Resumo

NOVARETTI, Marcia C. Z. et al. Ten years of experience of quality control in immunohematology. Rev. Bras. Hematol. Hemoter. [online]. 2009, vol.31, n.3, pp. 160-165.  Epub 03-Jul-2009. ISSN 1516-8484.  http://dx.doi.org/10.1590/S1516-84842009005000052.

Transfusion medicine has the purpose of guaranteeing the quality and quantity of blood, blood derivatives and services offered to the community. Thus, the analysis of serological reagents is critical in pre-transfusion testing and, consequently, reliable transfusions. A constant improvement in the tests that analyze the quality of reagents and equipment utilized is the responsibility of quality control. This paper aims at presenting the results and experience achieved over 10 years in the Department of Quality Control in Immunohematology at Fundação Pró-Sangue / Hemocentro de São Paulo. In the period of January 1997 to December 2007 we carried out analyses of 3,417 serological reagents at acquisition and/or during their use. The analyses included from visual inspection to specific laboratory tests for each kind of reagent. Of the 3,417 lots analyzed (mean = 310/year, median = 252/year), 94 (2.7% - median=8.54/year) failed the tests. From 2004 to date, once the reagents were approved, none failed during use. The implementation of a quality control system with standardized techniques is important for the adequate utilization of serological reagents. This system accomplished by retroactive control of the reagents, contributed to the safety and reliability of results in immunohematology testing.

Palavras-chave : Quality; hemotherapy; blood groups; transfusion; antiglobulin.