Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:260
  • Home
  • Print this page
  • Email this page


 
 Table of Contents  
LETTERS TO EDITOR
Year : 2020  |  Volume : 5  |  Issue : 1  |  Page : 98-100

Predonation deferral pattern: A single-center experience from Pakistan


1 Department of Pathology and Blood Transfusion Services, DHQ Hospital, Mandi Bahauddin, Pakistan
2 Department of Allied Health Sciences, Government College University, Faisalabad, Pakistan
3 Department of Pathology, Allama Iqbal Medical College and Jinnah Hospital, Lahore, Pakistan
4 Safe Blood Transfusion Programme, Ministry of National Health Services, Government of Pakistan, Islamabad, Pakistan

Date of Submission13-Feb-2020
Date of Decision27-Feb-2020
Date of Acceptance28-Feb-2020
Date of Web Publication17-Apr-2020

Correspondence Address:
Muhammad Saeed
Department of Pathology and Blood Transfusion Services, DHQ Hospital, Mandi Bahauddin
Pakistan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GJTM.GJTM_13_20

Rights and Permissions

How to cite this article:
Saeed M, Waheed A, Rasheed F, Waheed U. Predonation deferral pattern: A single-center experience from Pakistan. Glob J Transfus Med 2020;5:98-100

How to cite this URL:
Saeed M, Waheed A, Rasheed F, Waheed U. Predonation deferral pattern: A single-center experience from Pakistan. Glob J Transfus Med [serial online] 2020 [cited 2020 Oct 25];5:98-100. Available from: https://www.gjtmonline.com/text.asp?2020/5/1/98/282678



Sir,

Safe blood is a universal human right,[1] and safe blood transfusion practice ensures quality in all aspects of vein-to-vein transfusion chain starting from the donors' vein. The donor's health is checked through a protracted procedure including behavioral screening and physical checkup to assess the suitability or eligibility of a blood donor. In certain cases, the donor does not fulfill the criteria set under the national standards, and he/she is deferred from donation either permanently or temporarily. These donors are categorized as “deferred donors.”[2] Deferral practice leaves a negative impact and leads to a potential donor's loss due to negative psychological impressions. The present study was carried out from September 2017 to September 2019 to evaluate and highlight the donor deferral causes at a district hospital blood bank (DHQ Hospital, Mandi Bahauddin) licensed by the Punjab Blood Transfusion Authority.

Every blood donor was properly screened; donor selection and temporary/permanent deferral criteria were in accordance with National Standards and Guidelines.[3] During the study period, 11,898 blood donors visited the center, of which 25.2% (n = 3010) were deferred (temporary = 67.6%, n = 2037 and permanent = 32.3%, n = 973). Majority of blood donors were in the age category of 20–40 years. As viral hepatitis is endemic in Pakistan, among permanent deferred donors, most common cause was hepatitis C virus positivity in 13.3% (n = 398) and hepatitis B virus positivity in 6.1% (n = 184) of the donors, followed by syphilis positivity in 4.0% (n = 121), malaria in 2.4% (n = 74), diabetes in 1.9% (n = 60), allergies in 1.2% (n = 38), over age (>60 years) in 1.1% (n = 36), hypertension in 1.0% (n = 1.0), chronic obstructive pulmonary disease in 0.9% (n = 30), and no case of HIV. About 37.7% (n = 1136) of the donors were deferred due to anemia; it is alarming that the second most common cause of deferral was alcohol intake 4.9% (n = 150) followed by drug abuse 4.6% (n = 140). Moreover, underweight and underage blood donor frequency was also very high. High-risk sexual activity was mostly noted in unmarried young donors [Figure 1].
Figure 1: Temporary deferral causes among studied donors n = 11,898

Click here to view


The present study reported a very high deferral rate (25.2%). Multiple studies have reported a low deferral rate.[4],[5],[6],[7],[8] In the present study, temporary deferrals were more frequently present (67.6%). Anemia was the cause of deferral imitating the burden of anemia in the general population, especially in female blood donors. This was in agreement with the prior studies.[2],[9] The present study concluded that viral hepatitis is the key factor for permanent deferral and anemia is the key factor for temporary deferral.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Saeed M, Hussain S, Rasheed F, Ahmad M, Arif M, Hamid Rahmani MT. Silent killers: Transfusion transmissible infections-TTI, among asymptomatic population of Pakistan. J Pak Med Assoc 2017;67:369-74.  Back to cited text no. 1
    
2.
Waheed U, Zaheer HA. Evaluation of deferral pattern among the blood donors in Islamabad, Pakistan. Global J Transfus Med 2016;1:81.  Back to cited text no. 2
    
3.
Zaheer HA, Ahmed S, Waheed U, Wazeer A. National Guidelines for Quality Control in Transfusion Medicine. 2nd Ed. 2020. Available from: https://www.sbtp.gov.pk/wp-content/uploads/2020/03/National-Guidelines-Quality-Control-in-Transfusion-Medicine-2020.pdf. [Last accessed on 2020 Feb 15].  Back to cited text no. 3
    
4.
Aneke CJ, Ezeh UT, Nwosu AG, Anumba EC. Retrospective evaluation of prospective blood donor deferral in a tertiary hospital-based blood bank in South-East Nigeria. J Med Tropics 2016;18:103-7.  Back to cited text no. 4
    
5.
Abdelaal M, Anwar F. Analysis of blood donor deferral in Jeddah, Saudi Arabia: Characteristics and causes. High Temp 2016;22:5.  Back to cited text no. 5
    
6.
Vasudev R, Kaur S, Kumar A, Singh B, Paul N, Rampal U, et al. Pre donation deferral a single centre experience. J Blood Disord Transfus 2016;7:356.  Back to cited text no. 6
    
7.
Mansuri A, Patel M. Causes and incidence of blood donor deferral in Khambhat, Gujarat: A retrospective study. World J Pharmaceutical Research 2018;7:728-34.  Back to cited text no. 7
    
8.
Shrivastava M, Shah N, Navaid S, Agarwal K, Sharma G. Blood donor selection and deferral pattern as an important tool for blood safety in a tertiary care hospital. Asian J Transfus Sci 2016;10:122-6.  Back to cited text no. 8
[PUBMED]  [Full text]  
9.
Bahadur S, Jain S, Goel RK, Pahuja S, Jain M. Analysis of blood donor deferral characteristics in Delhi, India. Southeast Asian J Trop Med Public Health 2009;40:1087-91.  Back to cited text no. 9
    


    Figures

  [Figure 1]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
References
Article Figures

 Article Access Statistics
    Viewed509    
    Printed26    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]