Author/Editor		Urlep-Šalinović, Vera; Pajk, Janja; Lokar, Lidija
Title		Racionalnejša raba krvi v Splošnih bolnišnicah Maribor in Celje v obdobju 1998-2002
Translated title		More rational use of blood in the Maribor and Celje general hospitals in the period 1998-2002
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. Suppl 1
Publication year		2004
Volume		str. I-81-3
Language		slo
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, leukocytes, 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.
Summary		Izhodišča. Danes je transfuzija krvi varnejša kot kdaj koli poprej. Transfuzijska medicina posveča veliko pozornost racionalni rabi krvi in krvnih pripravkov. Razlogov za racionalno rabo krvi in krvnih pripravkov je več. Vir krvi je prostovoljni krvodajalec, zato je količina krvi omejena. Transfuzija krvi pomeni tveganje za: senzibilizacijo na eritrocitne, trombocitne, levkocitne in antigene HLA, prenos bolezni in bolezen presadka proti gostitelju. V bolnišnicah se ustanavIjajo bolnišnični transfuzijski komiteji (BTK) z namenom, da pomagajo transfuzijski službi pri uveljavljanju dobre transfuzijske klinične prakse po sprejetih smernicah in priporočilih, razvijanju vseh oblik avtologne transfuzije, zbiranju in vrednotenju neželenih učinkov (hemovigilanca) in drugih aktivnostih pri zagotavljanju varnih, učinkovitih in ustreznih krvnih pripravkov za pravega bolnika ob pravem času. Material in metode. Zbrali in analizirali smo podatke o rabi krvi in krvnih pripravkov v SB Maribor in SB Celje za obdobje 1998 do 2002. Leta 1999 smo v obeh bolnišnicah ustanovili BTK. Rezultati. V letih 1998 do 2002 smo v SB Maribor ugotovili zmanjšanje porabe polne krvi v povprečju za 99,7%, koncentriranih eritrocitov (KES) za 4% in sveže zmrznjene plazme (SZP) za 4%, medtem ko se je povečala poraba koncentriranih trombocitov (KT) za 37,3%. V SB Celje se zmanjšala povprečna poraba polne krvi za 99,5% KES za 9,7% KT za 57,3% in SZP za 13,2%. Zaključki. V obeh bolnišnicah ugotavljamo kljub uvajanju novih kliničnih dejavnosti, pri katerih je zdravljenje s krvjo potrebno, racionalnejšo rabo krvi in krvnih pripravkov. Pričakovati je večjo aktivnost BTK in tesnejše sodelovanje klinikov in transfuziologov pri upoštevanju smernic in priporočil za optimalno rabo krvi in krvnih pripravkov.
Descriptors		BLOOD TRANSFUSION BLOOD COMPONENT TRANSFUSION ERYTHROCYTE TRANSFUSION PLASMA PLATELET TRANSFUSION HOSPITALS, GENERAL