Blood donor selection and deferral pattern as an important tool for blood safety in a tertiary care hospital.
BACKGROUND
Blood donor selection criteria based on science and regulatory rules influence donor as well recipient safety and demographics.


OBJECTIVE
To evaluate and analyze the blood donor deferral pattern and its causes among blood donors in a tertiary care hospital blood bank and to review its influence on blood safety.


METHODS
Hospital based blood bank, retrospective analysis.


METHODS
The data available as donor deferral record over a period of 13 years from 2001 to 2013 was analyzed.


RESULTS
The blood donor deferral rate was 11.5%, the deferral rate in various categories was 4.8%, 4.7%, 1.6%, and 0.3% in Category 1, Category 2, Category 3, and Category 4, respectively. The majority of deferrals were temporary deferrals (62.8%) of young donors. The maximum number of donors deferred (28.2%) due to a history of jaundice (permanent) followed by 19.4% due to low hemoglobin (temporary). History of malaria, intake of medicines, infections, underweight, last blood donation within 3 months (temporary deferral), and history of heart and lung diseases, diabetes, and with suspicious identity (permanent deferral) were other major causes identified.


CONCLUSIONS
The pattern of donor deferral identified is an important tool for blood safety and also provides key areas to focus on a region or policy formulation nationally for donor selection as well ensure donor safety. The value of determining donor deferral pattern by the categories described is in calling back donors deferred due to temporary reasons and can help retain pool of motivated blood donors.
Department of Transfusion Medicine, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.
Manisha
M
Shrivastava
Department of Physiotherapy, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.
Nehal
N
Shah
Department of Transfusion Medicine, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.
Seema
S
Navaid
Department of Transfusion Medicine, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.
Kalpana
K
Agarwal
Department of Transfusion Medicine, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.
Gourav
G
Sharma
Blood safety; donor deferral; donor selection; permanent deferral; temporary deferral