouédraogo
- Laboratoire d'hématologie, UFR/SDS, université Ouaga I Professeur Joseph Ki-Zerbo, 03 BP, 7021 Ouagadougou, Burkina Faso
| | - S Ouattara
- Centre national de transfusion sanguine, avenue Kumda-Yoonré, 01 BP, 5372 Ouagadougou, Burkina Faso
| | - H Dahourou
- Centre national de transfusion sanguine, avenue Kumda-Yoonré, 01 BP, 5372 Ouagadougou, Burkina Faso
| | - C Fretz
- Établissement français du sang, Île-de-France, 122-130, rue Marcel-Hartmann-Leapark, bâtiment B, 94200 Ivry-sur-Seine, France
| | - V Deneys
- Service de transfusion sanguine, CHU UCL-Namur-Asbl, site de Godinne, 1, avenue Docteur-G.-Thérasse, 5530 Yvoir, Belgique
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Roberts DJ, Field S, Delaney M, Bates I. Problems and Approaches for Blood Transfusion in the Developing Countries. Hematol Oncol Clin North Am 2016; 30:477-95. [DOI: 10.1016/j.hoc.2015.11.011] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Tagny CT, Murphy EL, Lefrère JJ; Recherches Transfusionnelles en Afrique Francophone. [The francophone Africa blood transfusion research network: a five-year report]. Transfus Clin Biol 2014; 21:37-42. [PMID: 24360798 DOI: 10.1016/j.tracli.2013.10.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2013] [Accepted: 10/01/2013] [Indexed: 11/20/2022]
Abstract
There has been little blood safety research in sub-Saharan Africa, often consisting of local efforts whose findings had limited impact The "Francophone Africa Transfusion Research Network" was created in May 2007 with the objective of developing common evidence-based blood safety policies that may be adapted to each country's situation. The Group's activities to date have focused mainly on obtaining epidemiological and laboratory data on blood transfusion and on suggesting blood safety strategies, particularly in the field of TTIs. To carry out such research activities, the group works closely with the National Blood Transfusion Services (NBTS), the Regional Blood Transfusion Services (RBTS), the hospital blood banks (HBB) and collection stations. For the first 5years, four research priorities were identified: (i) descriptive studies of the characteristics of francophone African blood donors and blood centers; (ii) estimation of the residual risk of transfusion-transmitted major viral infections; (iii) an analysis of blood donor deferral strategies; and (iv) a description of TTI screening strategies and an external quality assurance system (EQAS) project. During this period, seven projects have been implemented at the national level and published and five multicenter studies were conducted and published. The present review reports the main observations and recommendations from those studies that could improve blood safety statute in Africa.
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Meza BP, Lohrke B, Wilkinson R, Pitman JP, Shiraishi RW, Bock N, Lowrance DW, Kuehnert MJ, Mataranyika M, Basavaraju SV. Estimation of the prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia. Blood Transfus 2014; 12:352-61. [PMID: 24333079 DOI: 10.2450/2013.0143-13] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Received: 05/13/2013] [Accepted: 08/01/2013] [Indexed: 11/21/2022]
Abstract
BACKGROUND Acute transfusion reactions are probably common in sub-Saharan Africa, but transfusion reaction surveillance systems have not been widely established. In 2008, the Blood Transfusion Service of Namibia implemented a national acute transfusion reaction surveillance system, but substantial under-reporting was suspected. We estimated the actual prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia. METHODS The percentage of transfusion events resulting in a reported acute transfusion reaction was calculated. Actual percentage and rates of acute transfusion reactions per 1,000 transfused units were estimated by reviewing patients' records from six hospitals, which transfuse >99% of all blood in Windhoek. Patients' records for 1,162 transfusion events occurring between 1(st) January - 31(st) December 2011 were randomly selected. Clinical and demographic information were abstracted and Centers for Disease Control and Prevention National Healthcare Safety Network criteria were applied to categorize acute transfusion reactions. RESULTS From January 1 - December 31, 2011, there were 3,697 transfusion events (involving 10,338 blood units) in the selected hospitals. Eight (0.2%) acute transfusion reactions were reported to the surveillance system. Of the 1,162 transfusion events selected, medical records for 785 transfusion events were analysed, and 28 acute transfusion reactions were detected, of which only one had also been reported to the surveillance system. An estimated 3.4% (95% confidence interval [CI]: 2.3-4.4) of transfusion events in Windhoek resulted in an acute transfusion reaction, with an estimated rate of 11.5 (95% CI: 7.6-14.5) acute transfusion reactions per 1,000 transfused units. CONCLUSION The estimated actual rate of acute transfusion reactions is higher than the rate reported to the national haemovigilance system. Improved surveillance and interventions to reduce transfusion-related morbidity and mortality are required in Namibia.
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Basavaraju SV, Lohrke B, Pitman JP, Pathak SR, Meza BPL, Shiraishi RW, Wilkinson R, Bock N, Mataranyika M, Lowrance DW. Knowledge and barriers related to reporting of acute transfusion reactions among healthcare workers in Namibia. Transfus Med 2013; 23:367-9. [PMID: 23841708 DOI: 10.1111/tme.12058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Revised: 06/11/2013] [Accepted: 06/17/2013] [Indexed: 11/28/2022]
Affiliation(s)
- Sridhar V Basavaraju
- HIV Prevention Branch, Division of Global HIV/AIDS, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA
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