The knowledge of transfusion and related practices among doctors at Universitas Academic Complex,Bloemfontein, South Africa |
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| Affiliation: | 1. Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300 South Africa;2. South African National Blood Service, Bloemfontein, 9301, South Africa;3. Department of Biostatistics, School of Biomedical Sciences, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa;1. International Consultancy in Strategic Advice on Safety Improvements of Blood-Derived Bioproducts and Suppliers Quality Audit / Inspection, London, UK;2. Romagna Transplant Network, Hematology Unit, Ravenna-I, Italy;1. Pediatric Hematology Specialist, University of Health Sciences, Dr Sami Ulus Children’s Hospital, Ankara, Turkey;2. the Pediatric Hematology Unit of the Department of Pediatrics, Medical School of Gazi University, Ankara, Turkey;3. the Pediatric Hematology Unit of the Department of Pediatrics, Medical School of Süleyman Demirel University, Isparta, Turkey;4. the Pediatric Hematology Unit of the Department of Pediatrics, Medical School of Kırıkkale University, Kırıkkale, Turkey;5. Medical School of Gazi University, Ankara, Turkey;6. the Pediatric Hematology Unit of the Department of Pediatrics, Medical School of Başkent University, Ankara, Turkey;7. Pediatric Hematology Specialist, Ankara Dışkapı Child Health and Diseases Hematology Oncology Training And Research Hospital, Ankara, Turkey;1. SH/Scientific-Hemostasis, Scientific Director and Consultant in Hemostasis and Thrombosis Diagnostics, Franconville, France;2. Hyphen BioMed, Neuville sur Oise, France;3. International Consultancy in Strategic Safety Improvements of Blood-Derived Bioproducts and Suppliers Quality Audit / Inspection, London, UK;1. Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, Greece;2. Department of Biology, Section of Cell Biology and Biophysics, School of Science, National and Kapodistrian University of Athens, Greece;1. Department of Hematology, Fukushima Medical University, Fukushima, Japan;2. Department of Blood Transfusion and Transplantation Immunology,Fukushima Medical University, Fukushima, Japan;3. Department ofPediatric Oncology, Fukushima Medical University Hospital, Fukushima, Japan;1. Stem Cell Mobilization and Collection Unit, Italy;2. PICC Team, IEO IRCCS, Milano, Italy |
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| Abstract: | ObjectivesTo determine the knowledge of transfusion and related practices among doctors working at Universitas Academic Complex (UAC), Bloemfontein, South Africa. We aimed to describe training history, transfusion knowledge and reported haemovigilance reporting habits.MethodsA cross-sectional descriptive study was performed using an anonymous questionnaire distributed at departmental meetings. The study population included doctors working in adult disciplines that frequently transfuse blood from the UAC. Ethics approval was obtained from the University of the Free State, Health Sciences Research Ethics Committee. Permission to conduct the study was obtained from the Free State Department of Health. Results were summarised by frequencies and percentages.ResultsQuestionnaires of 152 respondents were analysed. Most of the respondents (31.5 %) were registrars and medical officers with less than 5 years’ experience, followed by specialists (19.9 %). Although prescribing habits varied, 43.3 % of respondents prescribe blood at least weekly. Almost a third (29.9 %) of respondents had never received any transfusion training. A haemoglobin-based transfusion trigger is used by 76.2 % of respondents. Almost 80 % of respondents reported using a single unit of blood followed by clinical reassessment before ordering a second unit. Cost of laboratory investigations and lack of human resources were the main reported obstacles to adequately investigating anaemia. Forty percent of respondents involved with the care of patients who suffered a transfusion related adverse event reported the event to the blood service.ConclusionAt the (UAC), where blood is frequently transfused, we note infrequent training, poor knowledge of some basic transfusion principles and poor haemovigilance reporting. |
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| Keywords: | Patient blood management Transfusion training Transfusion triggers Hemovigilance Transfusion knowledge |
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