Epidemiologia das reações trasnfusionais imediatas no Hospital Napoleão Laureano

Abstract

ABSTRACT The transfusion of blood components is an important procedure for the treatment of hematological and oncological diseases, but, some risks may occur in this process therapeutic, such as immediate transfusion incidents.The objective of this work is to identify and analyze the blood components associated with immediate transfusion reactions (RTI) and classify the most frequent ITI.The data were obtained from record of notification related to transfusion incidents, in the Service of the Transfusion Agency at the Hospital Napoleão Laureano, in the period from January 2014 to December 2016. Of the 30427 transfusions performed during the study period, 117 caused RTI, with a prevalence of 0,38% and the most frequent was platelet concentrate (60,68%), followed for the concentrate of Red blood cells (CH) with (29,91%). The most frequent RTI were allergic reaction (80,34%) and febrile not hemolytic (15,38%).Regarding the clinical manifestations, the most frequent was urticaria (23,87%). The most reported hospital sector was the Medical Clinic (59,83%), and in relation to the indication for transfusion, thrombocytopenia was the most frequent (59,83%).It is concluded that the principal blood components responsible for the RTI reports were CP and CH. The most frequent clinical manifestations were urticaria and papules. These findings are of great importance for preventive measures to be taken and can subsidize the implementation of professional training focused in the actions of haemovigilance.