PHRC Research Centre, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan.
Hussiani Blood Bank and Hussaini Thalassemia Centre, Karachi, Pakistan.
East Mediterr Health J. 2019 Jul 24;25(5):331-340. doi: 10.26719/emhj.18.051.
Implementation of infection control standards in blood banks is important to prevent transmission of blood-borne infections such as HIV, hepatitis B and Hepatitis C. No study from Pakistan evaluated the infection control practices in the blood banks of Pakistan.
This study aimed to evaluate infection control practices with reference to safe blood supply, staff safety and waste disposal practices in blood banks of Karachi, Pakistan.
This was a cross-sectional study. Infection control practices of all blood banks working in Karachi were determined through a structured questionnaire followed by an educational intervention. Mean scores for overall infection control practices and specific practices regarding safe blood supply, staff safety and waste disposal were calculated and compared with different factors using statistical tools.
Patient safety scores of 49 (92.5%) blood banks were within the satisfactory range but staff safety and waste disposal scores of only 26 (49.1%) and 4 (7.5%) blood banks were satisfactory. Significantly lower infection control (IC) scores were observed for stand-alone blood banks and those working in the absence of a haematologist (P-value < 0.001). Availability of written standard operating procedures (SOPs) and IC guidelines correlated positively (P-value < 0.001) with mean IC scores.
Blood banks in Karachi lack implementation of IC standards particularly with reference to staff safety and waste management and disposal. Sindh blood transfusion authority (SBTA) should take measures to increase IC compliance within blood banks.
在血库实施感染控制标准对于预防艾滋病毒、乙型肝炎和丙型肝炎等血源感染的传播非常重要。没有来自巴基斯坦的研究评估过巴基斯坦血库的感染控制实践。
本研究旨在评估卡拉奇血库的感染控制实践，涉及安全血液供应、员工安全和废物处理实践。
这是一项横断面研究。通过结构化问卷确定所有在卡拉奇工作的血库的感染控制实践，随后进行教育干预。计算总体感染控制实践以及关于安全血液供应、员工安全和废物处理的具体实践的平均得分，并使用统计工具与不同因素进行比较。
49 家（92.5%）血库的患者安全得分在满意范围内，但只有 26 家（49.1%）和 4 家（7.5%）血库的员工安全和废物处理得分令人满意。独立血库和没有血液学家的血库的感染控制（IC）得分明显较低（P 值<0.001）。书面标准操作程序（SOP）和 IC 指南的可用性与平均 IC 得分呈正相关（P 值<0.001）。
卡拉奇的血库缺乏感染控制标准的实施，特别是在员工安全和废物管理和处置方面。信德省输血管理局（SBTA）应采取措施提高血库的 IC 合规性。
