Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde

Guy Roland Awoundza Metomo; Akono Laurent; Cedric Gueguim; Serge Damase Oyong Assiene; Marthe Viviane Fonkam; Lucien Honore Etame Sone

doi:doi:10.11648/j.ajbls.20231103.13

Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde

Guy Roland Awoundza Metomo, Akono Laurent, Cedric Gueguim, Serge Damase Oyong Assiene, Marthe Viviane Fonkam, Lucien Honore Etame Sone

Published in American Journal of Biomedical and Life Sciences (Volume 11, Issue 3)

Received: 2 May 2023 Accepted: 5 June 2023 Published: 27 June 2023

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Abstract

Blood transfusion is a medical act consisting of administering blood or one of its derivatives from a donor to a recipient. In order to identify the failures and complications related to blood transfusions in our country, we conducted a study on transfusion incidents and accidents with the aim of contributing to the improvement of transfusion safety in our context. To study transfusion safety at the Central Hospital of Yaounde, we conducted a longitudinal descriptive observational study over a period of four months at the Central Hospital of Yaounde (CHY). Our study population consisted of 77 patients. We excluded from our study all non-consenting patients, those for whom we did not witness the process of delivery of their labile blood products to the blood bank, those who had already taken a first blood bag before our contact, newborns in neonatology, and those whose nursing staff would have refused to witness the process of labile blood products administration. Variables studied were sociodemographic data, transfusion history, pre-transfusion procedural errors, adverse reactions during and after transfusion. Seventy-seven (77) patients with a mean age of 37.92 ± 15.99 were divided into 4 departments where women represented 64.90% and the age group most transfused was 30 to 35 years. The absence of pre-transfusion parameters, the verification of the labile blood products at reception (60.8%), and the final control at the patient's bed (58.8%) were not effective. Minor allergic reactions (46.2%), non-hemolytic febrile reactions (43.6%) and major allergic reactions (7.7%) were the main transfusion complications. Blood transfusion, a source of human solidarity, obeys certain standards which practitioners must improve over time. It is imperative to set up a system of continuous training for blood transfusion personnel, and to set up anonymous transfusion incident and accident reporting forms in each department.

Published in	American Journal of Biomedical and Life Sciences (Volume 11, Issue 3)
DOI	10.11648/j.ajbls.20231103.13
Page(s)	47-52
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), 2023. Published by Science Publishing Group

Keywords

Blood Transfusion, Transfusion Incidents, Transfusion Accidents, Transfusion Safety

References

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[2]	N. Karl Itaj; L. Gilles; R. Nancy; “Transfusion incidents and accidents reported to the haemovigilance system in Quebec in 2011”, Surveillance report, Department of biological risks and occupational health, National Institute of Public Health of Quebec, 2014. http://www.inspq. qc.ca/publication.
[3]	World Health Organization. “Transfusion Safety and Blood Supply”, WHO Regions, June 2020. https://www.who.int/en/news-room/fact-sheets/detail/blood-safety-and-availability
[4]	E. Peynaud-Debayle; C. Tropophilm; “Haemovigilance and transfusion safety: incidents, accidents”, UF of Biological Hematology and Transfusion, Louis-Mourier, CHU Lois-Mourier, 178 Rue des Renouillers, 92700 Colombes, 2 Haemovigilance, Bichat – Paris Nord Val de Seine University Hospitals (HUPNVS), AP-HP, France.
[5]	World Health Organization: Regional Office for Africa. “Current situation of blood safety and blood supply in the WHO African Region”, 2013 Survey Report, WHO Regional Office for Africa, 2017.
[6]	WHO: Hemovigilance in Africa 2013, https://www.afro.who.int/en/news/hemovigilance-in-africa
[7]	Presidency of the Republic of Cameroon. "Decree No. 2019/067 of February 12, 2019 on the organization and operation of the national blood transfusion center", Official Journal in French and English of February 12, 2019. https://www.prc.cm/fr/actualites/actes /decrees/3342-decree-n-2019-067-of-february-12-2019-on-the-organization-and-operation-of-the-national-blood-transfusion-centre.
[8]	J. Chironi; “Transfusion reactions: Respecting the stages of the transfusion act and monitoring the transfusion”, La Revue du praticien 68 (9), 1029-33, 2018.
[9]	F. Ngo Sack; S. Mendomo; A. Bernard Chetcha; “Evaluation of transfusionnal practices carried of by doctors and paramdics staffs at the Yaounde Central Hospital (Cameroon)”, The journal of medical Research 4 (2), 59-62, 2018. https://www.researchgate.net/publication/330472041_Evaluation_of_transfusionnal_practices_carried_out_by_doctors_and_paramedics_staffs_at_the_Yaounde_Central_Hospital_Cameroon
[10]	S. Zué; Essolal; R. Obama; J. F. Ngomas; Z. Akéré Etouré Bilonga; A. Matsanga; R. Moukala; Ondo Mbalb. “Transfusion practices in the gynecological-obstetrics unit: assessment of 2 years of activity”, RAMUR N°4-Volume 17, 2012. https://web-saraf.net/IMG/pdf/saranf_2012_-_ts.pdf
[11]	N. Louati; T. Rekik; R. Chaabane; K. Chaabane; H. Minf et J. Gargourt. « Evaluation of transfusion practices in obstetrics », J. I. M. Sfax, N°34, Fév20, 15-21.
[12]	F. Lionnet; Stankovic; R. Girot; “Adult Sickle Cell Disease: Sickle Cell Center,” Hopital Tenon. 4, rue de Chine, 75020 Paris, France. 05/06/09. https://scholar.google.fr/scholar?q=related:L3iYc4v498J:scholar.google.com/&scioq=Lionnet+F,+Stankovic,+Girot+R.,+«+Drepanocytose+de+l'adulte+: +Drepanocytosis+Centre+”
[13]	D. Legrand; A. François; «Les défaillances de la délivrance: comment s’améliorer?»: Transfusion Clinique et Biologique. Volume 20, Issue 2, May 2013, Pages 104-108. https://www.sciencedirect.com/science/article/pii/S1246782013000311
[14]	WHO Aide-mémoire, “Transfusion safety, essential health technologies department”. For National Health Authorities and Hospital Directors, 1211 Geneva 27, Switzerland.
[15]	Mr. Bernasinski; J. M. Malinovsky; A. P. Roger; E. Zogheib; S. Aperche; O. Garraud; P. Besserve; Y. Mahjoub; H. Dupont; “Transfusion complications: Anesthesia and Resuscitation” Volume 5, Issue 3, ELSEVIER, May 2019, Pages 157-174.

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APA Style

Guy Roland Awoundza Metomo, Akono Laurent, Cedric Gueguim, Serge Damase Oyong Assiene, Marthe Viviane Fonkam, et al. (2023). Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. American Journal of Biomedical and Life Sciences, 11(3), 47-52. https://doi.org/10.11648/j.ajbls.20231103.13

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ACS Style

Guy Roland Awoundza Metomo; Akono Laurent; Cedric Gueguim; Serge Damase Oyong Assiene; Marthe Viviane Fonkam, et al. Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. Am. J. Biomed. Life Sci. 2023, 11(3), 47-52. doi: 10.11648/j.ajbls.20231103.13

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AMA Style

Guy Roland Awoundza Metomo, Akono Laurent, Cedric Gueguim, Serge Damase Oyong Assiene, Marthe Viviane Fonkam, et al. Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. Am J Biomed Life Sci. 2023;11(3):47-52. doi: 10.11648/j.ajbls.20231103.13

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@article{10.11648/j.ajbls.20231103.13,
  author = {Guy Roland Awoundza Metomo and Akono Laurent and Cedric Gueguim and Serge Damase Oyong Assiene and Marthe Viviane Fonkam and Lucien Honore Etame Sone},
  title = {Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {11},
  number = {3},
  pages = {47-52},
  doi = {10.11648/j.ajbls.20231103.13},
  url = {https://doi.org/10.11648/j.ajbls.20231103.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20231103.13},
  abstract = {Blood transfusion is a medical act consisting of administering blood or one of its derivatives from a donor to a recipient. In order to identify the failures and complications related to blood transfusions in our country, we conducted a study on transfusion incidents and accidents with the aim of contributing to the improvement of transfusion safety in our context. To study transfusion safety at the Central Hospital of Yaounde, we conducted a longitudinal descriptive observational study over a period of four months at the Central Hospital of Yaounde (CHY). Our study population consisted of 77 patients. We excluded from our study all non-consenting patients, those for whom we did not witness the process of delivery of their labile blood products to the blood bank, those who had already taken a first blood bag before our contact, newborns in neonatology, and those whose nursing staff would have refused to witness the process of labile blood products administration. Variables studied were sociodemographic data, transfusion history, pre-transfusion procedural errors, adverse reactions during and after transfusion. Seventy-seven (77) patients with a mean age of 37.92 ± 15.99 were divided into 4 departments where women represented 64.90% and the age group most transfused was 30 to 35 years. The absence of pre-transfusion parameters, the verification of the labile blood products at reception (60.8%), and the final control at the patient's bed (58.8%) were not effective. Minor allergic reactions (46.2%), non-hemolytic febrile reactions (43.6%) and major allergic reactions (7.7%) were the main transfusion complications. Blood transfusion, a source of human solidarity, obeys certain standards which practitioners must improve over time. It is imperative to set up a system of continuous training for blood transfusion personnel, and to set up anonymous transfusion incident and accident reporting forms in each department.},
 year = {2023}
}

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TY  - JOUR
T1  - Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde
AU  - Guy Roland Awoundza Metomo
AU  - Akono Laurent
AU  - Cedric Gueguim
AU  - Serge Damase Oyong Assiene
AU  - Marthe Viviane Fonkam
AU  - Lucien Honore Etame Sone
Y1  - 2023/06/27
PY  - 2023
N1  - https://doi.org/10.11648/j.ajbls.20231103.13
DO  - 10.11648/j.ajbls.20231103.13
T2  - American Journal of Biomedical and Life Sciences
JF  - American Journal of Biomedical and Life Sciences
JO  - American Journal of Biomedical and Life Sciences
SP  - 47
EP  - 52
PB  - Science Publishing Group
SN  - 2330-880X
UR  - https://doi.org/10.11648/j.ajbls.20231103.13
AB  - Blood transfusion is a medical act consisting of administering blood or one of its derivatives from a donor to a recipient. In order to identify the failures and complications related to blood transfusions in our country, we conducted a study on transfusion incidents and accidents with the aim of contributing to the improvement of transfusion safety in our context. To study transfusion safety at the Central Hospital of Yaounde, we conducted a longitudinal descriptive observational study over a period of four months at the Central Hospital of Yaounde (CHY). Our study population consisted of 77 patients. We excluded from our study all non-consenting patients, those for whom we did not witness the process of delivery of their labile blood products to the blood bank, those who had already taken a first blood bag before our contact, newborns in neonatology, and those whose nursing staff would have refused to witness the process of labile blood products administration. Variables studied were sociodemographic data, transfusion history, pre-transfusion procedural errors, adverse reactions during and after transfusion. Seventy-seven (77) patients with a mean age of 37.92 ± 15.99 were divided into 4 departments where women represented 64.90% and the age group most transfused was 30 to 35 years. The absence of pre-transfusion parameters, the verification of the labile blood products at reception (60.8%), and the final control at the patient's bed (58.8%) were not effective. Minor allergic reactions (46.2%), non-hemolytic febrile reactions (43.6%) and major allergic reactions (7.7%) were the main transfusion complications. Blood transfusion, a source of human solidarity, obeys certain standards which practitioners must improve over time. It is imperative to set up a system of continuous training for blood transfusion personnel, and to set up anonymous transfusion incident and accident reporting forms in each department.
VL  - 11
IS  - 3
ER  -

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Author Information

Guy Roland Awoundza Metomo

Department of Biology, Higher Institute of Medical Technology, Yaoundé, Cameroon
Akono Laurent

Department of Biology, Higher Institute of Medical Technology, Yaoundé, Cameroon
Cedric Gueguim

Department of Biology, Higher Institute of Medical Technology, Yaoundé, Cameroon
Serge Damase Oyong Assiene

Department of Biology, Higher Institute of Medical Technology, Yaoundé, Cameroon
Marthe Viviane Fonkam

School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon
Lucien Honore Etame Sone

Department of Biology, Higher Institute of Medical Technology, Yaoundé, Cameroon

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APA Style

Guy Roland Awoundza Metomo, Akono Laurent, Cedric Gueguim, Serge Damase Oyong Assiene, Marthe Viviane Fonkam, et al. (2023). Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. American Journal of Biomedical and Life Sciences, 11(3), 47-52. https://doi.org/10.11648/j.ajbls.20231103.13

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ACS Style

Guy Roland Awoundza Metomo; Akono Laurent; Cedric Gueguim; Serge Damase Oyong Assiene; Marthe Viviane Fonkam, et al. Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. Am. J. Biomed. Life Sci. 2023, 11(3), 47-52. doi: 10.11648/j.ajbls.20231103.13

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AMA Style

Guy Roland Awoundza Metomo, Akono Laurent, Cedric Gueguim, Serge Damase Oyong Assiene, Marthe Viviane Fonkam, et al. Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde. Am J Biomed Life Sci. 2023;11(3):47-52. doi: 10.11648/j.ajbls.20231103.13

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@article{10.11648/j.ajbls.20231103.13,
  author = {Guy Roland Awoundza Metomo and Akono Laurent and Cedric Gueguim and Serge Damase Oyong Assiene and Marthe Viviane Fonkam and Lucien Honore Etame Sone},
  title = {Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {11},
  number = {3},
  pages = {47-52},
  doi = {10.11648/j.ajbls.20231103.13},
  url = {https://doi.org/10.11648/j.ajbls.20231103.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20231103.13},
  abstract = {Blood transfusion is a medical act consisting of administering blood or one of its derivatives from a donor to a recipient. In order to identify the failures and complications related to blood transfusions in our country, we conducted a study on transfusion incidents and accidents with the aim of contributing to the improvement of transfusion safety in our context. To study transfusion safety at the Central Hospital of Yaounde, we conducted a longitudinal descriptive observational study over a period of four months at the Central Hospital of Yaounde (CHY). Our study population consisted of 77 patients. We excluded from our study all non-consenting patients, those for whom we did not witness the process of delivery of their labile blood products to the blood bank, those who had already taken a first blood bag before our contact, newborns in neonatology, and those whose nursing staff would have refused to witness the process of labile blood products administration. Variables studied were sociodemographic data, transfusion history, pre-transfusion procedural errors, adverse reactions during and after transfusion. Seventy-seven (77) patients with a mean age of 37.92 ± 15.99 were divided into 4 departments where women represented 64.90% and the age group most transfused was 30 to 35 years. The absence of pre-transfusion parameters, the verification of the labile blood products at reception (60.8%), and the final control at the patient's bed (58.8%) were not effective. Minor allergic reactions (46.2%), non-hemolytic febrile reactions (43.6%) and major allergic reactions (7.7%) were the main transfusion complications. Blood transfusion, a source of human solidarity, obeys certain standards which practitioners must improve over time. It is imperative to set up a system of continuous training for blood transfusion personnel, and to set up anonymous transfusion incident and accident reporting forms in each department.},
 year = {2023}
}

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TY  - JOUR
T1  - Study of Transfusion Incidents and Accidents at the Central Hospital of Yaounde
AU  - Guy Roland Awoundza Metomo
AU  - Akono Laurent
AU  - Cedric Gueguim
AU  - Serge Damase Oyong Assiene
AU  - Marthe Viviane Fonkam
AU  - Lucien Honore Etame Sone
Y1  - 2023/06/27
PY  - 2023
N1  - https://doi.org/10.11648/j.ajbls.20231103.13
DO  - 10.11648/j.ajbls.20231103.13
T2  - American Journal of Biomedical and Life Sciences
JF  - American Journal of Biomedical and Life Sciences
JO  - American Journal of Biomedical and Life Sciences
SP  - 47
EP  - 52
PB  - Science Publishing Group
SN  - 2330-880X
UR  - https://doi.org/10.11648/j.ajbls.20231103.13
AB  - Blood transfusion is a medical act consisting of administering blood or one of its derivatives from a donor to a recipient. In order to identify the failures and complications related to blood transfusions in our country, we conducted a study on transfusion incidents and accidents with the aim of contributing to the improvement of transfusion safety in our context. To study transfusion safety at the Central Hospital of Yaounde, we conducted a longitudinal descriptive observational study over a period of four months at the Central Hospital of Yaounde (CHY). Our study population consisted of 77 patients. We excluded from our study all non-consenting patients, those for whom we did not witness the process of delivery of their labile blood products to the blood bank, those who had already taken a first blood bag before our contact, newborns in neonatology, and those whose nursing staff would have refused to witness the process of labile blood products administration. Variables studied were sociodemographic data, transfusion history, pre-transfusion procedural errors, adverse reactions during and after transfusion. Seventy-seven (77) patients with a mean age of 37.92 ± 15.99 were divided into 4 departments where women represented 64.90% and the age group most transfused was 30 to 35 years. The absence of pre-transfusion parameters, the verification of the labile blood products at reception (60.8%), and the final control at the patient's bed (58.8%) were not effective. Minor allergic reactions (46.2%), non-hemolytic febrile reactions (43.6%) and major allergic reactions (7.7%) were the main transfusion complications. Blood transfusion, a source of human solidarity, obeys certain standards which practitioners must improve over time. It is imperative to set up a system of continuous training for blood transfusion personnel, and to set up anonymous transfusion incident and accident reporting forms in each department.
VL  - 11
IS  - 3
ER  -

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