Dzik Walter Sunny, Kyeyune Dorothy, Otekat Grace, Natukunda Bernard, Hume Heather, Kasirye Phillip G, Ddungu Henry, Kajja Isaac, Dhabangi Aggrey, Mugyenyi Godfrey R, Seguin Claire, Barnes Linda, Delaney Meghan
Massachusetts General Hospital, Boston, MA.
Uganda Blood Transfusion Service, Kampala, Uganda; Makerere University College of Health Sciences, Kampala, Uganda.
Transfus Med Rev. 2015 Jul;29(3):195-204. doi: 10.1016/j.tmrv.2015.02.003. Epub 2015 Feb 19.
In November 2014, a 3-day conference devoted to transfusion medicine in sub-Saharan Africa was held in Kampala, Uganda. Faculty from academic institutions in Uganda provided a broad overview of issues pertinent to transfusion medicine in Africa. The conference consisted of lectures, demonstrations, and discussions followed by 5 small group workshops held at the Uganda Blood Transfusion Service Laboratories, the Ugandan Cancer Institute, and the Mulago National Referral Hospital. Highlighted topics included the challenges posed by increasing clinical demands for blood, the need for better patient identification at the time of transfusion, inadequate application of the antiglobulin reagent during pretransfusion testing, concern regarding proper recognition and evaluation of transfusion reactions, the expanded role for nurse leadership as a means to improve patient outcomes, and the need for an epidemiologic map of blood usage in Africa. Specialty areas of focus included the potential for broader application of transcranial Doppler and hydroxyurea therapy in sickle cell disease, African-specific guidelines for transfusion support of cancer patients, the challenges of transfusion support in trauma, and the importance of African-centered clinical research in pediatric and obstetric transfusion medicine. The course concluded by summarizing the benefits derived from an organized quality program that extended from the donor to the recipient. As an educational tool, the slide-audio presentation of the lectures will be made freely available at the International Society of Blood Transfusion Academy Web site: http://www.isbtweb.org/academy/.
2014年11月，一场为期三天、专注于撒哈拉以南非洲地区输血医学的会议在乌干达坎帕拉举行。来自乌干达学术机构的教员全面概述了与非洲输血医学相关的问题。会议包括讲座、演示和讨论，随后在乌干达输血服务实验室、乌干达癌症研究所和穆拉戈国家转诊医院举办了5场小组研讨会。突出的主题包括临床对血液需求增加带来的挑战、输血时更好地识别患者的必要性、输血前检测中抗球蛋白试剂应用不足、对输血反应的正确识别和评估的关注、护士领导力在改善患者结局方面的扩大作用，以及绘制非洲血液使用情况流行病学地图的必要性。重点关注的专业领域包括经颅多普勒和羟基脲疗法在镰状细胞病中更广泛应用的潜力、针对非洲癌症患者输血支持的特定指南、创伤输血支持的挑战，以及以非洲为中心的临床研究在儿科和产科输血医学中的重要性。会议最后总结了从从献血者到受血者的有组织质量计划中获得的益处。作为一种教育工具，讲座的幻灯片音频演示将在国际输血协会学院网站上免费提供：http://www.isbtweb.org/academy/ 。
