Title: A Study of Causes of Donor Deferral at Tertiary Care Hospital- Bhavnagar, Gujarat
Authors: Dr Mayuri V Thaker, Dr Pragnesh H Shah, Dr Shahnaz Bano, Dr Nidhi Sheth
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.79
Abstract
Donors are deferred for several reasons which are related to the safety of the donor as well as the potential threat to the recipient. The present study enlightens various causes of donor deferral which ultimately results in donor loss. Analysis of causes will help in understanding the common health problems of the donor population & also it can guide us to retrieve donor in future.
Aims & Objectives: To study the donor deferral rate. To find out various causes of donor deferral & apply relevant findings to modify recruitment strategy for blood donors.
Material and Methods: The present retrospective observational study was carried out at blood bank pathology department, Govt. Medical College and Sir T General Hospital Bhavnagar for a period of 6. 5 yrs (01 Jan’10- 30 June '16). Donors were screened according to the standard guidelines of D&C act, DGHS, NACO and deferred accordingly. Data retrieved from computer & records have been tabulated, analyzed & compared with similar studies.
Results: In present study donor deferral rate was 2.92%. Frequency of deferral for temporary reasons was 98.51% whereas for permanent reasons was 1.49%. Amongst temporary causes, the commonest one was low Hb (34.87%) in both sexes followed by use of medications (21.26%) in males & underweight (33.23%) in females.
Conclusion: Temporary causes of deferral contributed to 98.51 % of total donor deferral. Anemia was the commonest cause in both sexes. A large number of temporarily deferred donors can be recruited back into the donor pool if managed actively. This will also help in maintaining a healthy donor pool in the long run & improvement of efficiency of the donor programme.
Keywords: Donor deferral, Temporary deferral, Permanent deferral.
References
1. Jasnani,kusum;Patil, Laxmi analysis of blood donor deferral pattern:scenario in atertiary health care hospital in india Asian Journal of Transfusion Sci5.1( jan 2011):60-60.
2. Agnihotri N Whole blood donor deferral analysis at a center in Western India. Asian J Transfus Sci· 2010;4:116-22. .
3. Drugs and Cosmetics act 1940(D&C act).
4. Directorate General Of Health Services (DGHS) manual.
5. National AIDS Control Organisation ( NACO) guidlines.
6. Drugs and Cosmetics (2nd Ammendment) Rules,2011
7. Agravat Amit H, Gharia Amit A, Krupal Pujara, Dhuruva Gauravi A.Profile of blood donors and analysis of deferral pattern in atertiary care hospital of Gujarat . IJBAR(2013) 04 (09): 623-28.
8. Rathod K, Gupta M, Shah M. Analysis of blood donor deferral characteristics in a blood bank at a tertiary care hospital attached to medical college Gujarat. Biennial J GAPM. 2012;4(2):85–8.
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(5):1087-91.
10. International Journal of Basic and Applied Medical Sciences ISSN: 2277-2103 (Online) An Open Access, Online International Journal Available at http://www.cibtech.org/jms.htm 2015 Vol. 5 (2) May-August, pp. 123-127/Angurana et al.
11. Agarwal PB,Goswami D,Surana SS,Shashi S.Predonationdeferral of blood donors in tertiarycare hospital attached to medical college in Southern Rajasthan J Pharma Biomed sci 2016;06(07):460-463.
12. Arslan O. Whole blood donor deferral rate and characteristics of the Turkish population. Tranfus Med 2007; 17: 379-83.
13. Mangwana S,analysis of blood donor deferral pattern:scenario in a tertiary health care hospital in india Asian Journal of Transfusion Sci2013jul-dec,7(2):160-1.
14. Rabeya Y, Rapaiaah M, Rosline H, Ahmed SA, Zaidah WA, Roshan TM. Blood pre-donation deferrals – A teaching hospital experience. Southeast Asian J Trop Med Public Health 2008; 39: 571-4.
15. Chaudhary RK, Gupta D, Gupta RK. Analysis of donor-deferral pattern in a voluntary blood donor population. Transfusion Med 1995; 5(3): 209-12.
16. Lim JC, Tien SL, Ong YW. Main causes of pre-donation deferral of prospective blood donors in the Singapore Blood transfusion Service. Ann Acad Med Singapore 1993; 22: 326-34.
17. Talonu T: Causes of volunteer blood donor rejection in Papua New Guinea P N G Med J.1983;26(3-4):195-7.
18. Sundar P,Sangeeta Sk, SeemaDM, et al.:Pre-donation deferral of blood donors in South Indian set-up: An analysis .Asian J Transfusesci.2010;4(2):112-15.
19. John F, Varkey MR. Evaluation of blood donor deferral causes in a tertiary hospital, South India. Int J Biomed Adv Res. 2015; 6(03):253–58.
20. Chauhan DN, Desai KN, Trivedi HJ, Agnihotri AS. Evaluation of blood donor deferral causes: a tertiary-care center-based study. Int J Med Sci Public Health. 2015;4(3):389–92.
21. Sareen R, Gupta GN, Dutt A. Donor awareness: key to successful voluntary blood donation. Asian J Transfus Sci. 2012; 1:29.
22. Hinal Gajjar, F R Shah, N R Shah, C K Shah. Whole blood donor-deferral analysis at general hospital blood bank. NHL Journal of Medical Sciences /july 2014/vol 3/issue 2.
Dr Pragnesh H Shah
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Contact no.-9428106604