Measures to Protect the Donor

8/11/2019 Measures to Protect the Donor

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MEASURES TO PROTECT THE

DONOR&

DEFERRAL CONDITIONS

PRESENTED BY

Dr. KHADIJA HABIB

M.Phil HAEMATOLOGY

1stSEMESTER


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OUTLINE

INTRODUCTION

PRIMARY CONCERN DURING TRANSFUSION

SOURCE OF SAFE BLOOD

BLOOD DONOR SAFETY


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INTRODUCTION

Transfusion of whole bloodand blood components is

important part of health care

system.

It is necessary that bloodand components are to be

100% safe.

Blood safety begins from

safe blood collection to safe

blood transfusion.

Blood is always needed

for:

accident victims

cancer patients

blood disorder patients

surgery patients

Pre-mature, pre term

babies

and many others.


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PRIMARY CONCERN

Safety of Blood Donor

Safety of Blood Recipient


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BLOOD DONOR SOURCES

Family / Friends

Forceful donation

Paid donation

Associated with high

prevalence of TTI

Paid / Professional

Alcoholic s / Drug abusers /

indiscriminate sexual habits.

High risk group for Hepatitis

and AIDS

REPLACEMENT DONOR PAID DONOR


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SA

FE

BLO

OD

DON

OR

Voluntary

Non-

remunerated

Low risk

population


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MEASURESTOPROTECTTHEBLOODDONOR


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BLOOD DONOR SAFETY MEASURES

Pre-Donation:

Donor eligibility criteria

Medical examination

Donor Screening

Donor deferral criteria

Donation:

Blood donation procedure

Post-Donation:

Rest / advice

Refreshment


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MEASURES TO PROTECT THE DONOR

Age 17 70 years (60 at first donation)

Weight above 50 kg (7 st 12 lb)

Haemoglobin > 13 g/dl for men, 12 g/dl for women

Minimum donation interval of 12 weeks (16 weeks advised) and

three donations per year maximum

Pregnant and lactating women excluded because of high iron

requirements

Exclusion of those with:

Known cardiovascular disease, including hypertensionSignificant respiratory disorders

Epilepsy and other CNS disorders

Gastrointestinal disorders with impaired absorption

Insulin- dependent diabetes

Chronic renal disease

Ongoing medical investigation or clinical trials Exclusion of any donor returning to occupations such as driving

bus, plane or train, heavy machine or crane operator,

mining, scaffolding, etc. because delayed faint would be

hazardous


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DONOR ELIGIBILITY CRITERIA

Who can DONATE ?

AGE:

17-18 to 65-70 yrs

WEIGHT:

> 50 kg

HAEMOGLOBIN:

men=>13 g/dl

women= >12 g/dl

HEMATOCRIT RANGE:

HEALTH STATUS: OCCUPATIONAL

CONDITIONS:


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DONOR GENERAL EXAMINATION

Ask questions about:

donor health

travel

medicines

Assess if donor might be at

risk of transfusiontransmissible diseases.

Assess for :

BP

temp

pulse

anemia

HISTORY GPE


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M

INOR

RED

C

ELL

ABNORMALITIES

Thalassemia trait,

Sicke cell trait,

hereditary sphero

Donors can donate

blood if Hb screening

excludes anemia.

Red cell with HbS

Should not be

transfused to new born

infants,pts with

hypoxia or HbSS.

Donor with G6PD

def can donate blood

normallyUnless recipient given

oxidant drugs.


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CONDITIONSINTHEDONOR

THATLEADTODEFERRAL


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YOUSHOULDNOTGIVEBLOODIF:

Already given blood in last 12 weeks

Have a chesty cough , sore throat or active cold sore

Currently taking AB / have just finished the course with in last

7 days / have had infection in that last 2 weeks.

Have had a tattoo / semi permanent makeup or cosmetictreatments that involves skin piercing in last 4 mnths

Had acupuncture in the last 4 mnths

Member of ur family has suffered with CJD

Ever received human pituitary extract

Have received blood or think have received blood during the

course of any medical treatment or procedure anywhere in the

world since 1stjanuary 1980


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YOUMAYNOTBEABLETOGIVEBLOODIF: You have had a serious illness or major surjery in the past or

currently on medication.

You have had complicated dental work

In contact with infectious disease or given immunsation in last 4

wks

Presently on hospital waiting list or undergoing medical tests Do not weigh over 50kg

For women :

during pregnancy

after delivery for 1 yr

when lactating

during menstrual period and 7 days thereafter

Travel abroad

West Nile virus


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YOUSHOULDNEVERGIVEBLOODIF:

You have ever had :

SYPHILIS

HTLV ( human T-lymphotropic virus)

Hepatitis B & C

Having sex with more than 1 partner

Intravenous drug abuse


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THANKYOU

Measures to Protect the Donor

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