Face‐to‐face interviewing in predonation screening: lack of effect on detected human immunodeficiency virus and hepatitis C virus infections

O’Brien, Sheila F; Wang, Fan; Ram, Sanjay K.; Goldman, Mindy; Nair, Rama C.; Chiavetta, Jo Anne; Vamvakas, Eleftherios C.

doi:10.1111/j.1537-2995.2006.00906.x

Cited by 19 publications

(17 citation statements)

References 30 publications

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“…There was no change in the slope of the curve before or after the switch from questions on the written portion of the DHQ to the orally completed section. This is consistent with our previous report of no effect of a change from written to oral high‐risk questions . However, it remains unclear whether oral administration would have been useful when first implementing the questions to repeat donors because by the time this change was made the percentage of donors who changed their risk status had mostly reached a steady state.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of selective screening of donors for antibody to Trypanosoma cruzi: seroprevalence of donors who answer “no” to risk questions

et al. 2013

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Section: Discussionsupporting

confidence: 91%

Evaluation of selective screening of donors for antibody to Trypanosoma cruzi: seroprevalence of donors who answer “no” to risk questions

et al. 2013

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“…For such donor candidates, additional written information may be difficult to understand and does not lead to an effective medical selection process 28,29 . The benefits of this discussion with the donor candidates also require further evaluation as they may hide certain information about themselves and lead to ineffective deferral for major transfusion risk factors 30 . In certain centers, reviewing the donor's medical history was not performed systematically, and important questions regarding the donor safety and that of the recipients were even omitted.…”

Section: Discussionmentioning

confidence: 99%

Transfusion safety in francophone African countries: an analysis of strategies for the medical selection of blood donors

et al. 2011

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BACKGROUND The goal of selecting a healthy blood donor is to safeguard donors and reduce the risks of infections and immunologic complications for recipients. STUDY DESIGN AND METHODS To evaluate the blood donor selection process, a survey was conducted in 28 blood transfusion centers located in 15 francophone African countries. Data collected included availability of blood products, risk factors for infection identified among blood donor candidates, the processing of the information collected before blood collection, the review process for the medical history of blood donor candidates, and deferral criteria for donor candidates. RESULTS During the year 2009, participating transfusion centers identified 366,924 blood donor candidates. A mean of 13% (range, 0%–36%) of the donor candidates were excluded based solely on their medical status. The main risk factors for blood-borne infections were having multiple sex partners, sexual intercourse with occasional partners, and religious scarification. Most transfusion centers collected this information verbally instead of having a written questionnaire. The topics least addressed were the possible complications relating to the donation, religious scarifications, and history of sickle cell anemia and hemorrhage. Only three centers recorded the temperature of the blood donors. The deferral criteria least reported were sickle cell anemia, piercing, scarification, and tattoo. CONCLUSIONS The medical selection process was not performed systemically and thoroughly enough, given the regional epidemiologic risks. It is essential to identify the risk factors specific to francophone African countries and modify the current medical history questionnaires to develop a more effective and relevant selection process.

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“…Another possible source of inaccuracy would be the donor's recall about number of sexual partners in the past 12 months. Furthermore, face‐to‐face predonation interviews are often conducted mechanically by the staff who repeat questions over and over, in a flat tone of voice, which could make it difficult for a donor to focus his or her attention for a long time 18 . This study did not seek to address these particular issues related to donor screening practices.…”

Section: Discussionmentioning

confidence: 99%

Number of recent sexual partners among blood donors in Brazil: associations with donor demographics, donation characteristics, and infectious disease markers

et al. 2011

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BACKGROUND Brazilian blood centers ask candidate blood donors about the number of sexual partners in the last 12 months. Candidates who report a number over the limit are deferred. We studied the implications of this practice on blood safety. STUDY DESIGN AND METHODS We analyzed demographic characteristics, number of heterosexual partners, and disease marker rates among 689,868 donations from three Brazilian Centers between July 2007 and December 2009. Donors were grouped based on maximum number of partners allowed in the last 12 months for each center. Chi-square and logistic regression analysis were conducted to examine associations between demographic characteristics, number of sex partners, and individual and overall positive markers rates for HIV, HTLV-1/2, HBV, HCV, and syphilis. RESULTS First-time, younger and more educated donors were associated with a higher number of recent sexual partners, as was male gender in São Paulo and Recife (p <0.001). Serologic markers for HIV, syphilis and overall were associated with multiple partners in São Paulo and Recife (p<0.001), but not in Belo Horizonte (p= 0.05, 0.94, 0.75, respectively). In logistic regression analysis, number of recent sexual partners were associated with positive serologic markers (AOR=1.2–1.5) especially HIV (AOR=1.0–4.4). CONCLUSIONS Number of recent heterosexual partners was associated with HIV positivity and overall rates of serological markers of sexually transmitted infections. The association was not consistent across centers, making it difficult to define the best cut-off value. These findings suggest the use of recent heterosexual contacts as a potentially important deferral criterion to improve blood safety in Brazil.

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Face‐to‐face interviewing in predonation screening: lack of effect on detected human immunodeficiency virus and hepatitis C virus infections

Abstract: Face-to-face interviewing for high-risk questions had no effect on HIV or HCV rates in first-time donations over 15 years of observation (during the latter 8 of which face-to-face interviewing was in place), and it did not increase permanent deferrals for HIV or HCV risk factors.

Cited by 19 publications

References 30 publications

Evaluation of selective screening of donors for antibody to Trypanosoma cruzi: seroprevalence of donors who answer “no” to risk questions

Evaluation of selective screening of donors for antibody to Trypanosoma cruzi: seroprevalence of donors who answer “no” to risk questions

Transfusion safety in francophone African countries: an analysis of strategies for the medical selection of blood donors

Number of recent sexual partners among blood donors in Brazil: associations with donor demographics, donation characteristics, and infectious disease markers

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