Assessment of blood donor selection and deferral pattern in a tertiary care hospital in Central India

  • Dr. Pratima Kujur Professor, Department of Pathology, Government Medical College, Rajnandgaon, Chattisgarh, India
  • Dr. Amit Kumar Tiwari Assistant Professor, Department of Pathology, Government Medical College, Rajnandgaon, Chattisgarh, India
  • Dr. Sadhna Bagde Associate Professor, Department of Pathology, Government Medical College, Rajnandgaon, Chattisgarh, India
  • Dr. Vikash Bombeshwar Demonstrator, Department of Pathology, Government Medical College, Rajnandgaon, Chattisgarh, India
  • Dr. Tapas Ranjan Behera Resident, Hematology and Medical Oncoloy, Cleveland Clinic, Ohio, United States of America
Keywords: Blood transfusion, Deferral, Donor selection

Abstract

Introduction:Safety and efficacy of blood donations depends on selection of suitable donors. Understanding the prevalent reasons of non-suitability of donors can help understanding the donor pool demographics to develop better donor recruitment and screening strategies.

Material and Methods: This is across sectional retrospective study conducted in a tertiary care hospital in central India over a period of two years from January 2017 to December 2018. The donor registry from in hospital donation as well as the blood donation camps were analyzed for the pattern of deferral.

Results: Total 18,025 people donated blood during the study period. During this period the number of deferrals was 681. The overall deferral rate was 3.77%.Males constituted the majority of donors (17586, 97.56%), and expectedly majority of deferrals were in males (626, 3.47%). The most common reason of temporary deferral in donors was recent alcohol intake is 197(28.93%) potential donors which was exclusively in the males. The most common reason of permanent deferral was hypertension (59, 8.66%). The common reason for deferral among deferred females was low hemoglobin (26, 47.27%) and that in deferred males was alcohol intake (197, 31.46%).

Conclusion: Donor deferral is essential to ensure the safety of both the donor and recipient of the blood; however, it can also lead to non-return of temporarily deferred donors. A pattern and trend in donor deferral could be used as a reference for developing policy and future initiatives in donor education, encouragement and retention.

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References

Karnataka State AIDS Prevention Society. Annual Action Plan 2010-2011. p.129. Available at https://ksaps.gov.in/pdfs/annual_actionplan2011_12.pdf.

John F, Varkey MR. Evaluation of blood donor deferral causes in a tertiary hospital, South India. Int J Biomed Adv Res. 2015;6(3):253-258. doi: https://doi.org/10.7439/ijbar.v6i3.1833.

WHO Biregional Workshop on Blood Donor Management. Meeting Report p.8. Available at http://iris.wpro.who.int/handle/10665.1/10628.

WHO Technical Report Series No 941,2007. Recommendation for the production, control and regulation of human plasma for fractionation. p.195.[online] Available from https://www.who.int/bloodproducts/publications/ TRS941Annex4blood.pdf.

Baxi A, Misconceptions over blood donation causing shortage in India. Sunday Economic Times [online] February 10,2008. Available from https://economictimes.indiatimes.com/consumer-life/misconceptions-over-blood-donation-causing-shortage-in-india/articleshow/2770144.cms.

Shenga N, Pal R, Sengupta S. Behaviour disparities towards blood donation in Sikkim, India. Asian J Transfusion Sc.2008;2(2):56-60. doi: https://dx.doi.org/10.4103%2F0973-6247.42692.

Newman B. Blood donor suitability and allogenic whole blood donation. Transfus Med 2001;15(3):234-244. doi: https://doi.org/10.1053/tmrv.2001.24593.

Choudhary LP, Tetali S. Notification of transfusion transmitted infection. Indian J Med Ethics. 2008;5(2):58-60. doi: https://doi.org/10.20529/IJME.2008.022.

rishna MC, Sharada MS, Harish SG, Hulinaykar RM. An analysis of pre-donation deferral of blood donors in a tertiary care teaching hospital blood bank unit, Tumakur, Karnataka, India. Int J Healthcare Sci. 2015;2(2):258-262.

Sunder P, Sangeetha SK, Seema DM, Marimuthu P, Shivana N. Pre-donation deferral of blood donors in Suth Indian set-up: An analysis. Asian J Transfus Sci. 2010;4(2):112-115. doi: https://dx.doi.org/10.4103%2F0973-6247.67037.

Talonu T. Causes of volunteer blood donor rejection in Papua New Guinea. P N G Med J. 1983;26(3-4):195-197.

Sareen R, Gupta GN, Dutt A. Donor awareness: key to successful voluntary blood donation. Asian J Transfus Sci. 2012;1:29. doi: https://doi.org/10.12688/f1000research.1-29.v1.

Choudhary RK, Gupta D, Gupta RK. Analysis of donor deferral pattern in a voluntary blood donor population. Transfus Med. 1995;5(3):209-212. doi: https://doi.org/10.1111/j.1365-3148.1995.tb00230.x.

Girish CJ, Chandrashekhar TN, Ramesh BK, Kantikar SM. Pre-donation deferral of whole blood donors in district transfusion centre. J Clin Diagnos Res. 2012;6(1): 47-50.

Agrawal PB, Goswami D, Surana SS, Shashi S. Pre-donation deferral of blood donors in tertiary care hospital attached to medical college in Southern Rajasthan. J Pharm Biomed Sci. 2016;6(7):460-463.

Rajendra N, Madapura VP. Study of blood donor profile in a blood bank attached to a medical college hospital - a retrospective study. JOPM. 2017;3(4):406-411. Available from: https://pathology.medresearch.in/index.php/jopm/article/view/110.

Published
2020-02-05
How to Cite
Kujur, P., Kumar Tiwari, A., Bagde, S., Bombeshwar, V., & Ranjan Behera, T. (2020). Assessment of blood donor selection and deferral pattern in a tertiary care hospital in Central India. Pathology Update: Tropical Journal of Pathology and Microbiology, 6(1), 83-88. Retrieved from https://pathology.medresearch.in/index.php/jopm/article/view/390
Section
Original Article

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