title: Donor blood procurement and utilisation at the University of Benin Teaching Hospital, Benin City.
abstract: Banked blood is a limited resource in Nigeria. We sought to evaluate factors that may further limit the effective utilisation of donor blood in a tertiary hospital in Benin City. The records of the blood transfusion unit of the hospital were studied to identify the methods of blood procurement and utilisation from January 1, 2000 to December 31, 2002. A total of 11,021 units of blood were received in the blood transfusion unit within this period out of which 1491 (13.5%) donor blood samples were found unfit for transfusion and, hence, discarded. Commercial blood donation accounted for 95.3%, compared to 4.7% from replacement and volunteer donors. Commercial blood donation was a major risk factor for likely disposal of donor blood (chi2 = 74.3, p < 0.0001, OR = 21.1. 95% CI = 7.8-56.7). Expired units of blood with low PCV were discarded for lack of infrastructure to fractionate and store them. Over 0.8million naira (US$6000.00) is wasted annually on discarded units of donor blood mainly from commercial donors. A policy on blood procurement to include subgroup selection of donors and improved funding of blood banking services may enhance efficient and effective utilisation of donor blood.
authors.affiliation: Department of Haematology, University of Benin Teaching Hospital, Benin City, Nigeria.
authors.forename: M E
authors.initials: ME
authors.lastname: Enosolease
authors.forename: C O
authors.initials: CO
authors.lastname: Imarengiaye
authors.forename: O A
authors.initials: OA
authors.lastname: Awodu
mesh_terms: D001771:Blood Banks / Q000458:organization & administration; D001782:Blood Donors / Q000706:statistics & numerical data*; D001788:Blood Grouping and Crossmatching / Q000592:standards / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000592:standards / Q000706:statistics & numerical data; D003132:Commerce / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000592:standards; D006291:Health Policy; D006295:Health Resources; D006784:Hospitals, Teaching; D006786:Hospitals, Urban; D006801:Humans; D017053:Infection Control / Q000458:organization & administration; D008403:Mass Screening / Q000458:organization & administration; D017744:Medical Waste Disposal / Q000706:statistics & numerical data; D020380:Needs Assessment; D009549:Nigeria; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D012307:Risk Factors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014838:Volunteers / Q000706:statistics & numerical data
chemical_list: D017744:Medical Waste Disposal