title: Risk Factors for Transfusion Transmissible Infections Elicited on Post Donation Counselling in Blood Donors: Need to Strengthen Pre-donation Counselling.
abstract: Donor notification and counselling transforms the legal and ethical requirement of disclosure of transfusion transmissible infection (TTI) in a blood donor into practice. The present study was done to assess the response to the disclosure of TTI reactivity results in blood donors, assess the risk factors in blood donors and follow the compliance of the disclosure and clinical referral in a population of blood donors who are difficult to convince that they may be harbouring infections apparently in a healthy state today but with possible clinical disease consequences in the future. A retrospective study was conducted from April 2011 to November 2012. Screening was done using third generation ELISA kits used according to the manufacturer's directions; these kits were approved for use in blood banks by the Drug Controller General of India. Those testing repeat reactive were referred for further confirmation and management. The total number of TTI reactive donors was 787 (0.93 %, N = 83,865). The observed response rate in the present study is 21.6 % (167, N = 787). The risk factors for acquiring infections in TTI reactive donors were statistically significant history of high risk behaviour (20.3 %) for human immunodeficiency virus infection and history of jaundice in themselves, family or close contacts (16.1 %) for hepatitis B virus infection. One hundred and ten (65.8 %) of the referred donors were on outpatient clinical care when post-referral follow up was conducted. The study emphasises on continuing sensitization of blood donation camp organisers to the need of privacy during blood donor selection. The study also stresses the need to strengthen the pre-donation counselling at outdoor blood donation at the same time raise awareness amongst blood donors about the importance of post-donation counselling and follow up.
authors.affiliation: Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Suchet
authors.initials: S
authors.lastname: Sachdev
authors.affiliation: Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Kshitija
authors.initials: K
authors.lastname: Mittal
authors.affiliation: Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Gopal
authors.initials: G
authors.lastname: Patidar
authors.affiliation: Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Neelam
authors.initials: N
authors.lastname: Marwaha
authors.affiliation: Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ratti Ram
authors.initials: RR
authors.lastname: Sharma
authors.affiliation: Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ajay Kumar
authors.initials: AK
authors.lastname: Duseja
authors.affiliation: Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Yogesh Kumar
authors.initials: YK
authors.lastname: Chawla
authors.affiliation: Department of Immunopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Arora
keywords: Blood donor; Counselling; Notification; Transfusion transmissible infection