Blood Donor notification and counseling of reactive test result in Blood Bank of South Gujarat: A better approach to prevent reactive donors from donating blood again

Patel, Snehal G.; Patel, Jitendra N.; Patel, Amol; Raja, Kruti A.; Dobariya, Gopi; Pandya, Amrish N

doi:10.4103/2455-8893.189844

Cited by 13 publications

(8 citation statements)

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“…As a department protocol three phone calls were made to inform the donor about any abnormal result before their non-compliance is termed as non-responder. 5…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies show that donors who were notified regarding their results neither responded at all nor followed up for the counseling and some of them continue to donate blood despite being notified. 5 This study was undertaken in the Department of IHBT of a teaching hospital in North India to determine the contact and response rate of blood donors after they were notified of their sero-reactive test results.…”

Section: Introductionmentioning

confidence: 99%

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Donor notification and response rate of sero-reactive blood donors: a challenge and long way to go

Handa

Kukar

Aggarwal

et al. 2019

Int J Community Med Public Health

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Background: Supply of safe blood starts with healthy voluntary non remunerated blood donors. Blood donor screening and testing for TTI has become stringent all over the world. A fundamental part of preventing TTI is to notify and counsel reactive donors which help in preventing secondary transmission of infectious disease.Methods: This observational descriptive study is done to determine the number of contacted TTI reactive donors and their response rate after notification of their abnormal tests. It includes all the sero-reactive donors from July 2015 to June 2016 in the department of IHBT, GGSMCH. Blood donors who were sero-reactive for any TTI were recalled and tested again with ELISA kit of different manufacturer or lot number and by rapid card tests. Donors’ sero reactive on repeat testing were informed, counseled and referred to ICTC (for HIV) or Physician (for hepatitis B and hepatitis C). Confidentiality was maintained at every level.Results: During the study period, numbers of blood donors were 12621, out of which 343 blood donors were found to be sero-reactive. 23 donors were HIV, 230 Hepatitis C, 90 were HBsAg reactive. We could contact 182 out of 343 sero reactive donors telephonically. 161 sero-reactive did not attend blood bank phone call or their contact number was changed. Amongst the 182 contacted donors, 72 donors responded for the notification call and attended counseling.Conclusions: Response rate among reactive donors is quite low and a big challenge. This shows poor health care knowledge and social stigma regarding TTI among donors.

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“…As a department protocol three phone calls were made to inform the donor about any abnormal result before their non-compliance is termed as non-responder. 5…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Donor notification and response rate of sero-reactive blood donors: a challenge and long way to go

Handa

Kukar

Aggarwal

et al. 2019

Int J Community Med Public Health

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show abstract

“…Recent reports revealed around 37% to 98·2% response from the donors after notification with regard to all the TTIs being tested. Although it might be time‐consuming, postal communication still helps in conditions where telephone numbers are not provided. After telephone notification, around 21 (80·8%) of our donors requested post‐test counselling for malaria whereas 11·54% of them could not be contacted by telephone due to incorrect numbers.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Malaria in blood donor population from a tertiary care centre and effective donor notification and counselling policy

Makroo

Agrawal

Chowdhry

et al. 2017

ISBT Science Series

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Background and Objective Transfusion‐transmitted malaria is of great concern in endemic countries. From 1940, the Drugs and Cosmetic Act in India mandates the testing of all blood donations for human immunodeficiency virus (HIV), hepatitis B surface antigen (HbsAg), hepatitis C virus (HCV), malaria and syphilis. The present study was undertaken to assess the prevalence of malaria among blood donors and to summarize our experience with the notification algorithm that was developed for infected donors. Materials and Methods Records of all eligible donors, which were collected between 2011 and 2015, were analysed for the prevalence of malaria. Malaria screening was performed using by WHO‐approved immunochromatographic rapid diagnostic test (RDT) (Malascan®; Zephyr Biomedicals, India) for malarial antigen and confirmed by thick and thin blood smear. Those testing positive for malaria were called for post‐test counselling. Results A total of 108184 blood donors donated during the analysed period. Twenty‐six donors (0·024%) tested positive for malarial antigen by RDT. One (3·8%) of the 18 donors with double band on RDT showed the presence of mixed infection (Plasmodium vivax and Plasmodium falciparum). Fifteen (83·3%) donors were infected with P. falciparum. In the remaining two (11·1%) positive samples, further analysis by microscopy failed to find any evidence of malaria. There were eight non‐falciparum cases of P. vivax. Twenty‐one (80·8%) infected donations were avoided by post‐test counselling strategy as these donors underwent treatment prior to scheduling their next blood donation. Conclusion Blood donors in our region have a 0·024% prevalence of malaria. With proper donor testing, notification and post‐test counselling the rate of TTM can be further minimized.

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“…Previous studies show that donors who were notified regarding their results neither responded at all nor followed up for the counselling and some of them continue to donate blood despite being notified. 6 The present study determines the response of various TTI reactive donors for post donation counselling after notification and their persistence in society as reactive donors.…”

Section: Introductionmentioning

confidence: 99%

Seroreactive Donor Demography, Notification and Counseling in Present Era of Information Technology

Pk¹,

Mp²,

Kothari³

2020

IJORIM

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Background: As blood transfusion is associated with risk of transmitting transfusion transmitted infections (TTI), another tool to prevent it is to inform, notify and counsel the donors about their seroreactive status at the blood centre. Methods: A retrospective study was carried out in department of IHBT, at BMC from January 2017 to October 2019. The reactive donors were informed by the blood bank counselor about an abnormal test result with an advice to report to the blood bank for one to one counseling and repeat testing, as well as for referral to the respective department or Integrated counseling and testing centre or sexually transmitted disease clinics of the hospital for further management by means of telephonic calls, letters and personal interrogation. The response rate of TTI reactive donors after notification was evaluated. Results: There were total 41,114 blood donation over the period of almost 3 years out of which 617 were reactive donors (1.5%) with median age of 31.5 years and female to male proportion of 7:610. History of tattooing for more than 1 year was present in 155 donors. Amongst reactive donors 336 were voluntary while 281 were replacement donors. Seropositivity for HIV, HBV and Syphilis was more in replacement donor while HCV was more in voluntary donors. HBV, HCV, Syphilis and HIV were 316(0.87%), 136(0.33%), 69(0.17%) and 56(0.13%) respectively in reference to total population. There were 4 cases of co-infection 2 for HIV+HBV, 1 for HBV + Syphilis and 1 for HIV+HCV. All donors were contacted telephonically. Inaccurate donor demographics (wrong address and phone number) resulted in our inability to notify 6 (0.97%) cases. Out of 56 HIV reactive donors 26 were voluntary and 30 were replacement donors and response rate for post donation counseling was 98%, 4 HIV donors were previously registered at ART centre and 4 became non reactive so they were again followed up after 3 months. Conclusion: A large majority of the notified donors in our study contacted their health care provider when given clear instructions to do so. Stringent notification data on HBV, HCV and Syphilis reactive donors is required. Thorough tracking system for follow up of reactive donors is required.

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Blood Donor notification and counseling of reactive test result in Blood Bank of South Gujarat: A better approach to prevent reactive donors from donating blood again

Cited by 13 publications

References 0 publications

Donor notification and response rate of sero-reactive blood donors: a challenge and long way to go

Donor notification and response rate of sero-reactive blood donors: a challenge and long way to go

Prevalence of Malaria in blood donor population from a tertiary care centre and effective donor notification and counselling policy

Seroreactive Donor Demography, Notification and Counseling in Present Era of Information Technology

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