Title: Deferral of Blood Donors Due To Anemia; an Experience of Blood Bank from Central India
Authors: Bhagwan Singh Yadav, Prithviraj Singh, Amit V Varma, Rajesh Kumar
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.02
The minimum haemoglobin (Hb) cut-off for blood donation as per world blood transfusion standards is 12.5 gm/dl for both male and female donors and the minimum donation interval is 3 months. Blood donation with haemoglobin levels less than 12.5 gm/dl can cause anaemia or deterioration of conditions of donor and deterioration of recipient condition because of low haemoglobin. Donation of one unit of blood results in decrease in haemoglobin by 1 gm% and loss of 200-250 mg of iron. Donor deferral due to anaemia is one of the major reasons of temporary rejection of blood donors. In the absence of further workup or advice, it results in loss of valuable donor base. This study is conducted to provide baseline information regarding the prevalence of anaemia in donor and assess distribution of donor according to socioeconomic status of donor. Haemoglobin screening of donors was performed using Copper sulphate specific gravity method. Venus blood sample of all the donors was tested on automated haematology analyser for confirmation of haemoglobin and evaluation of other haemogram parameters. In this study 6.7% donors were deferred due to anaemia (<12.5gm/dl). Most of the donors (>75%) belonged to middle socioeconomic group according to Prasad socio-economic scale (SES) scale. Keywords: Donor deferral, haemoglobin, socioeconomic status. 1. ShahshahaniH J,Meraat N,Mansouri F Evaluation of the validity of a rapid method for measuring high and low haemoglobin levels in whole blood donors; BloodTransfus. 2013: 11: 385-90 2. Bahadur S, Pujani M, Jain M. Donor deferral due to anemia: A tertiary care centre-based study; Asian Journal of Transfusion Science. 2011 Jan-June; 5(1):53-55. 3. Arora D, Arora B, Khetarpal A. Seroprevalence of HIV, HBV, HCV and syphilis in blood donors in Southern Haryana. Indian J PatholMicrobiol. 2010:53:308–309. 4. Singh K, Bhat S, ShastryS.Trend in seroprevalence of Hepatitis B virus infection among blood donors of coastal Karnataka, India. J Infect DevCtries. 2009:3:376–379. 5. Pahuja S, Sharma M, Baitha B, Jain M. Prevalence and trends of markers of hepatitis C virus, hepatitis B virus and human immunodeficiency virus in Delhi blood donors. A hospital based study. Jpn J Inf Dis. 2007:60:389–391. 6. Singh B, Verma M, Kotru M, Verma K, Batra M. Prevalence of HIV and VDRL seropositivity in blood donors of Delhi. Indian J Med Res. 2005:122:234–236 7. Kakkar N, Kaur R, Dhanoa J. voluntary donors–need for a second look. Indian J Pathol Microbiol. 2004:47:381–383 8. GuptaR,Singh B, KumarD, Chugh M. Prevalence and trends of transfusion transmitted infections in a regional blood transfusion centre; Asian J Transfus Sci. 2011 Jul-Dec; 5(2): 177–178. 9. Sunder P, Vivekanand J. Anemia in blood donors in Bangalore. Tranfus Bull. 2009:2-9. 10. Deb R, Chaya S, Bharucha Z. Evaluation of methods for haemoglobin estimations in blood donor screening. Indian J Hematol Blood Transfus. 2002:20:25-7. 11. Elhence P, Pandey P, Chaudhary RK. Blood donor deferral due to anemia: Need for investigation. Indian J Hematol Blood Transfus 2007:33:25-8. 12. Ramesh Chellan , Lopamudra Paul. Prevalence of Iron-Deficiency Anaemia in India: Results from a Large Nationwide Survey.Journal of population and social studies. 2010 July;19 (1). 13. Rudolfo DC, Carlos SC, Fausto FA, Dante MLJ, Rita de CS. Iron deficiency in blood donors. Sao Paulo Med J. 2001:119:132–4. 14. Maghsudlu M, Nasizadeh S, Toogeh GR, Zandieh T, Parandoush S, Rezayani M. Short term ferrous sulphate supplementation in female blood donors, Transfusion. 2008:48:1192–7.Abstract
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