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A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana

Published in Frontiers (Volume 2, Issue 2)
Received: 26 April 2022     Accepted: 11 May 2022     Published: 24 May 2022
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Abstract

Blood transfusion is an essential part of modern medicine, which helps save millions of lives every year. Blood is life and blood transfusion is an essential part of medical therapeutic practice. Transfusion of whole blood and blood components such as packed red blood cells (RBCs), white blood cells (WBCs), fresh frozen plasma, cryoprecipitate and platelets concentrate are needed in modern medicine. Therefore, the main purpose of the study was to examine factors accounting for donor blood discard at the Cape Coast Teaching Hospital, Ghana. The descriptive cross-sectional survey design was employed in the study. This study included blood units discarded for different reasons at CCTH immunohematology unit between the period of January 2014 to December 2020 which amounted to 33,896 whole blood. The study revealed that out 33,896 whole blood, 2231 (6.6%) units were discarded, while 1700 (76.2%) of the discarded units were voluntary donations and 53 (23.7%) were from replacement donations. The study again showed that the most common blood group that was discarded was O Rh “D” Positive. The study again revealed that 1225 (54.9%) blood unit were discarded due to seropositivity of transfusion transmissible infections (TTI), 288 (12.9%) were discarded because the expiry date was due, 259 (11.6%) were discarded as a result of transfusion reactions, 84 (3.8%) and 25 (1.1%) were discarded for hemolysis and bag leaks respectively. The study again, indicated that among the units discarded seropositivity to transfusion transmissible infections was the most prevalent with hepatitis B infections (HBV) being the highest with 553 (45.1%), followed by syphilis infections with 400 (32.7%), hepatitis C (HCV) with 156 (12.6%) and HIV with 116 (9.5%). The study further revealed that blood group that expired the most was B Rh “D” Positive representing 24.7%. The study recommends that donor blood collection, processing, handling, storage and monitoring should be handled by qualified technical personnel with the right expertise in order to reduce causes of blood discard that are associated with these steps.

Published in Frontiers (Volume 2, Issue 2)
DOI 10.11648/j.frontiers.20220202.14
Page(s) 104-112
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Blood Donor, RBC, WBC, HBV, HCV, TTI and FFP

References
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Cite This Article
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    Grace Wemochigah, Edward Morkporkpor Adela, Daniel Edem Azumah, Rebecca Peniel Storph, Endorah Fotwe Blankson, et al. (2022). A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana. Frontiers, 2(2), 104-112. https://doi.org/10.11648/j.frontiers.20220202.14

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    Grace Wemochigah; Edward Morkporkpor Adela; Daniel Edem Azumah; Rebecca Peniel Storph; Endorah Fotwe Blankson, et al. A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana. Frontiers. 2022, 2(2), 104-112. doi: 10.11648/j.frontiers.20220202.14

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    AMA Style

    Grace Wemochigah, Edward Morkporkpor Adela, Daniel Edem Azumah, Rebecca Peniel Storph, Endorah Fotwe Blankson, et al. A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana. Frontiers. 2022;2(2):104-112. doi: 10.11648/j.frontiers.20220202.14

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  • @article{10.11648/j.frontiers.20220202.14,
      author = {Grace Wemochigah and Edward Morkporkpor Adela and Daniel Edem Azumah and Rebecca Peniel Storph and Endorah Fotwe Blankson and Evans Duah and Francis Britwum},
      title = {A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana},
      journal = {Frontiers},
      volume = {2},
      number = {2},
      pages = {104-112},
      doi = {10.11648/j.frontiers.20220202.14},
      url = {https://doi.org/10.11648/j.frontiers.20220202.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.frontiers.20220202.14},
      abstract = {Blood transfusion is an essential part of modern medicine, which helps save millions of lives every year. Blood is life and blood transfusion is an essential part of medical therapeutic practice. Transfusion of whole blood and blood components such as packed red blood cells (RBCs), white blood cells (WBCs), fresh frozen plasma, cryoprecipitate and platelets concentrate are needed in modern medicine. Therefore, the main purpose of the study was to examine factors accounting for donor blood discard at the Cape Coast Teaching Hospital, Ghana. The descriptive cross-sectional survey design was employed in the study. This study included blood units discarded for different reasons at CCTH immunohematology unit between the period of January 2014 to December 2020 which amounted to 33,896 whole blood. The study revealed that out 33,896 whole blood, 2231 (6.6%) units were discarded, while 1700 (76.2%) of the discarded units were voluntary donations and 53 (23.7%) were from replacement donations. The study again showed that the most common blood group that was discarded was O Rh “D” Positive. The study again revealed that 1225 (54.9%) blood unit were discarded due to seropositivity of transfusion transmissible infections (TTI), 288 (12.9%) were discarded because the expiry date was due, 259 (11.6%) were discarded as a result of transfusion reactions, 84 (3.8%) and 25 (1.1%) were discarded for hemolysis and bag leaks respectively. The study again, indicated that among the units discarded seropositivity to transfusion transmissible infections was the most prevalent with hepatitis B infections (HBV) being the highest with 553 (45.1%), followed by syphilis infections with 400 (32.7%), hepatitis C (HCV) with 156 (12.6%) and HIV with 116 (9.5%). The study further revealed that blood group that expired the most was B Rh “D” Positive representing 24.7%. The study recommends that donor blood collection, processing, handling, storage and monitoring should be handled by qualified technical personnel with the right expertise in order to reduce causes of blood discard that are associated with these steps.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - A Retrospective Study on Factors Accounting for Donor Blood Discard at the Cape Coast Teaching Hospital, Ghana
    AU  - Grace Wemochigah
    AU  - Edward Morkporkpor Adela
    AU  - Daniel Edem Azumah
    AU  - Rebecca Peniel Storph
    AU  - Endorah Fotwe Blankson
    AU  - Evans Duah
    AU  - Francis Britwum
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    DO  - 10.11648/j.frontiers.20220202.14
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    JF  - Frontiers
    JO  - Frontiers
    SP  - 104
    EP  - 112
    PB  - Science Publishing Group
    SN  - 2994-7197
    UR  - https://doi.org/10.11648/j.frontiers.20220202.14
    AB  - Blood transfusion is an essential part of modern medicine, which helps save millions of lives every year. Blood is life and blood transfusion is an essential part of medical therapeutic practice. Transfusion of whole blood and blood components such as packed red blood cells (RBCs), white blood cells (WBCs), fresh frozen plasma, cryoprecipitate and platelets concentrate are needed in modern medicine. Therefore, the main purpose of the study was to examine factors accounting for donor blood discard at the Cape Coast Teaching Hospital, Ghana. The descriptive cross-sectional survey design was employed in the study. This study included blood units discarded for different reasons at CCTH immunohematology unit between the period of January 2014 to December 2020 which amounted to 33,896 whole blood. The study revealed that out 33,896 whole blood, 2231 (6.6%) units were discarded, while 1700 (76.2%) of the discarded units were voluntary donations and 53 (23.7%) were from replacement donations. The study again showed that the most common blood group that was discarded was O Rh “D” Positive. The study again revealed that 1225 (54.9%) blood unit were discarded due to seropositivity of transfusion transmissible infections (TTI), 288 (12.9%) were discarded because the expiry date was due, 259 (11.6%) were discarded as a result of transfusion reactions, 84 (3.8%) and 25 (1.1%) were discarded for hemolysis and bag leaks respectively. The study again, indicated that among the units discarded seropositivity to transfusion transmissible infections was the most prevalent with hepatitis B infections (HBV) being the highest with 553 (45.1%), followed by syphilis infections with 400 (32.7%), hepatitis C (HCV) with 156 (12.6%) and HIV with 116 (9.5%). The study further revealed that blood group that expired the most was B Rh “D” Positive representing 24.7%. The study recommends that donor blood collection, processing, handling, storage and monitoring should be handled by qualified technical personnel with the right expertise in order to reduce causes of blood discard that are associated with these steps.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana

  • Department of Education and Psychology, University of Cape Coast, Cape Coast, Ghana

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