Croatian Hematology Society and CROHEM guidelines for the treatment of iron deficiency anemia

Radman, Ivo; Vodanović, Marijo; Mandac-Rogulj, Inga; Roganović, Jelena; Petranović, Duška; Valković, Toni; Kolonić, Slobodanka Ostojić; Pejša, Vlatko; Kušec, Rajko; Aurer, Igor

doi:10.26800/lv-141-1-2-1

Cited by 2 publications

(1 citation statement)

References 56 publications

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“…The Swiss Pediatric Hematology Working Group distinguishes dosing regimen regarding Fe state, so 2-3 mg/kg of ferrous and 3-5 mg/kg of ferric elemental iron supplementation are suggested [26]. Nevertheless, hematologists in the United States tend to prescribe higher amounts of daily iron, reaching up to 6 mg/kg in two daily doses in younger children, as was the case with Croatian colleagues, who most likely complied with CroHem's guidelines [28,44,45]. Iron preparations should be ingested between meals, and avoiding uptake inhibitors is firmly recommended [46].…”

Section: Discussionmentioning

confidence: 99%

Management of Childhood Iron Deficiency Anemia in a Developed Country—A Multi-Center Experience from Croatia

Kranjčec,

Matijašić Stjepović,

Buljan

et al. 2023

Diagnostics

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Iron deficiency anemia (IDA) continues to be a global public health concern, mostly in the developing countries. However, precise epidemiological data on childhood IDA in Croatia are lacking. In order to establish its frequency, underlying etiologies, the rationale for tertiary care visits, diagnostic practices, and current treatment regimens of IDA, medical records of children referred to pediatric hematologists for iron deficiency in a five-year period at tertiary institutions (Zagreb, Rijeka, Split, Osijek) throughout Croatia were retrospectively analyzed. Eight hundred and sixty-four children, predominately of preschool age, were referred mainly by the primary care pediatricians, who, in general, performed basic diagnostics but failed to initiate oral iron therapy in half of the patients. Approximately one-third of patients were symptomatic, with inadequate nutrition prevailing as underlying etiology. Dextriferron was the preferred iron formulation among hematologists, with a median dose of 5 mg/kg, with acceptable compliance rates (63.5–93.2%). Hospital admission rates varied among the centers (9.4–35%), and so did transfusion policies (6.4–22.9%). The greatest difference was observed in the frequency of parenteral iron administration (0.3–21.5%). In conclusion, the burden of childhood IDA, even in a high-income country, remains substantial, necessitating consistent implementation of national guidelines and additional education of primary health care providers.

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