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how well are hospitals preventing iatrogenic hiv? a study of the appropriateness of blood transfusions in three hospitals in the ashanti region, ghana.a study on the appropriateness of blood and blood product transfusions took place in three hospitals over a 3-week period in july/august 1990 in the ashanti region of ghana. clinical records of all blood transfusion recipients within the period were examined for the appropriateness of the transfusions based on preset criteria. nearly 1 in 5 (17%) of all blood transfusion episodes in the hospitals were avoidable according to these criteria. surgical practices were associated, perhaps habitually, ...19911746036
residual risk of transfusion in ghana.plasma samples from replacement and volunteer blood donors in kumasi, ghana were pooled and tested using a duplex human immunodeficiency virus (hiv) and hepatitis c virus (hcv) rna detection method: individual plasmas constitutive of reactive pools were confirmed using reverse transcription-polymerase chain reaction. hiv and hcv infections were significantly higher in 1569 replacement donors than in 1169 volunteers; 2.4 and 1.7 versus 0.3 and 0.7% respectively (p < 0.01). two duplex rna-positive ...200111328277
relative safety of first-time volunteer and replacement donors in west africa.a significantly higher level of safety between nonremunerated volunteer and replacement donor blood is assumed. this is supported by global data without stratifying between genuine replacement and paid donors, for first-time or repeat volunteer, or according to age.201019843284
the african aids case definition and hiv serology in medical in-patients at komfo anokye teaching hospital, kumasi, ghana.in 914 consecutive medical admissions to komfo anokye teaching hospital, the prevalence of infection with human immunodeficiency virus type i (hiv-i) and human immunodeficiency virus type 2 (hiv-2) was 12.6%. the prevalence in females was twice that found in males. the infection rate was maximum in the age group 25-29 years for females (45%) and 30-34 years for males (29%). there were 7 cases infected with hiv-2 alone, 55 cases infected with hiv-i alone and 53 cases with dual infection. the case ...19947803336
seroprevalence of west nile virus in ghana.the epidemiology of west nile virus (wnv) in ghana, sub-saharan africa, and its relevance to transfusion were newly assessed. a total of 1324 plasma samples from five ghanaian populations, including 529 children (<6 y old, pre-transfusion) and 795 adults (236 blood donors, 226 hiv-infected or non-infected pregnant women, 203 hiv symptomatic patients, and 130 aids patients) were screened for wnv rna. no wnv rna was detected, but 4.8% (13/271) and 27.9% (127/455) carried specific igg in children a ...200919210224
ground-breaking research into ghanaian sex-workers suggests high awareness. country surveys.the first nationwide research into prostitution in ghana has been completed by dr. matilida pappoe. she has found that there has been exponential growth in prostitution over the past three years in the country. while 10 years ago, people would not openly talk about prostitution, now that people's friends are increasingly entering the trade, people freely discuss prostitution. the research indicates that this growth is linked to the negative effects of macroeconomic policies aimed at economic ...199612290769
resolution of the acute-phase response in west african patients receiving treatment for pulmonary tuberculosis.the komfo anokye teaching hospital, kumasi, ghana, west africa.200010777083
life-threatening cutaneous reactions to thiacetazone-containing antituberculosis treatment in kumasi, ghana.antituberculosis treatment containing thiacetazone is associated with a high incidence of life-threatening cutaneous drug reactions in patients infected with the human immunodeficiency virus (hiv). in order to develop a local policy concerning the use of this drug, a study was undertaken to determine the incidence of such reactions in a total of 1063 ghanaian adult patients treated for pulmonary tuberculosis (ptb) with thiacetazone-containing regimens. the incidence was retrospectively determine ...199910734785
a handful of volunteers in an underpaid service offer counselling after only a week's training. focus: ghana.in ghana, aids counselors do not have the resources to provide a complex balance of medical, financial, and emotional support. the problem is the poorly funded health service, but also convincing local policymakers that aids care is worthwhile. in kumasi, a clinic was started by a former psychiatric nurse and doctors and nurses were trained in 1992 and 1993 to work there. after funding was cut by the ministry of health, only 25 trained counselors were left in the region with an estimated 15,0 ...199512319959
epidemic in ghana: "a very distinct profile".sentinel surveillance for hiv among pregnant women in ghana in 1992 pointed to an hiv prevalence of 3.2% in koforidua and 4.2% in kumasi; prevalence of 18%, however, was observed in rural agomanya in the eastern region of the country. this relatively and absolutely high prevalence of hiv infection in the eastern region is closely related to the emigration of women to cote d'ivoire for work as prostitutes, and their ultimate return to their home villages in eastern ghana. it is hypothesized tha ...199512289034
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