BackgroundHemovigilance 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. ObjectiveThe 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.
MethodsThis 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.
ResultsFrom 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. ConclusionThe twelve cases of seroconversion in donors with subsequent infection proven in one
recipient underscores the importance of this tool to increase transfusion safety.