Overview of plasmapheresis in Italy

The national law, concerning Blood Transfusion and Blood derivatives in Italy, aims at achieving self-sufficiency and assuring safety of blood, plasma and plasma derivatives, according to EEC ((EE-Directive 89/381) and to the Council of Europe (R-88/4)). According to this law it is the task of the Central National Authority, (ie Istituto Superiore di Sanità (ISS)), to coordinate the transfusion system nationwide. The adoption and the transmission to the ISS of Regional Blood Registers containing information about the local use of blood and blood derivatives is in progress. Up to now the data are collected from a network among Blood Centers by Società italiana di Immunoematologia e Trasufusione del Sangue-Associazione Italiana Centri Trasfusionali (SIITS-AICT) and these results show that in Italy the incorrect use of plasma and albumin and the insufficient practice of plasmapheresis are the major obstacles to the achievement of self-sufficiency.