Banca de DEFESA: MARTA SUZIN CERCATO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : MARTA SUZIN CERCATO
DATA : 18/06/2019
HORA: 09:00
LOCAL: ISC
TÍTULO:

HEMOVIGILANCE OF IMMEDIATE TRANSFUSION REACTIONS: ANALYSIS FROM A UNIVERSITY HOSPITAL OF THE STATE OF BAHIA

PALAVRAS-CHAVES:

Hemovigilance; Work Process in Health; Transfusional Reaction, University Hospital; Hemotherapy service.

PÁGINAS: 89
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

The main issue is the way the haemovigilance service works in the prevention and occurrence of transfusion reactions (RTs). In this sense, it is outlined as a general objective: To discuss the actions, methods and strategies of haemovigilance for the prevention, treatment and minimization of the damages of the occurrences of the transfusion reactions (immediate) in a university hospital of the state of Bahia in the period of 2012 to 2018 (HH) according to the constituent elements of the work process (object, agents, means / instruments and purpose); Identify the frequency of the immediate RTs occurring / reported in the hospital in this period; Relate the type of transfused blood component to the type of reaction; Identify the demand and the capacity of service of this UH; Identify methods and strategies used by UH to prevent RT and minimize harm. This is a retrospective, descriptive study of a qualitative and quantitative approach that adopts as a research strategy the case study. The field of this study is characterized as a hospital and outpatient unit, classified as a university hospital, whose collection was performed considering secondary data (Notivisa records, medical records, etc.), as well as other institutional documents such as clinical guidelines, hemoglobinopathies, hemoglobinopathies, hemoglobinopathies, hemoglobinopathies and hematopoietic stem cell counts. In addition, the primary data collection was done, based on the application of a semistructured interview script. From the data collected, a descriptive analysis of the

frequencies and percentages of the occurrences and typologies of RTs, as well as the demand and the capacity of service of this UH. Also, the thematic (content) analysis technique was used as a strategy to evidence about the characterization of UH, as well as the components of the work process that characterize Hemovigilance in the case studied. All ethical aspects have been respected in accordance with the Resolution. The Hemotherapy Unit studied attends the University Hospital, which is part of the SUS Network, participates in the Sentinel Network and is contracted to the Hemoba Foundation. It is located inside the hospital, having as working agents several professionals, with different specific knowledges, in several areas of activity, having satisfactory number of working means, in conditions suitable for the current reality of this unit and to handle its product in accordance with the proposed purpose of ensuring the transfusion, preventing, treating and minimizing damage to the occurrence of (immediate) transfusion reactions. Frequency of 6.43% of immediate RTs per 1000 transfused blood components was verified. Hemolytic Febrile Reaction and Allergic Reaction were the two immediate RTs that occurred the most, reaching 97.7% of the total reactions, and 57.53% of the RTs occurred in the outpatient and hematology ward. The fever, the

appearance of erythematous plaques and pruritus were the most frequent signs / symptoms. Regarding the gender variable for the occurrence of immediate transfusion reactions, it was observed that 51.9% occurred in women and 48.1% in men, and for the color variable, most of the recipient patients who developed a transfusion reaction declared themselves to be brown , followed by blacks and whites. There was a higher number of RTs with grade I (97.5%), with a higher occurrence of blood group O (+) group transfusions, with red blood cell counts (44.1%) and platelets (41 , 9%) were the most transfused blood components and the two most involved in most of the reported transfusion reactions. The strategies for the prevention, treatment of RTs and risk minimization identified compliance with the technical procedures in accordance with the POPs and current legislation, supervision of work agents, training and professional qualification and procedures 7 management. Therefore, the analysis of the results of this study showed that the development of the work process by the health professionals responsible for haemotherapy and haemovigilance is guided by the norms, procedures and current legislation, as well as by the adoption of strategies and methods that impact on the minimization of damages of the occurrences of the transfusion reactions, although challenges of the daily service of Hemotherapy persist, not only to the studied reality.

MEMBROS DA BANCA:
Interno - 1646460 - MARILUCE KARLA BOMFIM DE SOUZA
Externo à Instituição - MARINHO MARQUES DA SILVA NETO - UNEB
Externo à Instituição - MARIA DE FATIMA ALVES FERNANDES - SME/CM
Externo à Instituição - GISELIA SANTANA SOUZA - UFBA