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Year : 2018  |  Volume : 21  |  Issue : 4  |  Page : 468-472

Challenges in the management of bleeding disorders in Nigeria

1 Department of Hematology and Immunology, College of Medicine, University of Nigeria, Ituku Ozalla, Enugu, Nigeria
2 Department of Hematology and Blood Transfusion, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
3 Department of Hematology, University of Benin, Benin City, Edo State, Nigeria
4 Department of Hematology, Chukwuemeka Odumegwu Ojukwu University Awka, Anambra, Nigeria
5 Department of Hematology, Federal Teaching Hospital, Abakaliki, Nigeria

Correspondence Address:
Dr. H C Okoye
artment of Hematology and Immunology, College of Medicine, University of Nigeria, Ituku Ozalla, Enugu 400001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_319_17

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Background: Bleeding disorders (BDs) are characterized by abnormal bleeding for which effective management requires a combination of skill, workforce, diagnostic facilities, and adequate therapeutic options. Objectives: The objectives of this study were to determine the capacity of Nigerian hematologists to handle BDs and to assess availability of required infrastructure, equipment, and treatment options. Materials and Methods: This descriptive study was conducted during the 2016 scientific conference of the Nigerian Society for Hemetology and Blood Transfusion. A structured questionnaire was distributed to hematologists in attendance. Data were analyzed with SPSS version 21. Results: A total of 55 (76.4%) hematologists from 27 centers responded. The most frequently carried out tests to assess bleeding were hemoglobin or packed cell volume (100%), full blood count (96.3%), and prothrombin time/international normalized ratio and activated partial thromboplastin time (77%). Many centers did not have a coagulometer (47.8%) or cold centrifuge (43.4%) and none had thromboelastography or rotational thromboelastometry. Fresh whole blood was the most accessible (88.5%) and up to one-third of the centers did not have access to component therapy. Only 39.1% centers had factor concentrates available. Conclusion: Facilities required for diagnosing and treating BD are significantly deficient in most centers in Nigeria. Funding to provide facility and training is required to improve on this inadequacy.

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