Dorothee
Germany
|
This month the “WHO” published an updated version of their Blood Safety and Availability Fact Sheet: >In low-income countries, up to 65% of blood transfusions are given to children under 5 years of age; whereas in high-income countries, the most frequently transfused patient group is over 65 years of age, accounting for up to 76% of all transfusions. >An increase of 10,7 million blood donations from voluntary unpaid donors has been reported from 2008 to 2013. >Only 43 of 175 reporting countries produce plasma-derived medicinal products (PDMP) through the fractionation of plasma collected in the country, whereas the majority of the other 132 countries import PDMP from abroad. >An average number of about 112,5 million blood donations are collected worldwide. >In high-income-countries the amount of donor-blood that can be used for transfusion is thousands of blood-transfusions higher than in developing countries. LDCs that are located to Africa are the worst off. >16 countries are not able to screen all donated blood for 1 or more of the infections HIV, hepatitis B, hepatitis C and syphilis. >125 countries have national guidelines on the appropriate clinical use of blood. >Transfusion committees are present in 67% of the hospitals performing transfusions in high-income countries and in 34% of the hospitals in middle- and low-income countries. >In the low-income countries up to 67% of transfusions are for children under the age of 5 years. >In high-income countries, transfusion is most commonly used for supportive care in cardiovascular surgery, transplant surgery, massive trauma, and therapy for solid and haematological malignancies. In low- and middle-income countries it is used more often to manage pregnancy-related complications and severe childhood anaemia.
>Through its Blood and Transfusion Safety programme, WHO supports countries in developing national blood systems to ensure timely access to safe and sufficient supplies of blood and blood products and good transfusion practices to meet the patients’ needs.
|