How Well are Hospitals Preventing Iatrogenic HIV?: A Study of the Appropriateness of Blood Transfusions in Three Hospitals in the Ashanti Region, Ghana
- 1 October 1991
- journal article
- research article
- Published by SAGE Publications in Tropical Doctor
- Vol. 21 (4), 162-164
- https://doi.org/10.1177/004947559102100409
Abstract
A study on the appropriateness of blood and blood product transfusions took place in three hospitals over a 3-week period in July/August 1990 in the Ashanti region of Ghana. Clinical records of all blood transfusion recipients within the period were examined for the appropriateness of the transfusions based on preset criteria. Nearly 1 in 5 (17070) of all blood transfusion episodes in the hospitals were avoidable according to these criteria. Surgical practices wereassociated, perhaps habitually, with many more avoidable blood transfusions than non-surgical medical practices. The need to minimize the use of transfusion therapy is reemphasized since human immunodeficiency virus screening is imperfect. There is the need for hospitals to develop reasonable, practical guidelines for transfusions in all departments.Keywords
This publication has 13 references indexed in Scilit:
- Evaluation of the appropriateness of blood and blood product transfusion using preset criteriaTransfusion, 1989
- Transmission of Human Immunodeficiency Virus (HIV) by Blood Transfusions Screened as Negative for HIV AntibodyNew England Journal of Medicine, 1988
- AIDS in Africa: An Epidemiologic ParadigmScience, 1986
- ARE MEDICAL INJECTIONS A RISK FACTOR FOR HIV INFECTION IN CHILDREN?The Lancet, 1986
- ANTIBODY TO HTLV-III IN BLOOD DONORS IN CENTRAL AFRICAThe Lancet, 1985
- Fresh-Frozen PlasmaPublished by American Medical Association (AMA) ,1985
- HTLV-III SEROPOSITIVITY IN EUROPEAN HAEMOPHILIACS EXPOSED TO FACTOR VIII CONCENTRATE IMPORTED FROM THE USAThe Lancet, 1984
- Acquired Immunodeficiency Syndrome (AIDS) Associated with TransfusionsNew England Journal of Medicine, 1984
- MORTALITY AND ANÆMIA IN WOMENThe Lancet, 1974
- Haemoglobin, Vitamin B12and Folate Levels in the ElderlyBritish Journal of Haematology, 1971