[LEVEL OF PROVISION OF THE TREATMENT INSTITUTIONS WITH THE BLOOD COMPONENTS]

The need for the blood products — it is a quantity of the blood and its components, which is really necessary for transfusion in a determined group of population in certain period of time. The need in erythrocytes is dependent on the medical aid type: for bed in reanimation and surgery of the first link — 5 — 7 doses, in specialized institutions — 25 — 30 doses. The investigation objective constitutes in determination the provision level of hospitals with the blood products by the physician's estimate. In the Regional Centre of the Blood a questionnaire was elaborated, distributed to 620 physicians from 29 hospitals, 423 questionnaires were accepted. The main causes, influencing the blood components application, were determined by responders in such sequence: presence of an acute states and injuries; kind of the disease; accessibility of the blood components; presence of significant quantity of patients with rare groups of the blood. Yearly application of blood components in the departments were analyzed in regional treatment institutions, central municipal hospitals and central district hospitals. In accordance to results of the investigation there was established, that official statistical instrument, estimating the clinical transfusiology state, is absent; the prognosis calculation for the yearly need is done by majority (75 — 83%) of physicians; control of the blood components purveyances the majority of responders accomplish in accordance to two indices — general quantity of erythrocytes and the patient's state worsening, witnessing submitting of urgent medical aid predominantly.