الفهرس | Only 14 pages are availabe for public view |
Abstract WHO defines blood safety as actions aimed at ensuring that everyone has access to blood and blood products that are as safe as possible, available at reasonable cost, adequate to meet the needs of patients, transfused only when necessary, and provided as part of a sustainable blood program within the existing health care system. Blood safety is an important global concern. Despite recent improvements in the safety of transfusion services in the Eastern Mediterranean Region, concerns regarding the role of blood transfusion in the spread of hepatitis B and C in the region continue to exist. Egypt as a developing country in the Eastern Mediterranean Region faces many problems regarding blood safety, such as low percentage of voluntary non remunerated donors, lack of quality control particularly in screening of blood donations while having the highest prevalence of hepatitis C virus (HCV) in the world, estimated nationally at 14.7%, poor maintenance of equipment, and severe fragmentation of BTS. Moreover there is lack of researches that collectively describe the actual situation of blood safety in Alexandria. The present study was carried out in El-Shatby Hospital, the Main University Hospital and the MRI blood banks, in Alexandria, August 2014-March 2015 aimed at assessing the work operating procedures and infection control practices adopted in the donation area, laboratories and blood cold chain in the studied blood banks as well as verifying sociodemographic characteristics of blood donors, their conformity to WHO blood donor selection criteria and accuracy, completeness and clarity of donation, laboratories and blood cold chain records Data was collected using six interview questionnaires for interviewing two blood bank directors, two physicians in charge of blood bank laboratories, two technicians in charge of supply area, two physicians in charge of blood storage and blood cold chain, 39 Health care workers and 523 blood donors Additionally, three observational checklists were used revealing observation of 402 blood donation process, Observation of each blood bank laboratory has been done twice and observation of storage area has been done once. In addition, Records of donors, laboratories and blood cold chain were reviewed for clarity, completeness and accuracy of recorded data. On studying the work operating procedures in the studied blood banks by interviewing the director of each blood bank and the technician |