Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 1

The Problem of Blood Transfusion in Bangui, Central African Republic

Ngouyombo Ange Donatien1, Pamatika Christian MauKler2, Doui Doumgba Antoine3* and Le Faou Alain4

1Director Medical Officer of the Health Region, Bangui
2National Blood Transfusion Centre, Bangui
3Surgeon, Associate Lecturer, Head of Department of General and Digestive Surgery, CHU of Sino-Central African Friendship, Bangui
4Faculty of Pharmacy and Faculty of Medicine Maieutics and Health Professions, Brabois-Santé, University of Lorraine, France

*Corresponding Author: Doui Doumgba Antoine, Surgeon, Associate Lecturer, Head of Department of General and Digestive Surgery, CHU of Sino-Central African Friendship, Bangui.

Received: March 21, 2022; Published: December 07, 2022

Abstract

Objectives: Describe the problems related to the supply and use of blood products in Bangui, Central African Republic

Methods: It was a cross-sectional study, conducted from 1 August to 1 October 2013 in three public hospitals in Bangui, on the practical modalities of blood transfusion in patients whose clinical condition required blood transfusion.

Results: 300 patients were included, of which 169 (56.3%) were female (sex ratio = 0.77). The mean age of the patients was 30.5 years (range: 5 months and 64 years). The main indications for transfusion were medical (70% of cases), gynecological or obstetrical (19% of cases) and surgical (11% of cases). Whole blood was used in all patients. The transfused volume was 500 ml in 64.4% of cases. In 75% of cases, the transfused blood came from voluntary donors. The transport of the blood bags to hospitals was provided by a relative of the patient. The time interval between prescription and blood transfusion was reasonable for the Pediatric Complex hospital closer to the national blood transfusion center compared to the other two hospitals where it could take more than an hour. Determination of blood group and Rhesus factor prior to blood transfusion was only performed in 189 patients (63%). A single blood bag (500 ml) was transfused in 196 (64.4%) patients and in 48.7% of cases transfusions were done with O + blood. Only 25 patients (8.3%) were tested for compatibility in the patient’s bed.

Conclusions: To ensure transfusion safety, the authors recommend strengthening the capacity of the CNTS in equipment and logistical means for the preparation of products and blood distribution, decentralization of blood product storage and recycling of blood transfusion safety practitioners.

Keywords: Blood Transfusion; Whole Blood; Transfusion Safety; Compatibility Test; Central African Republic

References

  1. Batima A., et al. “Infectious markers in blood donors in the Democratic Republic of Congo (DRC)”. Revue medicale de Bruxelles 28 (2007): 145-149.
  2. Daurat G and Renaudier P. “Specific risks of transfusion in medicine”. Transfusion Clinical Biology 19 (2012): 206-11.
  3. , et al. “Incidence of Rh Antigens, Phenotype and Probable Genotype in the Population of Gwalior and Chambal Region, Central India”. International Blood Research and Reviews 1 (2013): 29-43.
  4. Darie AB., et al. “Transfusion safety and drepanocytosis in Bamako, Mali. VHC rt allo immunization anti-Rh and Kell in drepanocytic”. Transfusion Clinical Biology 19 (2013): 1-6.
  5. Mitha N., et al. “Transfusion thresholds and objectives in patients over 75 years of age: analysis of 736 blood cell transfusions and comparison with recommendations”. Presse Médicine 43 (2014): e251-e256.
  6. Raveloson N., et al. “Assessment of the needs for blood products in the emergency department of the University Hospital of Mahajanga (Madagascar). R.A.M.U.R”. 17.2 (2012): 1-7.
  7. Okoko AR., et al. “Pediatric transfusion activity at brazaville University Hospital”. Science Médicine 6(2008): 30-33.
  8. Andreu G., et al. “Blood transfusion: current affairs debates 2008”. Hematology 14(2008):65-89.
  9. Riou B. “Emergency Erythrocyte Transfusion: Expert Text - XXIII Consensus Conference in Resuscitation and Emergency Medicine”. Resuscitation 12 (2003): 603-609.
  10. Philippe D and Charles B. “Senegal's National Blood Transfusion Policy”. Karthala. Editions 6 (2006): 3-22.
  11. Lagneau F., et al. “State of play on the organization of emergency blood transfusion within French health institutions participating in the initial care of polytraumatized patients”. Annales Françaises d'Anesthésie et de Réanimation 26 (2007): 23-29.
  12. French Agency for the Safety of Health Products. “Homologous red blood cell transfusions: products, indications, alternatives”. August (2002).

Citation

Citation: Doui Doumgba Antoine., et al. “The Problem of Blood Transfusion in Bangui, Central African Republic”.Acta Scientific Medical Sciences 7.1 (2023): 15-19 .

Copyright

Copyright: © 2022 Doui Doumgba Antoine., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.403

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