Evidence map›Paper›PMID 38063792›Full record

ArticleBlood transfusion = Trasfusione del sangue2024

Knowledge, attitude and practice survey of bacterial contamination of blood for transfusion in the Democratic Republic of the Congo.

Anne-Sophie Heroes, Paul Kabamba, Aimée Luyindula, Bernard Bongenya, Pierre Nzazi, Monica Nasali, Cathérine Akele, Marie-Paule Lusinga, John Ekofo, José Coene and 4 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Blood transfusion = Trasfusione del sangue, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Anne-Sophie HeroesDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Paul KabambaEducation office, Centre National de Transfusion Sanguine, Kinshasa, Democratic Republic of the Congo.
Aimée LuyindulaBlood bank, Hôpital Saint-Luc, Kisantu, Democratic Republic of the Congo.
Bernard BongenyaBlood bank, Hôpital Provincial Général de Référence, Kinshasa, Democratic Republic of the Congo.
Pierre NzaziBlood bank, Hôpital Provincial Général de Référence, Kinshasa, Democratic Republic of the Congo.
Monica NasaliBlood bank, Hôpital Provincial Général de Référence, Kinshasa, Democratic Republic of the Congo.
Cathérine AkeleDirector Office, Hôpital Pédiatrique Kalembe Lembe, Kinshasa, Democratic Republic of the Congo.
Marie-Paule LusingaBlood bank, Hôpital Pédiatrique Kalembe Lembe, Kinshasa, Democratic Republic of the Congo.
John EkofoNursing department, Hôpital Pédiatrique Kalembe Lembe, Kinshasa, Democratic Republic of the Congo.
José CoeneBlood service, Belgian Red Cross-Flanders, Mechelen, Belgium.
Inge Van CauwenbergDemocratic Republic of the Congo Office, Institute of Tropical Medicine, Antwerp, Belgium.
Philippe VandekerckhoveDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Octavie LunguyaDepartment of Microbiology, Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Jan JacobsDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Instituut voor Tropische Geneeskunde · BEKU Leuven · BENational Institute of Biomedical Research · CDStellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed healthcare worker's knowledge-attitude-practice regarding bacterial contamination of blood products in the Democratic Republic of the Congo. MATERIALS AND

methodsIn three hospitals and the National Blood Transfusion Center (NBTC), two multiple-choice surveys were completed on a tablet computer: one each, for blood bank (31 questions) and for clinical ward staff (20 questions). A score was calculated for 11 overlapping knowledge questions.

resultsAmong 247 participants (blood bank No.=62, ward No.=185), median (range) knowledge score was 10 (2-19) on a maximum of 20, with blood bank staff (12/20) scoring higher than clinical ward staff (9/20) (p<0.0001). Half (50.2%) of 247 participants recalled previous training in transfusion medicine. Participants had limited understanding of and compliance with NBTC-recommended preventive measures: incorrect assumption that wearing gloves prevents bacterial contamination (83.8%) and that blood banks test donor blood for bacteria (59.9%). Half (50.0%) of blood bank staff did not acknowledge the NBTC-recommended antisepsis procedure, 62.1% did not apply the appropriate number of antisepsis steps, and 32.3% saw no harm in touching the venipuncture site after antisepsis. Presence of bacteria on healthy skin (62.3%) and blood bank fomites (examination gloves: 30.8%, soap: 62.8%) was underestimated. Although 92.4% of clinical ward staff said to easily recognize transfusion reactions, only 15.7% recognized septic reactions and post-transfusion antibiotic treatment practices were not consistent. Challenges reported by blood bank staff and particular for low-resource settings were: frequent power cuts (98.4%), transport of blood products by patient attendants (41.1%), without cooling elements (64.4%), and reuse of finished antiseptic/disinfectant containers (75.4%). DISCUSSION: The present study points to gaps in knowledge, attitudes, practices along sampling, cold chain and transfusion which can feed customized training and monitoring.

Indexed as

Blood TransfusionAdultBacteriaBlood BanksDemocratic Republic of the CongoFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMaleSurveys and QuestionnairesTransfusion Reaction

Identifiers

PMID38063792
PMCPMC11073624
OpenAlexW4389801869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.