PB2448 REASONS FOR BLOOD DONOR DEFERRAL AMONG VOLUNTARY BLOOD DONORS IN A TERTIARY CARE HOSPITAL IN KATHMANDU, NEPAL

Abstract

Background:Ensuring the wellness of the voluntary blood donor is the main purpose of the donor deferral. It also minimizes the unwanted symptoms that may appear among blood donor recipient.Aims:To analyse the reasons for blood donor deferral among voluntary Blood Donors In A Tertiary Care Hospital In Kathmandu, NepalMethods:This is the retrospective study carried out among voluntary blood donors at Grande International Hospital, a tertiary care hospital in Kathmandu, Nepal from January 2013 to January 2015.Results:The data were collected from previous records of the blood donor history forms. From a total of 8,550 blood donations, 302(3.53%) blood donor were deferred due to various reasons. Among all the deferred blood donors 189(62.58%) were female where as 113(37.42%) were male. Furthermore, 289(95.69%) were temporarily deferred and 13(4.31%) were permanently deferred. The mean age of deferred blood donor was 35 years.Out of total blood donor deferral; 101(33.48%) donor were rejected because of bed side hypertension (i.e. blood pressure‐ systolic > 140 and diastolic >90 mm hg) which was followed by anaemia(i.e. haemoglobin < 12 gm/dl) 94(31.12%), vaccinations history 43(14.23%), hypotension (i.e. Systolic < 90 mm hg and diastolic < 60 mm hg) 35(11.58%), dental examination 10(3.32%) and medication history 6(1.98%). Permanent deferral namely, risk factor involving transfusion transmitted infections and chronic disease were 5(1.65%) and 8(2.64%) respectively. The prime cause of permanent deferral was risk factor involving transfusion transmitted infections while the temporary deferral was bed side hypertension. Gender wise, the leading cause of donor deferral in male was bed side hypertension and anaemia was the major cause in female.Summary/Conclusion:The findings of the survey aid to evaluate the significant causes of blood donor deferral. This study suggests that the restrictive criteria can be used for blood donor selection. This will in turn increase the blood supply of tertiary care hospital.