Transfusion Practice within the University Hospital Center Antanambao Tulear Madagascar - Abstract
Introduction: Blood transfusion is a medical act requiring certain specificity. Our objective is to evaluate the transfusion practice of healthcare personal involved in the act of transfusion.
Methods: We carried out a prospective descriptive cross-sectional study over a period of 4 months from January to April 2022 within the 7 departments of the University Hospital Center Antanambao Tuléar, Madagascar.
Results: We retained 85 healthcares personal, among whom 83.53% were paramedical and 16.47% were doctors. None of the paramedical staff has had any training in transfusion. Only one service among the 7 studied has a transfusion protocol. The patient’s consent before the transfusion act was requested in 96.47%. The transfusion documents and the blood voucher were completed correctly in 91.76% and 89.41%. The mode and shelf life of the LBP in the requesting department after the issuance of the LBP were in the refrigerator in 87.06% and was kept in less than an hour in 69.42%. Unused LBP were returned to the Regional Blood Transfusion Center in 95.29%. The transfusion lasted between 2 and 4 hours in 88.24%. Monitoring was done especially during the transfusion in 96.47%. The haemovigilance form was not filled out in 48.24. Complications were not mentioned
in 45.88%.
Conclusion: Transfusion practice still has many shortcomings requiring improvement and capacity building to ensure transfusion safety.