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Criteria For Donor Selection
Criteria For Donor Selection
Criteria For Donor Selection
1. Viral hepatitis
Donors with history of hepatitis shall be excluded permanently
A donor shall be excluded if his (hers) was the only unit of blood
transfused to a patient who later developed hepatitis (permanent
exclusion), or if the donor has ever had a positive test for hepatitis B surface
antigen (HBsAg)
Defer for at least six months donors who have received blood or blood
products, who have had tattoos, or who have had close contact with a
person with viral hepatitis
2. Malaria
Travellers to endemic malarial areas shall be excluded for six months
provided they are asymptomatic and have not taken antimalarial drugs
Donors who have had malaria shall be deferred for three years after the
end of treatment
Visitors or immigrants from malarial areas may be accepted three years
after their departure from the area
3. Positive STS
Cause for rejection of a donor
Donors may be acceptable when they become seronegative, provided the
previous positive reaction was not due to a condition that could result in
continued exclusion
4. Clinically active tuberculosis
Such donors are unacceptable
Donors with a positive tuberculin skin test but no other abnormality may
be accepted provided they have not received prophylactic medication in the
previous 48 hours
5. AIDS (acquired immune deficiency syndrome)
There is at present no diagnostic test for AIDS
The suspected causative agent is called HTLV-III (Human T-cell
Lymphotrophic Virus Type III)
A test for anti-HTLV-III is now employed in all licensed Blood Banking for
donor screening
Symptoms of AIDS might include:
1. Unexplained night sweats
j. Symptom-free individuals who have recently been immunized are acceptable blood
donors, with the following exceptions:
1. Smallpox
Donors are acceptable either after the scab has fallen off the site of
inoculation or two weeks after an immune reaction
2. Measles, mumps, yellow fever, oral polio vaccine, animal serum
products and rabies
Donors should be deferred two weeks following immunization
3. German measles
Donors are acceptable four weeks after their last injection
4. Hepatitis B immune globulin
Donors are acceptable one year after injection
5. HEPTAVAX-B
A vaccine to prevent hepatitis B, used primarily by health care workers
No deferral may get vaccine and give blood the same day
k. Donor skin should meet these specifications:
1. Venipuncture site shall be free of lesions.
2. History of a tattoo any place on the body within the past six months shall be
cause for rejection.
l. The obvious use of narcotics or alcoholic habituation or intoxication shall exclude a
donor
m. History of recent oral drug therapy shall be evaluated by a physician (oral
contraceptives and vitamins)
n. Symptoms of bronchial asthma shall be deferred
o. Donors weighing the minimum of 110 pounds may ordinarily give 450 mL of blood
p. Fasting is not recommended