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The importance of hemovigilance in the transmission of infectious diseases

机译:血液警惕在传染病传播中的重要性

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Background: Hemovigilance is an organized system of surveillance throughout the transfusion chain intended to evaluate information in order to prevent the appearance or recurrence of adverse reactions related to the use of blood products. Objective: The aims of this study were to assess the late reporting of incidents related to possible seroconversion in respect to age, marital status and ethnical background, annual variations in late reporting, the number of reports opened and closed, seroconversion of donors and transfusions of blood products within the window period. Methods: This retrospective, descriptive study used data on blood donations in the blood bank in Uberaba during the period from 2004 to 2011. Some socio-epidemiological characteristics of the donors and serology test results of donors and recipients were analyzed in respect to the late reporting of incidents related to possible seroconversion. The Chi-square test, odds ratio and a regression model were used for statistical analysis. Results: From 2004 to 2011, the blood bank in Uberaba collected 117,857 blood bags, 284 (0.24%) of which were investigated for late reported incidents. The profile of the donors was less than 29 years old, unmarried and non-Whites. Differences in age (p-value 0.0001), marital status (p-value = 0.0002) and ethnical background (p-value 0.0001) were found to be statistically significant. There was no statistical difference between men and women (0.24% and 0.23% respectively; p-value = 0.951). The number of late reported incidents increased until 2008 followed by a downward trend until 2011. There were twelve cases of seroconversion in subsequent donations (seven human immunodeficiency virus, four hepatitis B and one hepatitis C) with proven human immunodeficiency virus infection after screening of only one recipient. Conclusion: The twelve cases of seroconversion in donors with subsequent infection proven in one recipient underscores the importance of this tool to increase transfusion safety.
机译:背景:血液警戒是整个输血链条的监视系统,旨在评估信息,以防止与血液制品使用相关的不良反应的出现或复发。目的:本研究的目的是评估与年龄,婚姻状况和种族背景有关的可能血清转化的事件的晚期报告,晚期报告的年度差异,打开和关闭的报告数量,捐赠者的血清转化和输血。窗口期内的血液制品。方法:该回顾性描述性研究使用了2004年至2011年期间Uberaba血库中献血的数据。分析了捐赠者的一些社会流行病学特征以及捐赠者和接受者的血清学检查结果与可能的血清转化有关的事件。卡方检验,比值比和回归模型用于统计分析。结果:从2004年到2011年,乌贝拉巴的血库收集了117,857个血袋,其中284个(0.24%)被调查了是否有较晚报告的事件。捐助者的年龄不到29岁,未婚,非白人。发现年龄(p值<0.0001),婚姻状况(p值= 0.0002)和种族背景(p值<0.0001)之间的差异具有统计学意义。男女之间无统计学差异(分别为0.24%和0.23%; p值= 0.951)。到2008年为止,已报告的晚期事件数量呈上升趋势,到2011年呈下降趋势。随后的捐赠中有12例发生血清转化(仅7例人类免疫缺陷病毒,4例乙型肝炎和1例丙型肝炎),只有经过筛查才被证实具有人类免疫缺陷病毒感染一位收件人。结论:供体中有十二例发生血清转化,随后在一个接受者中证实感染,凸显了该工具对提高输血安全性的重要性。

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