在非洲的机构中调查血液采集和输血实践
Jeremy W Jacobs1, Laura D Stephens2, Danny A Milner3,4
1Department of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Transfusion
|August 30, 2023
概括
非洲的输血服务在产品可用性和传染病检测方面表现出显著的差异. 需要进一步的研究,以改善整个非洲大陆的血液安全性和捐献者获取.
科学领域:
- 输血医学 输血医学
- 公共卫生 公共卫生
- 血液学 血液学 血液学
背景情况:
- 输血医学的全球进展与对非洲实践的有限理解形成鲜明对比.
- 非洲的输血医学服务和实践仍未得到充分探索.
- 确保安全和充足的血液供应对于医疗保健系统至关重要.
研究的目的:
- 调查和分析非洲各地的血液银行/输血医学 (BBTM) 实践.
- 评估血液制品的可用性和输血前的检测.
- 在非洲机构评估献血者传染病检测方法.
主要方法:
- 一项调查通过美国临床病理学会 (ASCP) listserv 分发给非洲的机构.
- 调查受访者包括医院实验室,国家输血医学服务和独立实验室.
- 分析了来自22个国家的81个机构的答案.
主要成果:
- 所有接受调查的机构都提供必要的血液产品,全血和红细胞是最常见的.
- 在整个非洲大陆,所有类型的血液制品的可用性存在显著的变化.
- 通常查的传染病包括艾滋病毒和乙型肝炎病毒,乙型肝炎病毒和Treponema pallidum的发病率较低.
结论:
- 该研究强调了非洲血液产品的可用性和测试的显著变化和限制.
- 迫切需要进行进一步的研究,以确定改善献血者可用性和产品安全性的障碍.
- 加强传染病检测协议对于非洲更安全的输血实践至关重要.
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