Knowledge, attitudes and clinical practice of blood products prescribers in Niamey.

Mayaki, Z.; Kabo, R.; Moutschen, Michel; Albert, Adelin; Dardenne, Nadia; Sondag, Danièle; Gérard, Céline

doi:10.1016/j.tracli.2015.11.007

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Knowledge, attitudes and clinical practice of blood products prescribers in Niamey.

Mayaki, Z.; Kabo, R.; Moutschen, Michel et al.

2016 • In Transfusion Clinique et Biologique, 23 (2), p. 78-85

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https://hdl.handle.net/2268/207707

DOI
10.1016/j.tracli.2015.11.007

PubMed
26778838

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Keywords :

Blood safety; Clinical use of blood; Haemovigilance; Hemovigilance; Niamey; Securite transfusionnelle; Utilisation clinique du sang

Abstract :

[en] AIM OF THE STUDY: The lack of traceability and monitoring of blood donors and transfused patients constitute a barrier to the most basic rules of haemovigilance and overall good transfusion practices. This study draws up an inventory of knowledge, attitudes and clinical practice of blood prescribers in Niamey. MATERIALS AND METHODS: A questionnaire was administered to 180 prescribers of blood products in Niamey in 2011. Questions were related to basic informations on blood transfusion and clinical use of blood. Analyses were performed using SAS 9.3 version. RESULTS: The sample consisted of 180 respondents from several professional categories: 51 physicians (28.33%), 10 medical students (5.56%), 84 nurses (46.67%), 15 anaesthesiologist assistant (8.33%) and 20 midwives (11.11%). Among these, 22.2% received training in blood transfusion safety. Half of the respondents (50.8%) got between 50 and 75% of correct answers, 45.8% got less than 50% correct while 3.35% scored more than 75% correct answers. The overall quality of responses was higher among physicians compared to other prescribers (P<0.0001); among respondents who received training in transfusion safety (P<0.0001); and among males (P=0.0306). For some items, subjects with more experience scored the best. CONCLUSION: The level of knowledge is still inadequate. More training in transfusion practices is necessary for prescribers of blood products. Accompanying measures to improve transfusion practice must be considered or strengthened through assessments, knowledge update/upgrade (regular, ongoing training) and establishment of active and motivated hospital transfusion committees.

Disciplines :

Laboratory medicine & medical technology

Author, co-author :

Mayaki, Z.

Kabo, R.

Moutschen, Michel ; Université de Liège > Département des sciences cliniques > GIGA-R:Immunopath. - Maladies infect. et médec. inter. gén.

Albert, Adelin ; Université de Liège > Département des sciences de la santé publique > Département des sciences de la santé publique

Dardenne, Nadia ; Université de Liège > Département des sciences de la santé publique > Biostatistique

Sondag, Danièle ; Université de Liège > Département des sciences de la santé publique > Département des sciences de la santé publique

Gérard, Céline ; Université de Liège > R&D Direction : Chercheurs ULiège en mobilité

Language :

English

Title :

Knowledge, attitudes and clinical practice of blood products prescribers in Niamey.

Publication date :

2016

Journal title :

Transfusion Clinique et Biologique

ISSN :

1246-7820

eISSN :

1953-8022

Publisher :

Elsevier, Paris, France

Volume :

Issue :

Pages :

78-85

Commentary :

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Bibliography

[1] World Health Organization, Blood safety and availability, fact sheet No. 279. 2015 [Available at: http://www.who.int/mediacentre/factsheets/fs279/en/, Accessed on 15/06/2015].
[2] Delbosc, A., Weiller, J., Dussert, P., L'hémovigilance à l'aube du XXIe siècle. Presse Med 29 (2000), 1066–1071.
[3] Salmi, L.R., Hervé, P., L'organisation de l'hémovigilance en France. Transfus Clin Biol 1 (1994), 252–256.
[4] Faber, J.C., Revue des principaux systèmes d'hémovigilance dans le monde. Transfus Clin Biol 16 (2009), 86–92.
[5] IHN (International Haemovigilance Network), Definition of Haemovigilance from International Hemovigilance Network. 2010 [Available at: http://www.ihn-org.com/about/definition-of-haemovigilance/, Accessed on 13/07/2015].
[6] Articles R. 666-12-11 et R. 666-12-13 du Code de la santé publique. Circulaire DGS/DH no 40 du 7 juillet 1994 relative au décret no 94-68 du 14 janvier 1994 sur l'hémovigilance pris pour application de l'article L. 666-12 du Code de la santé publique. 1994 [Available at: http://ansm.sante.fr/var/ansm_site/storage/original/application/4cf777a3baf517ffae58785a0abd996a.pdf, Accessed on 31 mars 2015].
[7] Tagny, C.T., Mbanya, D., Tapko, J.B., Lefrère, J.J., Blood safety in Sub-Saharan Africa: a multi-factorial problem. Transfusion 48 (2008), 1256–1261.
[8] Tapko JB, Toure B, Sambo LG. Status of blood safety in the WHO African region. Report of the 2010 survey. Brazzaville; 2014 [Available at: http://www.afro.who.int/en/clusters-a-programmes/hss/blood-safety-laboratories-a-health-technology.html, Accessed on 08/04/2015].
[9] Allain, J.P., Owusu-Ofori, S., Bates, I., Blood transfusion in sub-Saharan Africa. Transfus Altern Transfus Med 6 (2004), 16–23.
[10] David, B., Bilan et perspectives du fonctionnement de l'hémovigilance française et des données recueillies sur 9 ans. Transfus Clin Biol 10 (2003), 131–139.
[11] Janatpour, K.A., Kalmin, N.D., Jensen, H.M., Holland, P.V., Clinical outcomes of ABO-incompatible RBC transfusions. Am J Clin Pathol 129 (2008), 276–281.
[12] Andreu, G., Du bon usage des produits sanguins. Presse Med 44 (2015), 165–177.
[13] Diakité, M., Diawara, S.I., Tchogang, N.T., Fofana, D.B., Diakité, S.A., Doumbia, S., et al. Connaissances et attitudes du personnel médical en matière de transfusion sanguine au Mali. Transfus Clin Biol 19 (2012), 74–77.
[14] Tinmouth, A., Macdougall, L., Fergusson, D., Amin, M., Graham, I.D., Hebert, P.C., et al. Reducing the amount of blood transfused: a systematic review of behavioral interventions to change physicians’ transfusion practices. Arch Intern Med 165 (2005), 845–852.
[15] World Health Organization, 10 facts on blood transfusion. 2015 [Available at: http://www.who.int/features/factfiles/blood_transfusion/blood_transfusion/en/, Accessed on 14/08/2015].
[16] Jaffré, Y., Une médecine inhospitalière : les difficiles relations entre soignants et soignés dans cinq capitales d'Afrique de l'Ouest. 2003, KARTHALA Éditions.
[17] Kabinda, J.M., Miyanga, S.A., Donnen, P., Van den Ende, J., Dramaix, M.W., Knowledge, attitudes and practices of medical and paramedical staff in blood transfusion in the Democratic Republic of Congo. Open J Prev Med 4 (2014), 672–680.
[18] Tramalloni, D., Aupérin, A., Oubouzar, N., Lapierre, V., Implication du personnel infirmier dans la sécurité transfusionnelle : évaluation des connaissances et de la pratique à l'institut Gustave-Roussy. Transfus Clin Biol 12 (2005), 427–432.
[19] Le Drezen, L., Lepiouf, L., Léostic, C., Barra, J.A., Le Niger, C., Démarche qualité en hémovigilance : analyse du processus transfusionnel. Transfus Clin Biol 11 (2004), 138–145.
[20] Hergon, E., Guez, P., Lopez, R., Cabaud, J.J., Garnerin, P., Rouger, P., Amélioration de la sécurité transfusionnelle dans un établissement de santé par le développement d'une démarche qualité. Transfus Clin Biol 3 (1996), 305–314.
[21] République du Niger, Ministère de la Santé Publique, Annuaire des statistiques sanitaires pour 2012 (ratio personnel de santé par région p22). 2013 [Available at: http://snis.cermes.net/download/Ann_stat_2012_Niger.pdf, Accessed on 08/04/2015].
[22] Le Cosquer, P., Enquête sur les pratiques des médecins anesthésistes-réanimateurs en transfusion sanguine et en hémovigilance. Ann Fr Anesth 19 (2000), 485–491.
[23] Salem-Schatz, S.R., Avorn, J., Soumerai, S.B., Influence of clinical knowledge, organizational context, and practice style on transfusion decision making: implications for practice change strategies. JAMA 264 (1990), 476–483.
[24] Salem-Schatz, S.R., Avorn, J., Soumerai, S.B., Influence of knowledge and attitudes on the quality of physicians’ transfusion practice. Med Care 31 (1993), 868–878.
[25] Rock, G., Berger, R., Pinkerton, P., Fernandes, B., A pilot study to assess physician knowledge in transfusion medicine. Transfusion Med 12 (2002), 125–128.
[26] Letaief, M., Hassine, M., Bejia, I., Romdhane, F.B., Salem, K.B., Soltani, M.S., Connaissances et pratiques du personnel soignant en matière de sécurité transfusionnelle. Transfus Clin Biol 12 (2005), 25–29.
[27] Salah, N.B., El Borgi, W., Skhiri, H.A., Lakhal, F.B., Mouelhi, H., Zoueri, B., et al. Connaissances médicales en matière de sécurité immunologique en transfusion érythrocytaire en Tunisie : évaluation d'un CD-ROM d'auto-enseignement. Transfus Clin Biol 20 (2013), 448–453.
[28] Lahlimi, F.Z., Tazi, I., Sifsalam, M., Bouchtia, M., Mahmal, L., Évaluation de la pratique transfusionnelle : enquête au sein du personnel infirmier du centre d'oncologie-hématologie du CHU Mohammed VI de Marrakech, Maroc. Transfus Clin Biol 22 (2015), 12–16.