The approach taken by a Central/Eastern European Blood
Transfusion Organisation:POLAND
Magdalena Łętowska
National Centre for Transfusion Medicine
Warsaw, Poland
Legal basis for Blood Transfusion Service
Public Blood Transfusion Service Law of 22nd August 1997
Structure: National Centre for Transfusion Medicine Regional Blood Centres Blood Banks -integral part of Regional Centres
blood and plasma collected in Regional Centres exclusively
no private collections centers permitted
Organization of Blood Transfusion Service in Poland
Ministry of Health
National Centre for Transfusion MedicineInstitute of Haematology and Blood Transfusion
Regional Blood Centres21
Blood Banks 229
BTS - scientific and medical supervision
National Centre for Transfusion
Medicine
Institute of Haematology
and Blood Transfusion
• Guidelines• Quality assurance• GMP• Audits• Training• Lectures
Central Programme – Polish Ministry of Health
Fractionation of FFP Blood bags Viral markers tests Anti-RhD intramuscular
immunoglobulin production Coagulation factors
Regional Blood Centres
Szczecin
Gdańsk Olsztyn
Białystok
Lublin
RzeszówKraków
Kielce
Warszawa
RadomŁódź
Bydgoszcz
Katowice
Opole
Wrocław
Poznań
Zielona Góra
.Słupsk
.
.
.Racibórz
Kalisz
Wałbrzych
Regional Blood Centers
Uniform organization structure Uniform quality assurance system Two financing sources:
– central budget– hospital (reinbursment for blood
and blood components)
Reorganization of Blood Collection
Year 1999 2000 2001 2002
Number of Blood Banks
329 271 248 229
Number of mobile collectio
ns
2029 2907 3546 4419
Blood donors in Poland
Year 1998 1999 2000 2001 2002
Total437 113
442 178 388 292 413 084 436 686
Non-remunerat
ed (%)98,9 99,3 99,3 99,4 99,5
Donations in Poland (whole blood and plasma)
Year 1999 2000 2001 2002
Number of
donations
893 144 890 526 924 470 946 362
Whole Blood and Apheresis Plasma 1996-2002
YearWhole blood
x 1000 l
Apheresis plasma
x 1000 l
1996 350 121
1997 352 132
1998 369 144
1999 358 114
2000 356 63
2001 374 68
2002 390 48
RBCs, FFP and PCs 1996-2002
Year RBCs x 1000 l FFP x 1000 l
1996 329 260
1997 338 263
1998 354 236
1999 351 241
2000 352 216
2001 369 226
2002 387 220
Screening tests for each donation:
Syphilis test AlAT HBsAg Anti-HCV Anti-HIV HCV-RNA (since January 2, 2002)
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