Le SIDA au Ghana (serveur d'exploration)

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Relative safety of first-time volunteer and replacement donors in West Africa

Identifieur interne : 000090 ( PascalFrancis/Curation ); précédent : 000089; suivant : 000091

Relative safety of first-time volunteer and replacement donors in West Africa

Auteurs : Jean-Pierre Allain [Royaume-Uni, Ghana] ; Francis Sarkodie ; Kwame Asenso-Mensah ; Shirley Owusu-Ofori

Source :

RBID : Pascal:10-0108406

Descripteurs français

English descriptors

Abstract

BACKGROUND: A significantly higher level of safety between nonremunerated volunteer and replacement donor blood is assumed. This is supported by global data without stratifying between genuine replacement and paid donors, for first-time or repeat volunteer, or according to age. STUDY DESIGN AND METHODS: In 2008, first-time volunteer and replacement donors were identified, and confirmed human immunodeficiency virus antibody (anti-HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus antibody (anti-HCV)-positive screening results were collated. Data were analyzed according to age and sex between the two types of donors. RESULTS: In 6640 first-time volunteer and 4360 replacement donors, the prevalence of anti-HIV and HBsAg (1.03 and 13.8% vs. 1.1 and 14.9%, respectively) was not significantly different. Anti-HIV prevalence was higher in replacement donors less than age 20 than in first-time volunteers; the difference was not significant. HBsAg and anti-HIV confirmed-positive prevalence was significantly higher in first-time volunteer donors over age 20. CONCLUSION: In Kumasi, Ghana, viral safety of replacement and first-time volunteer donors was similar, constituting a single population of donors. Safety increment is provided by repeat donation applicable to either group, through different approaches. A blood unit from replacement donor costs half or less than that from a volunteer donor; similar studies conducted elsewhere in sub-Saharan Africa may lead to changes in current strategies.
pA  
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A08 01  1  ENG  @1 Relative safety of first-time volunteer and replacement donors in West Africa
A11 01  1    @1 ALLAIN (Jean-Pierre)
A11 02  1    @1 SARKODIE (Francis)
A11 03  1    @1 ASENSO-MENSAH (Kwame)
A11 04  1    @1 OWUSU-OFORI (Shirley)
A14 01      @1 Division of Transfusion Medicine, Department of Haematology, University of Cambridge @2 Cambridge @3 GBR
A14 02      @1 Transfusion Medicine Unit, Komfo Anokye Teaching Hospital @2 Kumasi @3 GHA
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A64 01  1    @0 Transfusion : (Philadelphia, PA)
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C01 01    ENG  @0 BACKGROUND: A significantly higher level of safety between nonremunerated volunteer and replacement donor blood is assumed. This is supported by global data without stratifying between genuine replacement and paid donors, for first-time or repeat volunteer, or according to age. STUDY DESIGN AND METHODS: In 2008, first-time volunteer and replacement donors were identified, and confirmed human immunodeficiency virus antibody (anti-HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus antibody (anti-HCV)-positive screening results were collated. Data were analyzed according to age and sex between the two types of donors. RESULTS: In 6640 first-time volunteer and 4360 replacement donors, the prevalence of anti-HIV and HBsAg (1.03 and 13.8% vs. 1.1 and 14.9%, respectively) was not significantly different. Anti-HIV prevalence was higher in replacement donors less than age 20 than in first-time volunteers; the difference was not significant. HBsAg and anti-HIV confirmed-positive prevalence was significantly higher in first-time volunteer donors over age 20. CONCLUSION: In Kumasi, Ghana, viral safety of replacement and first-time volunteer donors was similar, constituting a single population of donors. Safety increment is provided by repeat donation applicable to either group, through different approaches. A blood unit from replacement donor costs half or less than that from a volunteer donor; similar studies conducted elsewhere in sub-Saharan Africa may lead to changes in current strategies.
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C03 01  X  SPA  @0 Hombre @5 09
C03 02  X  FRE  @0 Donneur limite @5 10
C03 02  X  ENG  @0 Suboptimal donor @5 10
C03 02  X  SPA  @0 Donante marginal @5 10
C03 03  X  FRE  @0 Afrique @2 NG @5 11
C03 03  X  ENG  @0 Africa @2 NG @5 11
C03 03  X  SPA  @0 Africa @2 NG @5 11
C03 04  X  FRE  @0 Transfusion @5 12
C03 04  X  ENG  @0 Transfusion @5 12
C03 04  X  SPA  @0 Transfusión @5 12
N21       @1 067
N44 01      @1 OTO
N82       @1 OTO

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Pascal:10-0108406

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