Blood Transfusion Service in Estonia

There are four blood collection and processing facilities in Estonia, belonging to the hospitals in four directions – North, South, West and East. Blood centres in Tallinn, Tartu, Pärnu and Kohtla-Järve are independent from each other, but working under the umbrella of the common legislation which regulates collection, testing, processing and quality issues.

Altogether 16 doctors, 48 nurses, 24 lab technicians and 53 persons with other qualifications are able to serve 35 000 donors per year who are giving 60 000 donations and over 130 000 different blood products have been produced.

Blood center Donations per year 2016 Doctors Specialists with higher education Nurses Lab technicians Others All

together

Tallinn 31 741 10 7 34 14 33 98
Tartu 16 511 6 2 8 10 5 33
Pärnu 5 657 1 2 6 0 5 14
K-Järve 3 508 2 1 6 0 0 9
All together 57 417 19 12 54 24 43 152

 

Utilization of blood products in Estonia – 5 years’ trend

2011 2012 2013 2014 2015 2016
Red cells 53 691 55 389 56 012 56 465 53 541 52 864
Plasma 26 883 25 934 24 387 22 771 19 324 17 523
Platelets 6 238 6 944 7 276 6 849 7 236 7 660

 

North Estonia Medical Center’s Blood Center

North Estonia Medical Centre’s Blood Centre (NEMC BC) is the biggest in Estonia, more than half of all donations are made here. It is merged with the biggest tertiary care hospital in Estonia and 60% of its production is used in the North Estonia Medical Center.  Above it all together 14 hospitals are served in the region.

NEMC BC has two stationary blood collecting locations in Tallinn and mobile team session every working day – about 240 sessions annually.

There are 28 different kind of products on the list, the main categories in a year 2014 were:

Product Units produced in 2016
Red cells 29 178
FFP

Incl plasma for fractionation

34 163

27 536

Cryoprecipitate 3 123
BC platelets 3 591
Apheresis platelets 1 360

All this production is possible because of a loyal and sufficient donor population:

 Donors 2016
Whole blood donors 18 309
Plasma apheresis donors 399
Multicomponent apheresis donors 173
All together 18 881

NEMC BC donations in 2014:

Donations Number in 2016
Whole blood 28 879
•      Main house 6 986
•      DoFo-s 8 304
•      Mobile team 13 589
Plasma apheresis 2 171
Multicomponent apheresis 691
All together 31 741

The number of donations is still growing, the number of donors is not – that means more donations per donor and more loyal donors.

Donors and donations 2006-2016

doonorid2

The presentage of first time donors 

esmased2

 

Testing

  • Mandatory tests to donor blood:
  • HBV – HBsAg, DNA
  • HCV – aHCV, RNA
  • HIV – aHIV ½, HIV p24 Ag, RNA
  • Syphilis – anti-TP
  • ABO, Rh(D)
  • K
  • Irregular antibodies

Facultative testing to donor blood:

  • Phenotyping – Rh system, clinically important antigenes
  • Genotyping – weak D, clinically important antigenes

Testing of blood components:

  • Platelet concentrates – 100% BactAlert testing
  • Hb, Hct
  • Residual leucocytes
  • Haemolysis
  • etc

Quality system

GMP and ISO standards are implemented, all processes and procedures are covered by SOP-s.

NEMC BC has local authorities’ licence for blood center activities and additionally accreditation of laboratories. Regular proficiency testing is performed and self assessment by quality audits is a part of everyday life.

About 20 key performance indicators are monitored and assessed.

Information system

Estonia’s own system is in use since 1996. It includes ISBT-128 coding, donor registry, product registry, donor management together with e-donor application, automatic test result transfer, whole blood collection, apheresis, separation and ultrafreezing data.

International cooperation

NEMC BC is a member of European Blood Alliance since 2006