Patients' perceptions of blood transfusion risks in Karachi, Pakistan.
OBJECTIVE
To evaluate the understanding of and attitudes toward risks of blood transfusions among transfusion recipients in Karachi.


METHODS
One hundred forty-one transfusion recipients from 13 major Karachi hospitals were interviewed. Indications for transfusion were obtained by reviewing the patients' medical records.


RESULTS
The most common indications for transfusion were surgical complications (n = 77, 55%), anemia (n = 34, 24%), and generalized weakness (n = 15, 11%). Most recipients (n = 103, 80%) had never heard of viral hepatitis, and 44 (31%) had never heard of acquired immunodeficiency syndrome (AIDS). Ninety-four recipients (66%) believed that generalized weakness was a valid indication for blood transfusion. Sixty-nine recipients (49%) were not willing to pay an increased price for blood that was screened for blood-borne pathogens.


CONCLUSIONS
Blood recipients in Karachi are unaware of the risks of transfusions, and the reasons given by the ordering physician for many of the transfusions were not consistent with international guidelines. Steps to educate the public about the risks of transfusions and practitioners about the indications for transfusion could prevent blood-borne virus transmission in Karachi.
Luby
S P
SP
Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. SXL2@cdc.gov
Niaz
Q
Q
Siddiqui
S
S
Mujeeb
S A
SA
Fisher-Hoch
S
S
D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D000368:Aged; D001290:Attitude; D001771:Blood Banks / Q000592:standards; D001782:Blood Donors; D001803:Blood Transfusion / Q000523:psychology*; D016009:Chi-Square Distribution; D003140:Communicable Disease Control; D004493:Education; D005260:Female; D006525:Hepatitis, Viral, Human; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010154:Pakistan; D010353:Patient Education as Topic; D012306:Risk; D012456:Salaries and Fringe Benefits; D011795:Surveys and Questionnaires; D065227:Transfusion Reaction