Donor selection: the exclusion of high risk donors?
Selection of donors is an important means to improve the overall safety of the blood supply. Since the AIDS epidemic emerged and after the introduction of sensitive screening tests for HIV, it became clear that blood donations given in the infectious 'window' period, formed the most important risk for recipients of blood products. Therefore, selection criteria became more and more stringent to exclude these high risk donors. Means to exclude high risk donors are non-remuneration, including a clear policy to provide no incentives which can be readily converted to cash, the avoidance of replacement donations, the discouragement of 'HIV test seeking' donors, education and information of donors about HIV and other blood-borne infectious diseases and the in depth questioning about risk behaviour, orally as well as by questionnaires. Although this policy of donor selection is recognized by most blood centers in the world, the efficacy of this selection has not been well documented. Therefore in future, studies should be performed to base these selection criteria on evidence.
Red Cross Blood Bank Amsterdam, The Netherlands.
P J
PJ
van den Burg
H
H
Vrielink
H W
HW
Reesink
D015492:AIDS Serodiagnosis; D001771:Blood Banks / Q000592:standards*; D001782:Blood Donors / Q000523:psychology; D001803:Blood Transfusion / Q000592:standards*; D014355:Chagas Disease / Q000517:prevention & control; D007562:Creutzfeldt-Jakob Syndrome / Q000097:blood / Q000175:diagnosis / Q000517:prevention & control / Q000635:transmission; D005069:Evaluation Studies as Topic; D015483:HIV Antibodies / Q000096:biosynthesis; D015658:HIV Infections / Q000097:blood / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D006266:Health Education; D006291:Health Policy; D006525:Hepatitis, Viral, Human / Q000097:blood / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008288:Malaria / Q000517:prevention & control; D008403:Mass Screening; D010342:Patient Acceptance of Health Care; D012306:Risk; D012449:Safety; D011795:Surveys and Questionnaires; D013997:Time Factors; D014838:Volunteers
D015483:HIV Antibodies