Frequency and reasons of donor deferral prior to blood donation process: a single centre experience

Khurram, Sana; Borhany, Munira; Anwar, Nida; Naseer, Imran; Boota, Samson; Mirza, Irfan G.; Nadeem, Muhammad Arif; Shamsi, Tahir

doi:10.1111/tme.12368

Cited by 12 publications

(23 citation statements)

References 11 publications

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“…Khurram et al . reported a lower deferral rate for VNRBD, while Waheed and Zaheer reported that the deferral rate between VNRBD and replacement did not vary significantly. However, both studies were majorly dependent on replacement donors, whereas this study reports predominantly VNRBD.…”

Section: Discussionsupporting

confidence: 88%

“…High deferral amongst females has also been reported by Waheed and Zaheer and Khurram et al . , also with a predominant male donor pool. In contrast, a study from western India by Agnihotri also reported males to have a gender comparative lower deferral rate.…”

Section: Discussionmentioning

confidence: 58%

“…Furthermore, the criteria most similar to ours was the study by Khurram et al . , reporting a deferral rate of 12·2% in Karachi from 2012 to 2014. Moreover, an overview of the literature disclosed that deferral on recent tattoo/piercing, sharing of shaving blades and sexual relationships between hepatitis‐infected partners was not majorly implemented.…”

Section: Discussionmentioning

confidence: 92%

“…In the published studies, the donor deferral rates reported in Pakistan were 4·3% , 8·7% , 12·2% and 13·58% . The deferral rate in this study, 24%, is higher due to the inclusion of therapeutic injections for medicinal purposes as a criterion.…”

Section: Discussionmentioning

confidence: 99%

“…Khurram et al . reported major reason for temporary and permanent deferral as low haemoglobin and history of hepatitis B, respectively. These results are comparable to ours given their population study was the same as ours.…”

Section: Discussionmentioning

confidence: 99%

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Frequency and causes of deferral amongst voluntary non‐remunerated blood donors from Pakistan – a single‐centre study

Jamal

Shaikh

Sohail

et al. 2018

ISBT Science Series

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Background Amidst a system dependent on replacement donors in Pakistan, The Indus Hospital Blood Centre predominantly recruits voluntary non‐remunerated blood donors (VNRBD) to ensure provision of safe blood. Furthermore, due to unsafe practices of reuse of syringes in Pakistan, an additional criterion was added, deferring donors on recent history of therapeutic injections for medicinal purposes. Methods During the study period of 37 months (Dec 2013–Dec 2016), all potential donors visiting blood drives and the donor centre underwent a screening process via a brief physical examination and an interview. Donors were either accepted for donation, temporarily deferred or permanently deferred. Results In the study period, 63 582 potential donors visited, whereas 84% were VNRBD and 16% replacement donors. With an overall deferral of 24%, amidst VNRBD and replacement, the deferral rate was 25% and 18%, respectively. The major reasons for deferral were use of therapeutic injections followed by low haemoglobin. Furthermore, 54% of females and 21% of males visiting were deferred. Replacement donors, males and donors from underprivileged residential areas and factories had a comparatively higher proportion of deferral due to use of therapeutic injections. Conclusion The high deferral rate in this study is illustrative of the increased use of therapeutic injections amongst the Pakistani population. Additionally, due to the compulsion of providing blood donors associated with replacement donation, they are more likely to hide health conditions, hence the lower comparative deferral rate. The Pakistani population needs to be educated regarding the high risks associated with injections and replacement donors.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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