Blood Donation Deferrals

4 week deferral vaccines

Chicken pox

MMR

Shingles

German measles (rubella)

C MSG

Before a transfusion, what do you need to do?

Type and screen

What organ has the highest concentraiton of complement receptors?

Liver macrophages for C3b complement coated cells

Which bodies govern the performance of blood centers and blood banks to ensure the safety of donors and patients?

AABB - American Association of Blood Banks

CAP

FDA

What is the American Association of Blood Banks responsible for?

Publishing standards of practice for transfusion services and blood centers

Donor education material includes information about...

- HIV high risk activities

- Warnings about donor reactions

- Tests that will be performed and notification

- Post phlebotomy care instructions

Frequency of RBC donation

56 days or 8 weeks

Frequency of Power Red donation

14 weeks or 3 times per year

Maximum events of plateletpheresis per year

24 times per year

Maximum events of plasmapheresis

4 weeks or 13 times per year

What does indefinite mean?

Based on current requirements, donors are deferred as long as requirements are in practice

What does permanent deferral mean?

Prospective donor will NEVER be eligible to donate blood for someone else

Just FYI: Most permanent deferrals have been changed to indefinite deferral in 2016. Very few are permanent.

Which blood donations may permanent deferrals be eligible for?

Permanent deferrals may be eligible for autologous blood donation

Used IV drugs at least once in lifetime

Indefinite deferral

Taking clotting factors

Indefinite deferral

Hepatitis infection after age 11

Indefinite deferral

Most likely non-A

Cancer

Indefinite or 12 months after treatment

Leukemia

Indefinite deferral

Live in a country where Creutzfeldt-Jakob disease is prevalent or a family has CJD

Indefinite deferral

Protozoan disease (examples?)

Indefinite deferral (Chagas disease or Babesiosis)

Viral situations that would lead to indefinite deferral

HBsAg

Hep C

HTLV (Human T-cell lymphotropic virus)

HIV

HBV

Donated only a unit of blood in which a recipient contracted HIV or HBV

Indefinite deferral

Only common donor in 2 cases of post-transfusion HIV or HBV

Indefinite deferral

Males who had sexual contact with males

12 month deferral

Recipient of blood, components, or blood products (ie - coag factors)

12 month deferral

Has a sexually transmitted disease

12 month deferral

Indicates safe sex not practiced and donor at risk for HIV and HBV

Received HBIG (or exposure of)

12 month deferral

Acupuncture, ear piercing, tattoo in a non-regulated state

12 month deferral

Needle stick incident

12 month deferral

Sexual relation with HIV, HBV, hemophiliac, drug users, or individual receiving drugs/money for sex

12 month deferral

Prison for less than 72hr

No deferral

Prison for more than 72hr

12 month deferral

Hep B immunization

21 days (3 weeks) deferral

2 week deferral vaccines

Measles (rubeola)

Mumps

Yellow fever

Oral polio (Sabin)

MMYOp

NO deferral vaccines

For toxoid/killed vaccines

Tetanus (DPT)

Influenza

Meningitis

HPV

Hep B

Rabies

TIM HHR

Zika virus infection

>120 days (>4 months)

Smallpox vaccine without complications

8 week deferral

Smallpox vaccines with complications

14 days after complications subside or 8 weeks (which ever is longer)

You have a skin rash (or other complication) and you have been around a person who had the smallpox vaccine

8 week deferral

Pregnant

6 weeks after giving birth

Dental procedure without infection or post-procedure antibiotics

No deferral

Dental procedure without infection but prescribed antibiotics

Wait until antibiotic course is completed

Dental surgery with antibiotics

Wait until antibiotic course is completed or 3 days after oral surgery, whichever is longest

Dental surgery without antibiotics

3 day deferral

Being treated for active malaria infection

3 year deferral after treatment is completed

When is a person who had completed treatment for malaria eligible to donate blood?

3 years after treatment

Treatment with hepatitis B immunoglobulin

12 month deferral

Previous travel to area endemic for malaria

12 month deferral