Pre Donation Deferral a Single Centre Experience

Abstract

It is well known that quite a large number of apparently healthy donors are not able to donate blood successfully because of varied reasons. These donors are deferred temporarily or permanently. The aim of the study was to analyze the Incidence of Blood Donor deferral and its various causes and use this information as a guide for promoting Voluntary Blood donation. All the Blood donors reporting at our Blood Bank in last 6 months period were analyzed retrospectively. Data of all the donors deferred due to various causes was analyzed at our Transfusion Medicine Centre. There were 7253 donors, of which 524 donors were deferred (7.22%) for various reasons. Of the 7253 donors registered for donation, females constituted only 8.6%. And deferral rate was about six times more for female (29.05%) compared to male (5.18%). The three most common reasons for deferral low hemoglobin levels, chronic diseases and medication. More studies should be done at state and national level so that enough data can be collected and national policies formulated and western parameters for deferral should not be followed as regional differences cause unnecessary deferrals of already limited donors. Moreover analysis of donor deferral pattern will help blood banks to formulate more focused donor screening approach.

A Retrospective Deferral Analysis of Blood Donors in a Tertiary Care Medical College Blood Bank Unit- An Experience From Rural Konkan of Western Maharashtra

“…Dr. Krishna and Dr. Sharada MS et al (1) (2015) found the most common reasons for deferral were low haemoglobin levels, low body weight, hypertension and alcohol consumption. R Vasudev's (5) (2016) report revealed similar findings with the present study.…”

“…15.31% and 3.82% respectively. However, validation of finding alert caution because of less representation of female donors R. Vasudev (5) (2016) reported incidence of deferral was 7.22%. A total of 343 males were deferred out of 6630 who reported to us for blood donation (5.18%) and 181 females were deferred out of 623 reporting for donation (29.05%).…”

Prevalence and Causes of Deferrals among Repeat Blood Donors in Dar es Salaam Tanzania

“…Temporary or permanent deferrals are possible [3]. Temporary deferral means the prospective donor has been deferred due to a reversible, time-limited factor like low hemoglobin or high/low blood pressure, whereas permanent deferral means the prospective donor has been deferred due to non-removable, longterm factors like HIV, Hepatitis B or C, or syphilis infection (TTIs) [4][5][6]. All deferred donors should be treated with respect and care in a confidential manner, with a clear explanation of the rationale for the deferral and the opportunity to ask questions.…”

To Analyse the Deferral Incidence and Its Pattern Among the Blood Donors in a Tertiary Care Centre in North India.

“…Other causes can be jaundice with suspected hepatitis B and C infection, high risk sexual behaviour. [4] Nodal agencies like the National AIDS Control Organization (NACO) and the State Blood Transfusion Councils (SBTCs) do not actively collect data on donor deferrals. Their formats for data collection are more inclined toward "quantity" of supply and deferrals due solely to infectious marker positivity in donated units.…”