Abstract
Comprehension of blood component therapy (BCT) has profound impact on transfusion outcomes. Variations from the standards in practices of BCT may jeopardize patient care. To assess the understanding and implementation of BCT by physicians. The study was carried out at two tertiary health care centres. It was a descriptive cross-sectional study using a self-administered, questionnaire comprising of 30 questions. A total of 265 physicians responded from various clinical specialties. Physicians studied showed remarkable knowledge (98%) of BCT. Nevertheless, 92.8% of the respondents' were inclined to prescribing whole blood and the commonest reason given was ready availability at the blood bank. More than half of the respondents' have prescribed BCT with sedimented red cells and platelet concentrates being the most frequently prescribed blood components. Non-availability of blood components and cost implications were some of the identified limitations to the use of BCT. Majority of the physicians have a good knowledge concerning BCT. Nonetheless, there was a knowledge-practice mismatch attributable to the unavailability of the various blood components limiting optimal practice of BCT. Strategies should be formulated to overcome these identified challenges to ensure quality transfusion services in our healthcare facilities.
Highlights
Comprehension of blood component therapy (BCT) has profound impact on transfusion outcomes
There was a knowledge-practice mismatch attributable to the unavailability of the various blood components limiting optimal practice of BCT
One of the key points determining the efficiency of any blood transfusion service is the knowledge level of the physicians using the service
Summary
Comprehension of blood component therapy (BCT) has profound impact on transfusion outcomes. Methods: The study was carried out at two tertiary health care centres. Knowledge and practices of physicians on blood component therapy: a cross-sectional study from two tertiary hospitals in Nigeria. Blood transfusion is a very important and life-saving treatment, and a crucial component of contemporary health care. Physicians’ knowledge about blood components and their demands, doses and administration, may have profound impact on patient care and outcome. Majority of blood banking training barring transfusion medicine post graduate programme, is given in pathology residency programs. These specialists are not always the bedside providers of blood transfusion[5]
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