blood transfusion safety: progress report 142 nd session of the executive committee 23-29 june 2008,...
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BLOOD TRANSFUSION SAFETY: PROGRESS REPORT
BLOOD TRANSFUSION SAFETY: PROGRESS REPORT
142nd Session of the Executive Committee
23-29 June 2008, Washington DC
Pan American Health Organization
142nd Session of the Executive Committee
23-29 June 2008, Washington DC
Pan American Health Organization
Pan American Health Organization 2008 2
COVERAGE OF SCREENING FOR TTILATIN AMERICA AND CARIBBEAN 2000 -2005
COVERAGE OF SCREENING FOR TTILATIN AMERICA AND CARIBBEAN 2000 -2005
95
96
97
98
99
100
101
2000 2003 2004 2005
HIV
HBV
HCV
SYP
%
Pan American Health Organization 2008 3
PARTICIPATION IN PEEP FOR TTIVOLUNTARY BLOOD DONATION
LATIN AMERICA 2000-2005
PARTICIPATION IN PEEP FOR TTIVOLUNTARY BLOOD DONATION
LATIN AMERICA 2000-2005
0
10
20
30
40
50
60
2000 2003 2004 2005
PEEP
VBD%
Pan American Health Organization 2008 4
RISK OF INFECTED TRANSFUSIONS2003-2005*
RISK OF INFECTED TRANSFUSIONS2003-2005*
0
5
10
15
20
25
30
35
VIRAL T. cruzi
2003
2004
2005
* per 100,000 donations
Pan American Health Organization 2008 5
EFFICIENCY OF BLOOD COLLECTIONLATIN AMERICAN COUNTRIES, 2005EFFICIENCY OF BLOOD COLLECTIONLATIN AMERICAN COUNTRIES, 2005
N UNITS 1,404 2,334 5,888 p<0.0005
DONATION RATE/10,000
(95% CI)100.85
(95 - 107)
115.90
(111 - 121)
186.81
(182 - 192)
P<0.005
VBD
(MEAN) 10.4 18.5 51.3 p<0.010
DONOR
DEFERRAL
(%)
20.1 24.7 7.9 p<0.050
MEAN UNITS
DISCARDED
(%)
10.7 9.9 10.3 p> 0.90
Pan American Health Organization 2008 6
EFFICIENCY OF BLOOD COLLECTION CARIBBEAN COUNTRIES 2005
EFFICIENCY OF BLOOD COLLECTION CARIBBEAN COUNTRIES 2005
COUNTRIES WITH
DERERRAL RATE
20-53%
(n=8)
COUNTRIES WITH
DEFERRAL RATE
0-10%
(n=7)
DONATION RATE
(MEDIAN) 87.7 167.6
COUNTRIES WITH 100% VBD 0/8 4/7
PREVALENCE TTI (MEDIAN)
4.09 0.90
DISCARD RATE
(MEAN)
9.3 8.8
Pan American Health Organization 2008 7
FINANCIAL RESOURCES LOSTLATIN AMERICAN AND CARIBBEAN COUNTRIES 2005
FINANCIAL RESOURCES LOSTLATIN AMERICAN AND CARIBBEAN COUNTRIES 2005
LATIN AMERICA CARIBBEAN
# UNITS REACTIVE/POSITIVE
FOR TTI235,134 3,562
# UNITS OF RBC
OUTDATED
& DISCARDED
603,950 6,425
TOTAL UNITS LOST 839,084 9,987
TOTAL COST
US $ 56/UNIT
46 988 704 559,272
Pan American Health Organization 2008 8
THE WAY FORWARDTHE WAY FORWARD• HEALTH AUTHORITIES LEAD PLANNING AND
MANAGEMENT OF NATIONAL BLOOD NETWORK SYSTEMS
• NEED FOR BLOOD COMPONENTS AT THE NATIONAL LEVEL IS ESTIMATED
• A SOCIAL NETWORK IS FORMED AND BLOOD DONORS ARE EDUCATED
• REPLACEMENT AND PAID DONATIONS ARE TERMINATED