بررسی وضعیت تزریق خون و عوارض آن در بیماران مراجعه‌کننده به درمانگاه بیماران بزرگسال تالاسمی تهران

Background and Objectives: Thalassemia is a hereditary hemolytic anemia requiring life-long transfusion treatment. The frequent blood transfusion has some side effects, including immunologic reaetions and non-immunologics such as iron overload and transmission of some infections such as HBV, HCV and HIV. This cross-sectional study was aimed to investigate the transfusion effects in patients referred to the Adult Thalassemia Clinic, Tehran. Materials and Methods: For data collection, the patients were asked for the history of transfusion reactions, their files of medical records were surveyed with concern to transfusion status and reactions, and some laboratory data including serum ferritin and TTI were also collected. The results were analyzed using SPSS software. Results: Foun hundreds and forty one patients comprises of 53% males and 47% females with mean age of 22.6 years were studied. They consisted of 362 (82.1%) thalassemia major and 79 (17.9%) thalassemia intermediate. The mean of ferritin level was 1856.4 ng/dl. From the studied subjects, 7 (1.6%) had history of delayed hemolytic disorder, 25 (6.1%) presented with allergy and 41 (9.9%) showed febrile transfusion reaction. The remaining 368 subjects (82.4%) showed no evidence of transfusion reactions. The records showed that 117 patients (28.4%) were HCV Ab positive, 369 (88.7%) were HBsAb positive and 80 (19.2%) were HBcAb positive, 3(0.7%) HBsAg positive. According to this results, 300 patients (70.3%) were vaccinal positive 66 (15.5%) were immune to HBV from past infections 40 (9.4%) were negative and 3 (0.7%) were carrier of HBV. Totally, 366 (85%) patients were immune to HBV. We had no case of HIV positive. Conclusion: Transfusion reaction and their documentation are very important for blood transfusion services and programming. Unfortunately, there is no statistic records of these reactions in the hospitals or there may be some unclassified data in the patients’ files. Regular co-operation between hospitals and blood transfusion centers is required for collecting the information and finding total incidence of transfusion reactions. Hemovigilance or computerized network between blood bank centers in hospitals and Iran transfusion organization is the best way for collecting such data.