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NJBMS - Volume 10 Issue 2, October - December 2019

Pages: 16-22
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Response Rate of Sero-Reactive Blood Donors to Notification & Counseling

Author: Dr.Kuralarasi Priyadarshini, Dr. R. Thamilselvi, Dr. C. Megala

Category: Pathology

Abstract:

Background:

Transfusion services prime responsibility is to supply safe blood to patient. Despite newer sensitive screening techniques, Transfusion is associated with risk of Transfusion transmissible infections. (HBV, HCV, HIV, MALARIA, SYPHILIS). The other major responsibilities of Transfusion services are "donor counseling, testing & notification" which play a vital role in comprehensive donor care and safe blood supply.

Aim:

To assess and analyze the response rate of sero-reactive donors towards post-donation notification and counseling and provide recommendations to improve response rate.

Materials and Methods:

In this retrospective study from AUG 2018 to AUG 2019, a total of 3550 donors were included. TTI screening for HBV, HCV was performed using 3rd generation ELISA, for HIV 1 and 2 by 4th generation ELISA, for Syphilis and Malaria by Rapid card test. All the reactive units were retested on a sample from blood bag and donors were notified of their status by 3 telephonic communication (postal communication was avoided) and called for repeat testing followed by counseling and referral for further management.

Results:

Total = 3550 donors, TTI reactive cases were=33(0.93%). History of high risk behavior= 07 (38.9%). The response rate of HBV, HCV, HIV, SYPHILIS, MALARIA were 53%, 43%, 60%, 66%, 100%.

Conclusion :

Poor response rate were due to inaccurate donor demographics (wrong address and phone number), a disconnected call, busy schedule, poor health care knowledge, poor understanding of screening results, & difficulty to return to institute as they were from far flung areas. In spite of strict donor screening & given the option of self-deferral, donors conceal their high-risk behavior & continue to donate blood. In this regard pre-donation counseling play a major role and it should include nature and use of blood, eligibility for donation, common TTI's, mode of transmission, window period and possibility of abnormal results. Donors must be screened for high-risk behavior and reactive donors are permanently deferred. Non-responders will pose a serious threat to the community ,hence donor demographic details form an important document for ensuring tracebility.

Keywords: Sero-reactive, notification, NAT.

DOI: 10.31975/NJBMS.2019.10203

DOI URL: https://dx.doi.org/10.31975/NJBMS.2019.10203