CHARACTERIZATION OF THE IMPACT OF REACTION IN A HOSPITAL IN UNIVERSITÁRIO Natal / RN

Abstract

Introduction: By using products from the transfusion of human blood involves health risk. It is necessary to know the types of transfusion reactions, the hemo-components related to them and their impact, to introduce corrective and preventive measures that reduce those risks. It is estimated that 1 to 3% of transfusions of blood lead to a reaction Transfusion of blood (AMORIM CHILD, 2000). Goal: Characterize the incidence of transfusion reactions through the analysis of the forms of notification of a university hospital in Natal / RN. Methodology: study done in the sector of hemo-vigilance of HUOL, in the period from 2004 to 2006, with the data sheet for notification of transfusion reactions. Results: A total of 17,545 hemo-transfusion were reported 36 reactions transfusion with overall incidence of 0.21%, and 13 in 2004 (0.23%), 11 in 2005 (0.19%) and 12 in 2006 (0, 20%). Taking into consideration only the hemo-components involved in the transfusion reactions, the effect of general were concentrated in the components of red blood cells (0.28%), plasma fresh frozen (0.28%), concentrated platelets (0.22%) and concentrate on RBCs poor in leukocytes (0.08%). The reaction febrile not hemolytic (52.7%), followed by an allergic reaction (41.6%) and overhead excess liquid in the blood (5.5%). Conclusion: Compared with the general data obtained in the literature can conclude that there are probably sub-notification of transfusion reactions. This phenomenon may be due to failures in the detection of the reaction of the professional nurse and / or doctor or even the habit of not trigger the notification process and formal registration.