GAT

saqarTvelos

transplantologTa

asociacia 10 wlisaa(1997-2007)

GEORGIAN ASSOCIATIONOF TRANSPLANTOLOGISTS

IS 10 YEARS OLD(1997-2007)

GAT

ra gakeTda saqarTveloSi

transplantaciis

mimarTulebiT?

Tanamedrove mdgomareoba

da problemebi

WHAT HAS BEEN DONE INTRANSPLANTATION IN

GEORGIA?CURRENT SITUATION &

PROBLEMS

saqarTvelos transplanto-

logTa asociacia 10 wlis win, 1997

wlis 31 ianvars Camoyalibda. aso-

ciaciis dafuZnebaSi monawileoba

miiRo 50-ze metma eqimma da oTx-

ma samedicino organizaciam.

asociaciis mizania xeli Seuw-

yos saqarTveloSi organoTa ga-

danergvis ganviTarebas. dRidan

daarsebisa mas xelmZRvanelobs

profesori gia TomaZe.

asociacia mdebareobs Tbilis-

Si, qalaqis I saavadmyofos teri-

toriaze, zogadqirurgiuli kli-

nikis bazaze.

informacia asociaciis

saqmianobis Sesaxeb SeiZleba

ixiloT mis vebgverdze:

www. gat.com.ge.

The Georgian Associatio ofTranspla tologists was founded 10years ago, on January 31, 1997.More than 50 doctors and fourmedical organizations participated inthe foundation.

The aim of the association is tosupport the development of organtransplantation in Georgia. TheAssociation has been headed byprofessor Gia Tomadze since the dayof its foundation.

The Association is located in Tbilisi,on the territory of City Hospital 1,General Surgery Clinic.

The information concerning theactivity of the Association is available

on its web-page:www.gat.com.ge

n

n

ALISAKIREULISHVILI

KRISTINEALKHAZOVI

TINAJIKURASHVILI

GIATOMADZE

TAMILACHEKHANI

NAIRAKITOSHVILI

NINOKARANADZE

sainformacio banki -

asociaciis erT-erTi

mTavari struqtura

asociaciis erT-erT ZiriTad

struqturul erTeuls warmoa-

dgens transplantaciis sainforma-

cio banki transplantaciis nacio-

naluri registratura. igi Seiqmna

1997 wels. misi pirveli xelmZRvane-

li iyo eqimi ani devnosaZe. 2003 wli-

dan mas alisa kireuliSvili xelmZ-

Rvanelobs.

sainformacio bankis Semadgen-

lobaSi Sedis 5 registratura:

1. organogadanergil pacientTa;

2. gadanergvis momlodineTa;

3.organos donorobaze Tanxmo-

bis

4. organos donorobaze uaris

5. cocxal donorTa.

sainformacio banki monitori-

ngs uwevs aRricxvaze myof pacient-

Ta da donorTa mdgomareobas, rome-

lic registrirdeba specialurad

Seqmnil monacemTa kompiuterul ba-

zaSi . aq warmoebs

wlis ganmavlobaSi Sesrulebul ope-

raciaTa raodenobrivi da kliniku-

ri analizi, saTanado struqtureb-

Tan TanamSromlobiT, samedicino

dazRvevis polisebis Seqmna da gace-

ma. Seqmnilia organogadanergili

pacientis dRiuri , warmoebs ambu-

latoriul pacientTa laborato-

riuli da sxva samedicino paramet-

rebis monitoringi, saxelmwifos

mier SeZenili imunosupresiuli me-

dikamentebis (neorali, selsepti,

mifortiki da sxv.) gacema, kontro-

li da aRricxva.

(www.gat.com.ge)

organogadanergil pacientebs

da maT donorebs Cvens asociaciaSi

ufasod utardebaT garkveuli la-

boratoriuli analizebi (sisxlisa

da Sardis saerTo analizi, kreati-

NTR is one of the main subdivi-sions of the Association, whichwas created in 1997 headed by Dr.Ani Devnosadze untill 2003 and byDr. Alisa Kireulishvili since 2003.

The NTR contains 5 registries:

1. Transplant registry;2. Waiting list;3. Donor registry;4. Donor refusal registry;5. Living donor registry.

Using the NTR electronic data ba-se (www.gat.com.ge) the transplantpatients follow-up has beencarried out, as well as statisticaland clinical analysis of performedtransplantations. In cooperationwith relevant institutions themedical insurance policies hasbeen issned. The monitoring oflaboratory and other medicalparameters has been done in a"Diary of patients with transplantedorgans", We perform control andregistry of the immunosuppre-ssive medications (Neoral, Cell-cept, Myfortic etc.), purchased byGovernment.

The certain laboratory investi-gations such as CBC, urinanalysis,creatinine, urea, etc. are free ofcharge for the patients with trans-planted organs and their donors.

According to the data of 31December 2007, there are three ca-

NATIONAL TRANSPLANTREGISTRY (NTR) - ONE OF

THE MAIN STRUCTURE OF THEASSOCIATION

nini, Sardovana da sxva).

2007 wlis 31 dekembris mona-

cemebiT asociaciis sainformacio

bankSi aRricxvaze pacientTa sami

kategoriaa: Tirkmelgadanergilebi

(86 pacienti), RviZlgadanergilebi

(3 pacienti) da rqovanagadanergile-

bi (119 pacienti).

tegories of patients registered inthe data bank of the Association:those with transplanted kidneys (86patients), those with transplantedliver (3 patients) and those withtransplanted cornea (119 patients).

rqovana

119(Cornea)

RviZli

3(Liver)

Tirkmeli

86(Kidney)

transplantaciis sainformacio bankSi

aRricxvaze myof pacientTa raodenoba

(dekemberi 2007 weli)

The number of Patients in the TransplantationRegistry (December 2007)

The total number of the transplan-ted patients during the last 10 yearsperiod was increased for 4 times by2007. In 1995 it was 20, in 2007 be-came 89.

It should be mentioned that annu-ally there are about 2-3 patientsregistered who were operated for ab-road, which we take into considera-tion when carrying out calculationsfor medicament provision.

10 wlis ganmavlobaSi sainfo-

rmacio bankSi aRricxvaze myof or-

ganogadanergil pacientTa raode-

nobam 4-jer moimata: 1995 wels iyo

20, 2007 wlis 31 dekembris monaceme-

biT 89.

aRsaniSnavia, rom yovelwliu-

rad, saSualod 2-3 sazRvargareT na-

operaciebi avadmyofi adis aRricxv-

aze rasac viTvaliswinebT maTi medi-

kamenturi uzrunvelyofisaTvis

saWiro gaTvlis warmoebisas.

2028 31

3843 39 36 39

4453 55

72

87

100

90

80

70

60

50

40

30

20

10

01995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

organogadanergilTa dinamika saqarTveloSi

Number of organ transplanted patients in Georgia

2000 wels saqarTvelos parlamen-

tis mier miRebuli iqna kanoni orga-

noTa gadanergvis Sesaxeb, romelic

informirebul Tanxmobazea dafuZ-

nebuli da romlis mixedviT organ-

os donori SeiZleba iyos genetiku-

ri naTesavi an meuRle. 2002 wels mi-

Rebuli cvlilebiT organos dono-

ri SeiZleba iyos aranaTesavi pirov-

nebac, oRond im SemTxvevaSi, Tu igi

monawileobs organoTa gacvlis

programaSi.

saqarTveloSi dReisaTvis warmo-

ebs organoebidan Tirkmlis, xolo

qsovilebidan - rqovanas da Zvlis ga-

danergva. saxelmwifo programiT yo-

velwliurad finansdeba Tirkmlis

9-10 gadanergva.

saqarTveloSi Tirkmlis pirveli

gadanergva ganxorcielda 1977 wels

qirurgiis institutis bazaze mos-

kovel kolegebTan erTad. mas Semdeg

dRemde Tirkmlis gadanergvis 87 ope-

raciaa Sesrulebuli. maTgan uro-

logiis erovnul centrSi (dir.

In 2000 the Parliament of Georgiahas passed a law on organ transplan-tation, which is based on informedconsent. According to the law, anorgan donor can be a genetic relativeor a spouse. The amendment werereceived in 2002, following to what adonor of an organ can be a personwho is non relative, but involved inthe organ exchange program .

Currently, kidney, cornea and bonetransplantation is performed inGeorgia. Each year 9-10 kidney trans-plantations are financed by the stateprogram.

In 1977, together with the collegesfrom Moscow the first kidney transpl-antation was performed at the Insti-tute of Surgery. Since then, 87 kidneytransplantation operations have beencarried out utill now. Among them 59operations were done in the NationalCenter of Urology (Dir. Prof. L.Mana-

NUMBER OF PERFORMEDTRANSPLANTATIONS IN GEORGIA

saqarTveloSi Sesrulebuli

gadanergvebis raodenoba

4

12

6

4

5

3

12

9

5

12

4

4

3

8

3

11

3

6

2007200620052004200320022001200019991998199719961995

0

2

4

8

8

10

12

14

Sungery Center Urology Center

saqarTveloSi Sesrulebuli gadanergvebis raodenoba

sul 87

Number of performed transplantations in Georgia

prof. l. managaZe, Tirkmlis gadane-

rgvis jgufis xel-i m.m.d. a. Cxotua) -

59 operacia. xolo qirurgiis erov-

nul centrSi (dir. prof. b. mosiZe,

transplantaciis ganyo-filebis

gamge, m.m.d., e. RonRaZe) - 28 operacia

ganvlil periodSi, gamocdile-

bis dagrovebasTan erTad, mniSvne-

lovani dadebiTi dinamika aRiniSne-

ba rogorc Tirkmlis gadanergvis

Semdgomi teqnikuri garTulebebis,

ise recipientTa letalobis Tval-

sazrisiT. Tu maT ganvixilavT eta-

pobrivad, vnaxavT, rom 1995-99 wleb-

Si operaciasTan dakavSirebuli le-

ta lobis maCvenebeli Seadgenda

27%-s, maSin roca 2000-2007 wlebSi

Sesabamisi maCvenebeli 5%-mde Sem-

cirda.

gadze, head of kidney transplantationgroup Prof.A. Chkhotua), and 28operations in the National Centre ofSurgery (Prof. B. Mosidze, Head oftransplantation department Dir.Prof. E. Gongadze).

In the recent period, along with theincrease of experience, a significantpositive dynamics had been observedin the field of technical complicationsafter kidney transplantation, as wellas from the point of view of the let-hality of the recipients. If we considerthem by stages, we shall see that in1995-99 the indicator of lethality afteroperation was 27%, while in 2000-2007it decreased till 5%.

postop. lethalitynumber of transplantations"

26

7

61

3

0

10

20

30

40

50

60

70

2000-2007 w.w.1995-1999 w.w.

gadanergvis da postoperaciuli letalobis Sedareba

Comparison of transplantation and postoperative lethality

humanitaruli daxmareba HUMANITARIAN AID

gasuli 10 wlis ganmavloba-

Si asociaciis mier gaweuli iq-

na 100 aTasamde aSS dolaris Ri-

rebulebis humanitaruli daxma-

reba, romelic gamoixata orga-

nogadanergili pacientebisaT-

vis asociaciis mier mopovebuli

medikamentebis (neorali, sel-

septi, mifortiki) ufasod da-

Association provided humani-tarian aid in the amount of up to100 000 USD for the last tenyears, which was a free distribu-tion of the medicaments (Neoral,Sulsept, Myfortic) acquired bythe Association to the patientswith transplanted organs.

rigebaSi.

humanitaruli daxmarebis Sem-

cireba ganpirobebulia saxelm-

wifo biujetis stabilizaciiTa

da SesyidvebSi Cavardnebis

ararsebobiT.

aRsaniSnavia, rom humanita-

rulad ganawilebuli imunosup-

resiuli medikamentebis ZiriTa-

di donorebi arian

da , xolo medikamentebi

Camotanili iqna msoflios sxva-

dasxva qveynebidan (fineTi, uk-

raina, ruseTi, peru da sxva).

NOVARTISROCHE

The decrease of humanitarianaid is determined by the stabili-zation of state budget and theabsence of ,,lapses” in medicinepurchase process.

It is important to note that themain part of immunosuppressi-ve medications are provided by,,NOVARTIS” and ,,ROCHE”, andare sent from different contries(Finland, Ukraine, Russia, Peru,etc).

1997 1998 2002 2003 2004 2005 2007

0

5000

10000

15000

20000

25000

30000

humanitaruli daxmarebis moculoba (sul 99 567 dol.)

The volume of humanitarian aid (Total 99 567 USD)

8655$

11100$

18240$

28172$

17300$

8600$7500$

CAMP FOR ORGANTRANSPLANTED

ADOLESCENTS IN SWISS ALPES

saqarTvelos transplantol-

ogTa asociacias ukve 6 welia mWi-

dro urTierToba aqvs Sveicaria-

Si mdebare banakTan, sadac ikri-

bebian sxvadasxva qveynidan 16

wlamde asakis organogadanergi-

The last 6 years GAT activelycooperates with the camp inSwitzerland where the transplan-ted adolescents up to 16 yearsare gathered. The accosiation is

li bavSvebi. asociacia Tavad po-

ulobs sponsorebs da naopera-

cieb bavSvebs agzavnis Sveicari-

aSi. am xnis ganmavlobaSi 5 bavSvs

mieca saSualeba daesvenaT zRap-

rul alpebSi. 2006 wels ki 16

wlis orma gogonam banakSi ga-

marTul saTxilamuro Sejibre-

baSi miiRo monawileoba da sam-

SobloSi medliTac dabrunda.

am unikaluri banakis xelmZR-

vaneli, liz Siki, Tavadac orga-

nogadanergilia da cdilobs,

momavali cxovrebisTvis sti-

muli im bavSvebsac misces, rom-

lebmac TavianTi asakis kvalob-

aze aseTi seriozuli stresi da

travma gadaitanes.

looking for the sponsors andsends the adolescents to thiscamp. The 5 teenagers were sentto the camp in total. In 2006 16ears old 2 girls took part in theskying competition held in Alpesand retured home with the prise.

The manager of the camp isMs. Liz Schick, who is liver trans-planted and tries to encourigethe children who were stressedso much in early ages.

qsovilovani

transplantaciis banki

TISSUE TRANSPLANTBANK

asociaciaSi 2007 wels Camo-

yalibda qsovilovani trans-

plantaciis banki, romlis miza-

nia erTis mxriv koordinacia gau-

wios, xolo meores mxriv uSua-

lod ganaxorcielos saqarTve-

In 2007 The Bank of Tissue

and Cell Transpantation has

been created, aiming to coor-

dinate and perform tissue and

cell transplantation in Georgia.

loSi qsovilisa da ujredebis

gadanergva.

banks xelmZRvanelobs medi-

cinis doqtori Tina jiquraSvi-

li, samedicino direqtoria aso-

cirebuli profesori nino kara-

naZe. gaformebulia xelSekru-

lebebi msoflios sxvadasxva qso-

vilovan bankebTan. am etapze ban-

kis prioritetia rqovanebis im-

porti.

The director of the bank is Dr.

Tina Jikurashvili, medical direc-

tor – associated professor Nino

Karanadze.

Current priority of the bank is

importing corneas.

WHERE WE ARE REGARDINGCADAVERIC DONATION

IN GEORGIA?

saqarTveloSi organoTa trans-

plantaciis Sesaxeb 2000 wels miRe-

buli kanonis Tanaxmad gadasanerg-

ad gardacvlilis organoebis ga-

moyenebac dasaSvebia, Tumca dRemde

gvamidan arcerTi gadanergva ar gan-

xorcielebula. amis ZiriTad mizezs

mosaxleobis negatiuri winaswar-

ganwyoba warmoadgens gvamis organ-

oebis donaciis mimarT, risi Secvl-

ac xangrZliv Sromas moiTxovs da

romlis Sesrulebac mxolod masme-

diis saSualebebis aqtiuri monawi-

leobiT da mxardaWeriTaa SesaZle-

beli.

gvami donoris SemTxvevaSi opti-

malurad iTvleba Tavis tvinis sikv-

diliT gardacvlilis organoebi, ra-

meTu maTSi sisxlis mimoqceva jer-

kidev SenarCunebulia, rac dadebi-

Tad moqmedebs gadanergvis SemTxve-

vaSi transplantatis funqcionire-

bis xangrZlivobaze.

saqarTveloSi Tavis tvinis sikv-

dilis kriteriumebi 2000 wels Semu-

Savda, xolo cneba mis Sesaxeb saqar-

Tvelos kanonSi janmrTelobis dac-

vis Sesaxeb 1997 wlidanaa Cadebuli.

2003-2006 ww-Si Cven SeviswavleT

Tbilisis 4 centraluri klinikis re-

animaciuli ganyofilebebis avadm-

According to the law of Georgia onorgan transplantation of 2000 the liverelated donation as well as cadaverdonation is allowed. But no cadaverdonors have been used for transplan-tation yet.

The main reason for this is negati-ve approach of population to cadave-ric donation, which is time consumingprocess and needs active invol-vements of mass media.

In this respect the patients withdiagnosis of brain death are the bestdonors for cadaveric transplantation.The reason for that is the retainedblood circulation which has a positiveeffect on graft's postopera tivefunctioning.

The criteria of brain death have be-en worked out in 2000, and it's de-finition has been included in the lawon Health Care of Georgia since 1997.

In 2003-2006 we have studied thecase histories of the patients of theintensive care departments of 4 cen-tral clinics of Tbilisi. As a result wehave revealed about 50 ,,potential

yofTa istoriebi. kvlevis Sedegad

gamovlinda 50 potenciuri donori,

romelTa mimarT gamoTqmuli iyo

eWvi Tavis tvinis sikvdilze.

miuxedavad amisa, saqarTveloSi

ar iyo TiTqmis arcerTi SemTxveva Ta-

vis tvinis sikvdilis samarTleb

rivi diagnozisa. aRniSnuli guli-

sxmobs mis dadasturebas orjer, mi-

nimum 12 saaTiani intervaliT, kli-

nikuri gasinjvisa da instrumentu-

li gamokvlevis (eeg an transkraniu-

li dopleri) safuZvelze.

2007 wlidan Cven SevqmeniT eqime-

bis specializirebuli mobiluri

brigada, romlis mizania Tavis tvin-

is iuridiulad dasabuTebuli diag-

nozis dasma.

18 Tvis ganamvlobaSi gaisinja Ta-

vis tvinis sikvdilze eWvis mqone 12

pacienti. Tavis tvinis sikvdili da-

fiqsirda 2 SemTxvevaSi.

dReisTvis jer kidev arsebobs

imis saWiroeba, rom am diagnozs mie-

Cvios rogorc eqimTa sazogadoeba,

ise mosaxleoba.

donors”, with suspected diagnosis ofbrain death.

However, there was no cases ofofficial, legal diagnosis of brain deathin Georgia. The criteria for thisdiagnosis includes the clinical andinstrumental approoval twice, withminimum of 12 hour intervals (EEG ortranscranial doppler).

Since 2007 the mobile team ofdoctors has been created, who areinvolved in evaluation of official diag-nosis of brain death.

During the last 18 months 12 patientswith suspected diagnosis of braindeath were tested and in 2 cases thisdiagnosis was prooved officially.

The medical professionals as well asthe population need to change theirattitude and become adapted to thisdiagnosis.

sazogadoebis

damokidebuleba organoTa

gadanergvis mimarT

ATTITUDE OF THESOCIETY TO ORGANTRANSPLANTATION

organoTa gadanergva warmoadg-

ens medicinis erTerT im sferos,

romlis ganviTarebac warmoudge-

nelia sazogadoebis farTo fenebis

mxardaWerisa da maTi dadebiTi

winanswarganwyobis gareSe.

am mizniT Cveni asociaciis mier

Catarda ramodenime socialuri ga-

mokiTxva. maTi mizani iyo Segveswav-

la mosaxleobis winaswari ganwyoba

organos donaciis, gadanergvis da

e.w. jvaredini donorobis mimarT.

Seswavlili iqna saqarTveloSi

mcxovreb sxvadasxva religiis mim-

devarTa damokidebuleba am sakiT-

xebTan mimarTebaSi. sul gamokiT-

xuli iqna 500-mde respondenti. maT-

gan samedicino sferos warmomadge-

Organ transplantation repres-ents one of those fields of healthcare, which cannot be developedwithout the wide participation ofpublic and it s positive attitude to theproblem.

For this purpose our Associationhas carried out several social polls.Their aim was to study the attitude ofsociety, as well as different religiousfollowers, to organ donation,transplantation and to so-calledcrossdonation”. Up to 500 respon-dents have been questioned. Amongthem 240 were medical professi-onals and 150 were the followers of

neli iyo 240, sxvadasxva religiis

mimdevari 150.

Catarebulma gamokiTxvam gamo-

avlina, rom gardacvalebis Semdeg

organoTa donaciaze gamokiTxulTa

mxolod 54%-ia Tanaxma, 30% winaa-

Rmdegia, 16% ki Tavs ikavebs.

different religions .

The poll revealed that only 54% ofthose questioned agree to thedonation of organs after death, and30% are against it. 16% refrainedfrom answering.

16% Tavs ikavebs

16% no answer

54% Tanaxmaa

54% yes30% winaaRmdegia

30% no

gamokvlevam aCvena, rom qarTuli

marTlmadidebeli mrevli cocxali

donaciis mimarT ufro pozitiura-

daa ganwyobili (69%), vidre gvamuri

donaciis mimarT (36%). am mxriv, sa-

winaaRmdego maCveneblebia kaToli-

kebSi; maTi 82% mxars gvamur donaci-

as uWers, xolo 64% - cocxal donac-

ias.

So, Georgian Orthodox believershave more positive attitude to livedonations (69%) than to cadaverdonations (36%).

82% of Catholics are for cadaverdonations, and 64% for live donat-ions.

69%64%

100% 100%

52%

Orthodox Catholic Gregorians Juish Jegova

0

10

20

30

40

50

60

70

80

90

100

sxvadasxva religiis warmomadgenelTa

damokidebuleba cocxali donaciis mimarT

Attude of the representatives of variousreligions in respect life donation

saerTo jamSi, kaTolikuri ekle-

siis warmomadgenlebi organoTa

gadanergvis mimarT ufro pozitiur

damokidebulebas iCenen, vidre ma-

rTlmadideblebi. kaTolikuri ek-

lesiis warmomadgenelTa 100% gvam-

ur donacias uWers mxars, maSin,

roca marTlmadidebeli eklesiis

warmomadgenelTa mxolod 18% aris

am tipis operaciebis momxre.

aRniSnuli kvlevebi moxsenebeb-

is saxiT iyo wardgenili sxvadasxva

saerTaSoriso forumze, xolo jva-

redin donorobasTan dakavSirebiT

miRebuli kvlevis Sedegebi safuZ-

vlad daedo saTanado kanondeblo-

bis SemuSavebas.

amJamad mimdinareobs socialu-

ri kvleva, romlis respondentebsac

warmoadgenen saqarTveloSi mcxov-

rebi organogadanergili paciente-

bis cocxali naTesavi donorebi. am

kvlevis Sedegebi 2008 wels gamoqvey-

ndeba.

The representatives of CatholicChurch accept the organ transplanta-tion more positively than the Ortho-dox believers. The correspondancebetween the representatives of theOrthodox and the Catholic Churchvary to a great extent: 100% of the Ca-tholics are for deceased donations,and only 18% of the Orthodox Churchis for such type of operations.

The outcomes of these researcheswere reported at various internation-al forums, and has become the basisfor working out the relevant legis-lation.

At present social research iscarried out, the respondents of whichare the live relative donors of thepatients with transplanted organsresiding in Georgia. The results of theresearch will be published in 2008.

gasuli 10 wlis ganmavlobaSi aso-

ciaciis erT-erT mniSvnelovan mi-

marTulebas warmoadgenda kanonSe-

moqmedebiTi saqmianoba.

jandacvis saministros sakanon-

mdeblo jgufTan (g. kiknaZe, g. ja-

vaSvili, g. simonia) da saqarTvelos

parlamentis jandacvis komitetTan

mWidro TanamSromlobiT Cvens mier

SemuSavebuli iqna Sesworebebi da

damatebebi organoTa transplanta-

ciis Sesaxeb saqarTvelos kanonis

momzadebis periodSi. asociaciis Za-

lebiT SemuSavda organoTa transp-

lantaciis kanoniT gaTvaliswinebu-

li yvela kanonqvemdebare aqti, 2000

wels asociaciis aqtiuri monawile-

obiT SemuSavda Tavis tvinis sikvdi-

lis kriteriumebi, romelic 2001

wels damtkicebuli iqna saqarTve-

For the last 10 years one of the maindirections of the Association waselaboration of the legislation. In closecooperation with the legislative groupof the Ministry of Health (G. Kiknadze,G. Javashvili, G. Simonia) and theHealth Committee of Parliament wehave worked out corrections andamendments during the preparation ofthe law of Georgia on organtransplantation. The Associationworked out all the law-abiding actsstipulated by the law on organtransplantation.

In 2000 with the active participationof the Association, the criteria of braindeath were worked out, which wereapproved by the order of the Presidentin 2001.

kanonSemoqmedeba da

TanamSromloba

saerTaSoriso

organizaciebTan

ELABORATION OF LEGISLATIONAND COOPERATION

WITH INTERNATIONALORGANIZATIONS

los prezidentis brZanebulebiT.

imave wels SemuSavda debulebebi

transplantaciis eqsport - impor-

tis, transplantaciis sabWos, sain-

formacio centris Sesaxeb, rekomen

daciebi jvaredini donorobis prin-

cipis Sesaxeb da a.S.

Cveni asociacia aqtiurad TanamS-

romlobs iseT saerTaSoriso orga-

nizaciebTan, rogorebicaa evrosab-

Wos transplantaciis dargis eqspe-

rtTa komiteti, jandacvis msoflio

organizaciis evropuli biuro,

transplantologTa evropuli da

saerTaSoriso asociaciebi.

1999 wels asociaciis organize-

biT Catarda kavkasiis qveynebis

transplantologTa I kongresi, rom-

lis muSaobaSic monawileoba miiRes

8 qveynis warmomadgenlebma (somxe-

Ti, ruseTi, inglisi, saberZneTi,

azerbaijani, CexeTi, israeli, sa-

qarTvelo). kongresis masalebi na-

beWdi saxiT gamoica.

asociaciis iniciativiT saqarT-

velo Seyvanili iqna evropis trans-

plantaciuri rukis wevr qveyanad da

2000 wlidan, yovelwliurad saqarT-

velos aqtivoba am mimarTulebiT isa-

xeba evrosabWos egidiT momzadebul

JurnalSi.

asociaciis iniciativiT 2002 da

2006 wlebSi Catarda seminarebi Tav-

is tvinis sikvdilis Sesaxeb, sadac

monawileoba miiRes saqarTvelos

wamyvani klinikebis nevrologebma

da reanimatologebma.

2005 wels asociaciis iniciati-

viT da evrosabWos egidiT saqarTve-

loSi Catarda transplantaciis or-

ganizaciuli problemebisadmi miZ-

Rvnili regionuli seminari, romel-

Sic, saqarTvelos garda, monawile-

obdnen warmomadgenlebi somxeTi

dan, azerbaijanidan, ukrainidan. se-

minaris Sedegebis safuZvelze mom-

zadda evrosabWos eqspertTa komi-

tetis rekomendaciebi monawile

qveyanaTa mTavrobebis mimarT.

In the same year provisions onexport-import of transplant organs,Transplant Council, Information Centerwere worked out and recommendationson the principales of crossoverdonation have been prepared.

Our Association actively cooperateswith international organizations suchas the Committee of the Experts ofCouncil of Europe in transplantation,the European Board of the WHO, theEuropean and International lAssocia-tions of transplantologists.

In 1999 the 1st Congress of theTransplantologists of the Caucasiancountries was organized by theassociation, and the representatives of8 countries participated (Armenia,Russia, England, Greece, Azerbaijan,Czech Republic, Israel, Georgia). Thecongress materials were published.

By the initiative of the GeorgianAssociation of TransplantologistsGeorgia was entered as a member stateof the European transplantation mapand since 2000 the activity of Georgia inthis direction has been reflected in thejournal published by the Council ofEurope.

Association organized workshopson brain death held in 2000 and 2006,with participation of neurologists andICU doctors from the leading clinics ofGeorgia.

In 2005 by the initiative of theAssociation, and under the aegis of theCoE, a regional workshop dedicated tothe organizational problems was held inGeorgia, in which, apart from Georgia,participated the represen--- tatives ofArmenia, Azerbaijan, and Ukraine. Onthe basis of the results of the workshoprecommendations of the CoE expertsCommittee for the governments of theparticipating countries were prepared.

aRniSnuli rekomendaciebi dae-

do safuZvlad saqarTveloSi trans-

plantaciis ganviTarebis naciona-

lur programas.

2007 wels gaformda xelSekrule-

ba Cvens asociaciasa da Jenevis sa-

universiteto hospitals Soris,

romlis mizania saqarTveloSi RviZ-

lis transplantaciis programis da-

wyeba.

Cveni asociaciis aqtivobis dam-

saxurebaT migvaCnia evrosabWos

2007 wlis gadawyvetileba, romlis

mixedviTac organoTa donaciisa da

transplantaciis me-12 evropuli

dRe saqarTveloSi Catardeba 2010

wels.

The given recommendations beca-me the basis of the national program ofthe development of transplantation inGeorgia.

In 2007 an agreement between ourAssociation and the Geneva UniversityHospital was made. Its aim is theinitiation of liver transplantationprogram in Georgia.

We consider it to be the achievementof our organization that the CoEdecided to held ,,the 12 European dayof organ donation and transplantation”in Georgia in 2010.

th

Cveni gegmebi da

uaxloesi miznebi

OUR PLANS ANDTHE NEAREST GOALS

Cvens asociacias, mimdinare eta-

pze, funqcionirebis meore aTwleu-

lis ZiriTad mimarTulebad miaCnia

saqarTveloSi transplantaciis gan-

viTarebis nacionaluri programis

damtkiceba saxelmwifo doneze. ime-

di gvaqvs saqarTvelos Sromis, janm-

rTelobisa da socialuri dacvis

saministros Sesabamisi samsaxurebi

mxars dauWeren evrosabWosa da jan-

dacvis msoflio organizaciis evr-

opuli biuros 2005-2006 wlebis re-

komendaciebs raTa Seiqmnas saqarT-

veloSi organoTa donaciisa da tra-

nsplantaciis ganviTarebis saxel-

mwifo programa.

aucilebelia gadaidgas realu-

ri da konkretuli nabijebi gvamuri

donaciis programis asamuSaveblad;

saWiroa Cveni muSaoba gadavides

axal etapze. igi unda gaxdes ufro

globaluri, moicvas rogorc orga-

nuli, ise qsovilovani da ujredu-

li transplantaciebi. saWiroa qso-

vilTa transplantaciuri bankebis

amuSaveba, Zvlis alotransplanta-

ciis bankis Seqmna. konkretuli

At the present stage our Asso-ciation considers the establishmentof the national program for the deve-lopment of transplantation in Geo-rgia to be the main direction of thesecond decade of its functioning.

We hope that the relevant Gover-nmental bodies will support the re-commendations of the CoE and WHOof 2005-2006 for creation of stateprogram for the development oforgan donation and transplantation.

Real and concrete steps are nece-ssary to start cadaveric donationprogramm.

Our work has to go over to a newstage. It must become more global,including the organ, as well as tissueand cell transplantations. The tissueransplantation banks must be crea-ted. Concrete steps must be taken inthe direction of the development ofother organs, tissues and cells apart

nabijebi unda gadaidgas Tirkmlis

garda sxva organoebis, qsovilebisa

da ujredebis gadanergvis mimarTu-

lebiTac (RviZli, rqovana, Rerovani

ujredebi), am mizniT aucileblad

migvaCnia zrunva rogorc saTanado

materialur-teqnikuri aRWurvi-

lobis SesaZenad, ise Sesaferisi kli-

nikuri codnisa da gamocdilebis da-

saufleblad.

asociaciis erT-erTi umniSvne-

lovanesi sazrunavia umaspinZlos

organoTa donaciisa da transplan-

taciis me-12 evropul dRes , romlis

Catareba evrosabWos egidiT 2010

welsaa dagegmili. aRniSnulTan da-

kavSirebiT evrosabWoSi wardgeni-

lia Cveni mTavrobis oficialuri we-

rili.

2008 wlidan aqtiuri TanamSrom-

loba gagrZeldeba Jenevis sauniver-

siteto klinikasTan, raTa gadaidgas

konkretuli nabijebi RviZlis gada-

nergvis programis dasawyebad.

2008 wlis 24-26 oqtombers dage-

gmilia Catardes organoTa donaci-

isa da transplantaciis I naciona-

luri dRe da kavkasiaSi transplan-

taciis koordinatorTa me-2 Sexved-

ra.

from kidney (a liver, a cornea, steamcells). For this purpose we consider itnecessary to create a relevantmaterial and technical base todevelop the necessary clinicalknowledge and experience.

One of the main concerns of theAssociation is to host “The 12 Euro-pean day of organ donation andtransplantation”, which is planned tobe carried out under the aegis of theCoE in 2010. In this connection theofficial letter of our government hasbeen submitted to the CoE.

Close cooperation with GenevaUniversity Clinic continues in orderto make concrete steps for thecommencement of the program forliver transplantation.

In October 24-26. 2008 we plan toheld 1 National Day of OrganDonation and Transplantation inconjunction with 2 meetin ofCaucasian transplant Coordinators.

th

st

nd

:

giatomadze@global-erty.net,www.gat.com.ge.

IN CASE OF YOUR INTERESTTOWARDS ORGAN DONATION

AND TRANSPLANTATIONIN GEORGIA, PLEASE

REFER TO THE GEORGIANASSOCIATION OF

TRANSPLANTOLOGISTS:

9 TSINANDALI STR. TBILISI,CITY HOSPITAL N1,

GENERAL SURGERYCLINIC

TEL/FAX: 77-18-19;E-MAIL:

giatomadze@global-erty.netweb-page: www.gat.com.ge

s sel eptis sel eptimikofenolatis mofetili

progresi

imunosupresiaSi

zrunavs TiToeuli

Tirkmlis

gadarCenisTvis

damatebiTi informaciis miReba

SesaZlebelia:

hofman-la roSis

warmomadgenloba saqarTveloSi

tel.: 389299