MORE RATIONAL USE OF BLOOD IN THE MARIBOR AND CELJE GENERAL HOSPITALS IN THE PERIOD 1998–2002
Abstract
Background. Nowadays is blood transfusion safer than ever before. In transfusion medicine are many reasons for rational use of blood and blood components. Blood is donated by voluntary blood donors and the amount of blood is limited. There are many risks of blood transfusion such as sensibilisation on red cells, platelets, leucocytes, HLA antigens, the possibility of transmission of blood transmitted diseases and graft versus host disease. Blood Transfusion Committees were constituted in hospitals in many countries to promote transfusion best practice through the enhancement of transfusion awareness and education, facilitation of policy development, and monitoring and review of the use of blood and blood products and adverse incidents involving these products.
Material and methods. The data of the blood and blood components using in Maribor and Celje General Hospital (GH) were collected and analysed for the period from 1998 to 2002. The Blood Transfusion Committee was constituted in both hospitals in 1999.
Results. In Maribor GH the use of whole blood in the period from 1998 to 2002 was decreased approximately for 99.7%, red cells concentrates (RCC) were decreased for 4%, fresh frozen plasma (FFP) was decreased for 4% and platelets were increased for 37.3%. In Celje GH the use of whole blood was decreased approximately 99.5%, RCC decreased for 9.7%, FFP decreased for 13.2% and platelets decreased for 57.3%.
Conclusions. Despite of introduction of new clinical activities that request blood treatment, we notice more rational use of blood and blood components in both hospitals. Better cooperation between transfusiologists and clinicans, and better activity of BTC by consideration of guidelines and recomendations for optimal use of blood and blood components is to be expected as well.
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