CAUSAS MAIS COMUNS DE INAPTIDÃO PARA DOADORES DE SANGUE E HEMODERIVADOS DE ACORDO COM SEXO

Claudia Mingrone, Maria Gabriela Cerqueira Guimarães, Luiz Carlos dos Santos Borges, Eduarda Penhalber, Raquel Barutti Basilio, Afonso José Pereira Cortez
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Abstract

OBJECTIVE: Blood donation in Brazil is marked by a turbulent history of decentralized hemotherapy, without efficient policies. Article 64 of Federal Law No. 10,205/2001 requires that, prior to donation, candidates undergo a confidential screening process. This step is subdivided into: registration, and clinical and serological screening. Subsequently, the donor is considered fit, or as presenting permanent or temporary unfitness. Thus, the objective was to compare the main causes of unfitness to donate blood among men and women from blood centers between 2017 and 2020. METHODS: Observational and retrospective study, with a quantitative and qualitative approach. Tabulated information for the years 2017 to 2020 was extracted from the hemocenter database. RESULTS: Analysis was performed by comparing the causes of unfitness, in this case the sum between men and women, between the years 2017 and 2020. Among the 5 causes of unfitness for men, 4 are repeated every year, namely: use of medication, self-medication, and/or effective need for chronic diseases; recent surgery; risky sexual intercourse; arterial hypertension. Among the 5 causes of disability for women, 4 are repeated every year: medication use; recent surgery; low hematocrit/hemoglobin; tattoo/acupuncture/ear lobe piercing. CONCLUSION: When listing the main exclusion factors for donation between the sexes, it is noticeable that the causes remain constant over the years.
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按性别划分的献血者和血液制品残疾的最常见原因
目的:巴西献血的特点是分散血液治疗的动荡历史,没有有效的政策。第10,205/2001号联邦法第64条规定,在捐赠之前,候选人必须经过保密的筛选程序。这一步又细分为:注册、临床和血清学筛查。随后,供体被认为是合适的,或表现出永久或暂时的不合适。因此,目的是比较2017年至2020年血液中心男性和女性不适合献血的主要原因。方法:采用定量和定性相结合的观察性和回顾性研究。2017年至2020年的表格信息提取自hemocenter数据库。结果:通过比较2017年至2020年期间不适合的原因进行分析,在本例中为男性和女性之间的总和。在男性不健康的5个原因中,每年重复出现4个原因,即:使用药物、自我药物治疗和/或对慢性病的有效需要;最近的手术;危险的性交;动脉高血压。在妇女致残的5个原因中,有4个每年重复发生:药物使用;最近的手术;低比容/血红蛋白;纹身/针灸/耳垂穿孔。结论:在列举男女捐献的主要排除因素时,值得注意的是,这些原因多年来保持不变。
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