[Recipients adverse reactions: guidance supports].
Since 1994, adverse effects of transfusion transmitted to the French haemovigilance network are registered on "e-fit", the database of the French agency for the safety of health products (Afssaps). In order to improve their analysis, guidance supports have been made by Afssaps working groups. Each support deals with a blood transfusion side effect and is composed of five parts including pathophysiological mechanisms, diagnostic criteria, management recommendations, etiologic investigations and rules of filing the notification form on e-fit. The major characteristics of sheets published or soon-to-be published are presented: transfusion-related acute lung injury, transfusion-transmitted bacterial infection, non-haemolytic febrile reaction, allergic reaction, transfusion-associated circulatory overload, hypotensive transfusion reaction, alloimmunization, erythrocyte incompatibility reaction and hemosiderosis. These new supports give relevant guidelines allowing a better analysis and evaluation of recipients' adverse reactions, particularly their diagnosis, gravity and accountability. They could also initiate studies in European and international haemovigilance and transfusion networks.
Pôle Anesthésie Réanimation Chirurgicale Samu, CHU Côte-de-Nacre, avenue Côte-de-Nacre, 14033 Caen cedex 9, France. bazin-a@chu-caen.fr
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Bazin
D055371:Acute Lung Injury / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000635:transmission; D001787:Blood Group Incompatibility / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy; D058731:Blood Safety; D001803:Blood Transfusion / Q000331:legislation & jurisprudence; D001810:Blood Volume; D016208:Databases, Factual; D057286:Electronic Health Records; D005334:Fever / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D005568:Forms and Records Control; D005602:France; D006486:Hemosiderosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D006967:Hypersensitivity / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D007114:Immunization; D019221:Mandatory Reporting; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D065227:Transfusion Reaction