Le SIDA au Ghana (serveur d'exploration)

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Pre-donation screening of blood for transfusion transmissible infections: the gains and the pains - experience at a resource limited blood bank.

Identifieur interne : 000763 ( Ncbi/Merge ); précédent : 000762; suivant : 000764

Pre-donation screening of blood for transfusion transmissible infections: the gains and the pains - experience at a resource limited blood bank.

Auteurs : A O Shittu ; H O Olawumi ; J O Adewuyi

Source :

RBID : pubmed:25709126

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English descriptors

Abstract

To determine whether or not pre-donation testing of blood donors affords substantial cost savings without compromise to blood transfusion safety. Pre-donation testing of blood donors for Transfusion Transmissible Infections (TTIs) is done in most developing countries because substantial cost savings are made from resources, materials and man-hours which would have been spent to procure infected blood units. Simple rapid test kits used in pre-donation testing is not as sensitive as the Enzyme Linked Immuno-sorbent Assay (ELISA) method used in post-donation screening in a quality assured manner.

PubMed: 25709126

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<title xml:lang="en">Pre-donation screening of blood for transfusion transmissible infections: the gains and the pains - experience at a resource limited blood bank.</title>
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<name sortKey="Shittu, A O" sort="Shittu, A O" uniqKey="Shittu A" first="A O" last="Shittu">A O Shittu</name>
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<nlm:affiliation>Department of Haematology and Blood Transfusion, University of Ilorin.</nlm:affiliation>
<wicri:noCountry code="subField">University of Ilorin</wicri:noCountry>
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<name sortKey="Olawumi, H O" sort="Olawumi, H O" uniqKey="Olawumi H" first="H O" last="Olawumi">H O Olawumi</name>
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<nlm:affiliation>Department of Haematology and Blood Transfusion, University of Ilorin.</nlm:affiliation>
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<title xml:lang="en">Pre-donation screening of blood for transfusion transmissible infections: the gains and the pains - experience at a resource limited blood bank.</title>
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<term>Blood Banks (economics)</term>
<term>Blood Banks (methods)</term>
<term>Blood Donors</term>
<term>Blood Safety (economics)</term>
<term>Blood Safety (methods)</term>
<term>Blood Transfusion (adverse effects)</term>
<term>Blood-Borne Pathogens</term>
<term>Cost-Benefit Analysis</term>
<term>Developing Countries</term>
<term>HIV Infections (prevention & control)</term>
<term>HIV Infections (transmission)</term>
<term>Hepatitis B (prevention & control)</term>
<term>Hepatitis B (transmission)</term>
<term>Hepatitis C (prevention & control)</term>
<term>Hepatitis C (transmission)</term>
<term>Humans</term>
<term>Mass Screening (economics)</term>
<term>Mass Screening (methods)</term>
<term>Nigeria</term>
<term>Retrospective Studies</term>
</keywords>
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<term>Analyse coût-bénéfice</term>
<term>Banques de sang ()</term>
<term>Banques de sang (économie)</term>
<term>Donneurs de sang</term>
<term>Dépistage systématique ()</term>
<term>Dépistage systématique (économie)</term>
<term>Humains</term>
<term>Hépatite B ()</term>
<term>Hépatite B (transmission)</term>
<term>Hépatite C ()</term>
<term>Hépatite C (transmission)</term>
<term>Infections à VIH ()</term>
<term>Infections à VIH (transmission)</term>
<term>Nigeria</term>
<term>Pathogènes transmissibles par le sang</term>
<term>Pays en voie de développement</term>
<term>Sécurité transfusionnelle ()</term>
<term>Sécurité transfusionnelle (économie)</term>
<term>Transfusion sanguine (effets indésirables)</term>
<term>Études rétrospectives</term>
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<term>Nigeria</term>
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<term>Blood Transfusion</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Blood Banks</term>
<term>Blood Safety</term>
<term>Mass Screening</term>
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<term>Transfusion sanguine</term>
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<term>Blood Banks</term>
<term>Blood Safety</term>
<term>Mass Screening</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>HIV Infections</term>
<term>Hepatitis B</term>
<term>Hepatitis C</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en">
<term>HIV Infections</term>
<term>Hepatitis B</term>
<term>Hepatitis C</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr">
<term>Banques de sang</term>
<term>Dépistage systématique</term>
<term>Hépatite B</term>
<term>Hépatite C</term>
<term>Infections à VIH</term>
<term>Sécurité transfusionnelle</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Blood Donors</term>
<term>Blood-Borne Pathogens</term>
<term>Cost-Benefit Analysis</term>
<term>Developing Countries</term>
<term>Humans</term>
<term>Retrospective Studies</term>
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<term>Analyse coût-bénéfice</term>
<term>Banques de sang</term>
<term>Donneurs de sang</term>
<term>Dépistage systématique</term>
<term>Humains</term>
<term>Hépatite B</term>
<term>Hépatite C</term>
<term>Infections à VIH</term>
<term>Nigeria</term>
<term>Pathogènes transmissibles par le sang</term>
<term>Pays en voie de développement</term>
<term>Sécurité transfusionnelle</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">To determine whether or not pre-donation testing of blood donors affords substantial cost savings without compromise to blood transfusion safety. Pre-donation testing of blood donors for Transfusion Transmissible Infections (TTIs) is done in most developing countries because substantial cost savings are made from resources, materials and man-hours which would have been spent to procure infected blood units. Simple rapid test kits used in pre-donation testing is not as sensitive as the Enzyme Linked Immuno-sorbent Assay (ELISA) method used in post-donation screening in a quality assured manner.</div>
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<DateCreated>
<Year>2015</Year>
<Month>02</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>10</Month>
<Day>28</Day>
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<ISSN IssnType="Print">0016-9560</ISSN>
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<Volume>48</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2014</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Ghana medical journal</Title>
<ISOAbbreviation>Ghana Med J</ISOAbbreviation>
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<ArticleTitle>Pre-donation screening of blood for transfusion transmissible infections: the gains and the pains - experience at a resource limited blood bank.</ArticleTitle>
<Pagination>
<MedlinePgn>158-62</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine whether or not pre-donation testing of blood donors affords substantial cost savings without compromise to blood transfusion safety. Pre-donation testing of blood donors for Transfusion Transmissible Infections (TTIs) is done in most developing countries because substantial cost savings are made from resources, materials and man-hours which would have been spent to procure infected blood units. Simple rapid test kits used in pre-donation testing is not as sensitive as the Enzyme Linked Immuno-sorbent Assay (ELISA) method used in post-donation screening in a quality assured manner.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">It is a retrospective study where records of pre- and post-donation tests done in donor clinic of University of Ilorin Teaching Hospital, between January and December 2010 were retrieved. All processes and inputs were evaluated and costs calculated for pre-donation testing by simple rapid techniques and post donation screening by ELISA.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">5000 prospective donors were tested in the study period. The cost of single rapid Pre-donation testing was less than that of single ELISA Post-donation screen. The cost of double rapid Pre-donation and Post donation ELISA screen exceeded the cost of single post donation ELISA screen. Substantial cost savings were made when single rapid Pre-donation testing is relied on. More blood units were found reactive for the TTIs with the more expensive Post-donation ELISA.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Pre-donation testing of blood donors was not cost effective. Although, there is an apparent savings if pre-donation testing is not followed by post-donation ELISA testing, it is done at a compromise to blood transfusion safety.</AbstractText>
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<Affiliation>Department of Haematology and Blood Transfusion, University of Ilorin.</Affiliation>
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<Country>Ghana</Country>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>N Engl J Med. 1996 Jun 27;334(26):1685-90</RefSource>
<PMID Version="1">8637512</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Transfus Med Rev. 1997 Jul;11(3):155-72</RefSource>
<PMID Version="1">9243769</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Virol J. 2011;8:105</RefSource>
<PMID Version="1">21385397</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Intern Med J. 2005 Oct;35(10):592-8</RefSource>
<PMID Version="1">16207258</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Transfusion. 2005 Feb;45(2):133-40</RefSource>
<PMID Version="1">15660820</PMID>
</CommentsCorrections>
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<DescriptorName UI="D001771" MajorTopicYN="N">Blood Banks</DescriptorName>
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<DescriptorName UI="D017848" MajorTopicYN="N">Blood-Borne Pathogens</DescriptorName>
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<DescriptorName UI="D003362" MajorTopicYN="N">Cost-Benefit Analysis</DescriptorName>
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<DescriptorName UI="D003906" MajorTopicYN="Y">Developing Countries</DescriptorName>
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<DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
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<Keyword MajorTopicYN="N">TTIs screening</Keyword>
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<Keyword MajorTopicYN="N">pre-donation</Keyword>
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