10. Evaluation Of Pre-Donation Deferral Causes In Blood Donor Population At Tertiary Health Care Center of Rajasthan

Jyoti Kala Bhati, Sanjay Prakash, Vandana Chhabra, Satyendra Singh

ABSTRACT

Background: Donors should be in good health at the time of donation and free of infections transmissible by blood. The blood transfusion service should provide clear and unambiguous guidance for staff involved in donor selection. Objectives: The present study was done to analyze and evaluate the spectrum of causes for donor deferral at the tertiary health sector, so that temporarily deferred donors with corrective reasons can be identified, properly informed and guided to improve their quality of blood for future donation. Material & Methods: This prospective record based study was carried out for blood donors at a Blood bank in the Department of Transfusion Medicine and Immunohaematology in Maharana Bhupal Government Hospital & R.N.T. Medical College, Udaipur (Rajasthan) over a period of one year from 1 October 2014 to 30 September 2015. Standard operating Procedures based on the Directorate General of Health Services guidelines, the Ministry of Health & Family Welfare (2003) and world health organization guideline 2012 used for donor selection and deferral. The donors were evaluated on the basis of pre-screening tests like a questionnaire followed by clinical details, physical examination and laboratory tests. Results: The present study observed that out of 16919 blood donors who came to donate blood, 15776 (93.24%) were eligible for donation and 1143 (6.75%) blood donors were deferred. The deferral rate among the male population (1000/16476 cases, 6.07%) and female population (143/443 cases, 32.28%) were observed. The deferral rate among female population was 5.30 times higher than the male population. The most common cause of deferral in our study was low body weight (399, 34.91%), followed by anaemia (239, 20.91%), medical treatment (133, 11.64%), medical disease (84, 7.35%), blood donation < 3 months (47, 4.11%), age < 18 years (40, 3.49%). Out of the total 1143 deferrals, 108 cases were due to permanent causes and 1035 cases were due to temporary causes. Conclusion: Among temporary causes of deferral low weight and low haemoglobin are the two most common causes in both males and females which can be easily alleviated by proper nutritious supplement. The older age group blood donors have a higher number of diabetes mellitus, so they must be screened stringently before blood donation.

Key-words: Blood Donors, Haemoglobin, Deferral Rate.

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