EVALUATION OF REASONS OF PRE-DONATION BLOOD DONOR DEFERRAL IN A TERTIARY CARE HOSPITALAT DHAKA

Author:

Arefin Biswas Daanish1,Afroz Tamanna2,Wasim Md.3,Naznin Bepasha4,Bhuiyan Hasiba Akter5

Affiliation:

1. Associate Professor, Transfusion Medicine, Sir Salimullah Medical College, Dhaka.

2. Senior Specialist, Transfusion Medicine, Evercare Hospital Dhaka.

3. Assistant Professor, Transfusion Medicine, Sir Salimullah Medical College, Dhaka

4. Junior Consultant, Transfusion Medicine, Asgar Ali Hospital, Dhaka

5. Medical Ofcer, Transfusion Medicine, Sir Salimullah Medical College, Dhaka.

Abstract

Background: Our aim is to evaluate reasons of donor deferral in tertiary care hospital to nd new disease distribution, any areas of negligence in part of donor or history taking physicians and human errors which could be easily correctable and benecial for donors to remain healthy and provide safe blood. Methodology: This is a retrospective analytic study carried out during the period of January to December 2015 at Department of Transfusion Medicine, Sir Salimullah Medical College and Mitford Hospital. After preliminary registration, each donor was either selected or deferred by medical ofcers. The donor selection and deferral criteria were according to the standard operating procedure. Detailed information of reason of deferral was recorded. Results:Among 10056 registered donors, 9453 (94.004%) were eligible for donation and 603 (5.996%) blood donors were deferred due to various reasons. Male donors were 7526 (74.84%) more than female 2530 (25.16%). Females (60.03%) were found to have higher deferral rate than male population (39.97%). Low hemoglobin was found to be leading cause constituting 17.58% followed by hypertension 15.26%, medications 12.11% and underweight 11.28%. Conclusion: Deferral may discourage the donor for subsequent donations, especially young rst time donors. Deferred donors should be properly counseled and educated for probable future donations. By knowing the causes of deferral we can take further steps to prevent those causes and can preserve precious blood and blood components.

Publisher

World Wide Journals

Reference22 articles.

1. Shenga N, Pal R, Sengupta S. Behavior disparities towards blood donation in Sikkim, India. Asian J Transfus Sci. 2008 Jul;2(2):56–60.

2. World Health Organization. Global status report on blood safety and availability, 2016. [Internet]. 2017 [cited 2018 Jul 24]. Available from: http://apps.who.int/iris/bitstream/10665/254987/1/9789241565431-eng.pdf

3. Population of Bangladesh 2017 [Internet]. Population of 2017. 2017. Available from: http://populationof2017.com/population-of-bangladesh-2017.html

4. Bangladesh WHO. Bangladesh is still to meet the demand of safe blood supply. [Internet]. World Health Organization. 2018. Available from: http://www.searo.who.int/bangladesh/blooddonor/en/

5. World Health Organization. WHO Bioregional Workshop on Blood Donor Management. Regional Office for the Western Pacific Manila, Philippine; 2010 p. 8. Report No.: RS/2010/GE/25(VTN).

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