Medicinski pregled
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Controversies regarding drainage and irrigation with antibiotics following perforated appendicitis still exist in literature. Some authors concluded that undrained patients treated with systemic antimicrobial therapy, adequate fluid resuscitation, emergency appendicectomy, peritoneal lavage and primary abdominal wall closure are less exposed to complications. On the other hand, Lund and Murphy and Schwartz and Tapper are still advocating transperitoneal drainage. In that context the aim of this study was to contribute to the current debate with its original results and conclusions. ⋯ We achieved our lowest rate of serious complications following surgery for pediatric perforated appendix with the use of broad-spectrum antibiotic therapy, primary wound closure and without drainage. Regarding our results, we could propose the same treatment protocol to all in
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Quality assurance and improving systems, standardization of all transfusion procedures as well as quality control and standardization of prepared blood products are necessary elements for work of transfusion centers in the future. Requirements for blood and/or blood products for therapy are: safety, adequate concentration of all active components needed, and treatment efficacy. ⋯ Creation of quality control system documentation is one of the most difficult and most comprehensive parts the quality control system implementation process. The quality policy is adopted, whereas the basic procedures for blood products quality control, which are the subject of this paper, are created.