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. 2016 Jul-Dec;10(2):122-6.
doi: 10.4103/0973-6247.187938.

Blood donor selection and deferral pattern as an important tool for blood safety in a tertiary care hospital

Manisha Shrivastava  1 , Nehal Shah  2 , Seema Navaid  1 , Kalpana Agarwal  1 , Gourav Sharma  1
Affiliations

Blood donor selection and deferral pattern as an important tool for blood safety in a tertiary care hospital

Manisha Shrivastava et al. Asian J Transfus Sci. 2016 Jul-Dec.

Abstract

Context: Blood donor selection criteria based on science and regulatory rules influence donor as well recipient safety and demographics.

Aim: To evaluate and analyze the blood donor deferral pattern and its causes among blood donors in a tertiary care hospital blood bank and to review its influence on blood safety.

Settings and design: Hospital based blood bank, retrospective analysis.

Subjects and methods: The data available as donor deferral record over a period of 13 years from 2001 to 2013 was analyzed.

Results: The blood donor deferral rate was 11.5%, the deferral rate in various categories was 4.8%, 4.7%, 1.6%, and 0.3% in Category 1, Category 2, Category 3, and Category 4, respectively. The majority of deferrals were temporary deferrals (62.8%) of young donors. The maximum number of donors deferred (28.2%) due to a history of jaundice (permanent) followed by 19.4% due to low hemoglobin (temporary). History of malaria, intake of medicines, infections, underweight, last blood donation within 3 months (temporary deferral), and history of heart and lung diseases, diabetes, and with suspicious identity (permanent deferral) were other major causes identified.

Conclusion: The pattern of donor deferral identified is an important tool for blood safety and also provides key areas to focus on a region or policy formulation nationally for donor selection as well ensure donor safety. The value of determining donor deferral pattern by the categories described is in calling back donors deferred due to temporary reasons and can help retain pool of motivated blood donors.

Keywords: Blood safety; donor deferral; donor selection; permanent deferral; temporary deferral.

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Figures

Figure 1
Figure 1
(a and b) Donor deferral according to age and occupation
Figure 2
Figure 2
Common causes of donor deferral. *Typhoid, lung disease/tuberculosis, epilepsy/psychiatric problem, diabetes, heart disease, cancer, endocrine diseases, and kidney disease. **Menstrual problems, alcohol, underage, high-risk group, overage, H/o previous blood donation reaction, and dog bite/vaccination
See this image and copyright information in PMC

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