About Blood centre

Blood Donor Selection Criteria

Guidelines for Blood Donor Selection and Blood Donor Referral
Sl. No. Criteria Recommendations
1 Well Being
  • The Donor shall be in good health, mentally alert and physically fit and shall not be inmates of jail or any other confinement
  • Differently abled or donor with communication and sight difficulties can donate blood provided that clear and confidential communication can be established and he/she fully understands the donation process and gives a valid consent
2 Age
  • Minimum age 18 years
  • Maximum age 65 years
  • First time donor shall not be above 60 years of age
  • For Repeat donor upper limit is 65 years
  • For aphaeresis donors 18-60 years
3 Whole Blood Volume Collected and Weight of donor
  • 350 ml – 45 kg
  • 450 ml – more than 55 kg
  • Apheresis – 50 kg
4 Donation Interval
  • For whole blood donation, once in three months (90 days) for males and four months (120 days) for females
  • For apheresis, at least 48 hours interval after platelet/Plasma Apheresis shall be kept (not more than 2 times a week, limited to 24 times in one year)
  • After whole blood donation a plateletpheresis donor shall not be accepted before 28 days
  • Apheresis platelet donor shall not be accepted for whole blood donation before 28 days from the last platelet donation provided reinfusion of red cell was complete in the last plateletpheresis donation. If the reinfusion of red cells was not complete then the donor shall not be accepted within 90 days
  • A donor shall not donate any type of donation within 12 months after a bone marrow harvest, within 6 months after a peripheral stem cell harvest
5 Blood Pressure
  • 100-140mm Hg systolic 60-90mm Hg diastolic with or without medications
  • There shall be no findings suggestive of end organ damage or secondary complication (cardiac, renal, eye or vascular) or history of feeling giddiness, fainting made out during history and examination, fainting made out during history and examination. Neither the drug nor its dosage should have been altered in the last 28 days
6 Pulse
  • 60-100 beats per minute
7 Temperature
  • Afebrile; 37°C/98.4°F
8 Respiration
  • The donor shall be free from acute respiratory disease
9 Haemoglobin
  • It should be above 12.5g/dL
10 Meal
  • The donor shall not be fasting before the blood donation or observing fast during the period of blood donation and last meal should have been taken at least 4 hours prior to donation
11 Alcohol
  • Donor shall not have consumed alcohol and show signs of intoxication before the blood donation. The donor shall not be a person having regular heavy alcohol intake
12 Occupation
  • The donor who works as air crew member, long distance vehicle driver, either above sea level or below sea level or in emergency services or where strenuous work is required, shall not donate blood at least 24 hours prior to their next duty shift. The donor shall not be a night shift worker without adequate sleep
13 Risk Behavior
  • The donor shall be free from any disease transmissible by blood transfusion, as far as can be determined by history and examination
  • The donor shall not be a person considered “at risk” for HIV, Hepatitis B or C infections (Transgender, Men who have sex with men, Female sex workers, Injecting drug users, persons with multiple sexual partners or any other high risk as determined by the medical officer deciding fitness to donate blood)
14 Travel & Residence
  • The donor shall not be a person with history of residence or travel in a geographical area which is endemic for diseases that can be transmitted by blood transfusion and for which screening is not mandated or there is no guidance in India
15 Donor Skin
  • The donor shall be free from any skin diseases at the site of phlebotomy. The arms and forearms of the donor shall be free of skin punctures of scars indicative of professional blood donors or addiction of self-injected narcotics

Physiological Status for Women

16 Pregnancy or recently delivered
  • Defer for 12 months after delivery
    • 17 Abortion
  • Defer for 6 months after abortion
    • 18 Breast Feeding
  • Defer for total period of lactation
    • 19 Menstruation
  • Defer for the period of menstruation

    • Non-Specific Illness

    20 Minor non-specific symptoms including but
    not limited to general malaise, pain, headache
  • Defer until all symptoms subside and donor is afebrile

    • Respiratory (Lung) Diseases

    21 Cold, flu, cough, sore throat or acute sinusitis
  • Defer until all symptoms subside and donor is afebrile
    • 22 Chronic sinusitis
  • Accept unless on antibiotics
    • 23 Asthmatic attack
  • Permanently defer
    • 24 Asthmatics on steroids
  • Permanently defer

    • Surgical Procedures

    25 Major Surgery
    • Defer for 12 months after recovery (Major surgery being defined as that requiring hospitalisation, anaesthesia (general\spinal) had Blood Transfusion and\or had significant blood loss)
    26 Minor Surgery
  • Defer for 6 months after recovery
    • 27 Received Blood Transfusion
  • Defer for 12 months
    • 28 Open heart surgery Including By-pass surgery
  • Permanently defer
    • 29 Cancer surgery
  • Permanently defer
    • 30 Tooth Extraction
  • Defer for 6 months after tooth extraction
    • 31 Dental surgery under anaesthesia
  • Defer for 6 months after recovery

    • Cardio-Vascular Diseases (Heart Disease)

    32 Has any active symptom
    (Chest pain, Shortness of breath, swelling of feet)
  • Permanently defer
    • 33 Myocardial infarction (Heart Attack)
  • Permanently defer
    • 34 Cardiac medication (Digitalis, Nitroglycerine)
  • Permanently defer
    • 35 Hypertensive heart disease
  • Permanently defer
    • 36 Coronary artery disease
  • Permanently defer
    • 37 Angina pectoris
  • Permanently defer
    • 38 Rheumatic heart disease with residual damage
  • Permanently defer

    • Central Nervous System / Psychiatric Diseases

    39 Migraine
  • Accept if not severe and occurs at a frequency of less than once a week
    • 40 Convulsions and Epilepsy
  • Permanently defer
    • 41 Schizophrenia
  • Permanently defer
    • 42 Anxienty and mood disorders
    • Accept person having anxiety and mood (affective) disorders like depression or bipolar disorder, but is stable and feeling well on the day regardless of medication

    Endocrine Disorders

    43 Diabetes
    • Accept person with Diabetes Mellitus Well controlled by diet or oral hypoglycaemic medication, with no history of orthostatic hypotension and no evidence of infection, neuropathy or vascular disease (in particular peripheral ulceration)
    • Permanently defer Person requiring insulin and/or complications of Diabetes with multi organ involvement
    • Defer if oral hypoglycaemic medication has been altered/dosage adjusted in last 4 Weeks
    44 Thyroid disorders
    • Accept donations from Individuals with Benign thyroid disorders If Euthyroid (Asymptomatic goitre, History of viral thyroiditis, Auto Immune Hypo Thyroidism)
    • Defer if under investigation for thyroid disease or thyroid status is not known

      • Permanently defer if:
    • Thyrotoxicosis due to Graves’ disease
    • Hyper/Hypo thyroid
    • History of Malignant Thyroid Tumours
    45 Other endocrine disorders
  • Permanently defer

    • Liver Diseases And Hepatitis Infection

    46 Hepatitis
    • Known Hepatitis B, C – Permanently defer
    • Unknown Hepatitis – Permanently defer
    • Known Hepatitis A or E – Defer for 12 Months
    47 Spouse/partner/close Contact of individual suffering with hepatitis
  • Defer for 12 months
    • 48 At risk for hepatitis by tattoos, acupuncture or body piercing, scarification and any other invasive cosmetic prodecure by self or spouse/partner
  • Defer for 12 months
    		•
    49 Spouse/partner of individual receiving transfusion of blood/components
  • Defer for 12 months
    		•
    50 Jaundice
    • Accept donor with history of jaundice that was attriduted to gall stones, Rh disease, mononucleosis or in neonatal period
    51 Chronic liver disease/Liver failure
  • Permanently defer
    		•

    HIV Infection/AIDS

    52 At Risk for HIV infection (Transgender, Men who have sex with men, Female Sex Workers, Injecting drug users, Persons with multiple sex partners)
  • Permanently defer
    • 53 Known HIV Positive Person Or Spouse/partner of PLHA (Person Living With HIV AIDS)
  • Permanently defer
    • 54 Persons having symptoms suggestive of AIDS
    • Permanently defer person having lymphadenopathy, prolonged and repeated fever, prolonged & repeated diarrhoea irrespective HIV risk or status

    Sexually Transmitted Infections

    55 Syphilis (Genital Sore, or Generalized skin rashes
  • Permanently defer
    • 56 Gonorrhoea
  • Permanently defer

    • Other Infectious Diseases

    57 History of Measles, Mumps, Chickenpox
    • Defer for 2 weeks following full recovery
    58 Malaria
    • Defer for 3 months following full recovery
    59 Typhoid
    • Defer for 12 months following full recovery
    60 Dengue/Chikungunya
    • In case of history of dengue/chikungunya: Defer for 6 months following full recovery
    • Following visit to Dengue/Chikungunya endemic area: 4 Weeks following return from visit to dengue endemic area if no febrile illness is noted
    61 Zika Virus/West Nile Virus
    • In case of Zika infection: Defer for 4 Months following full recovery
    • In case of history of travel to West Nile Virus endemic area or Zika virus outbreak zone: Defer for 4 months
    62 Tuberculosis
  • Defer for 2 years following confirmation of cure
    		•
    63 Leishmaniasis
  • Permanently defer
    		•
    64 Leprosy
  • Permanently defer
    		•

    Other Infections

    65 Conjunctivitis
  • Defer for the period of illness and continuation of local medication
    • 66 Osteomyelitis
  • Defer for 2 years following completion of treatment and cure

    • Kidney Disease

    67 Acute infection of Kidney (Pyelonephritis)
    • Defer for 6 months after complete recovery and last dose of medication
    68 Acute infection of bladder (Cystitis)/UTI
    • Defer for 2 weeks after complete recovery and last dose of medication
    69 Typhoid
    • Defer for 12 months following full recovery

    Digestive System

    70 Diarrhoea
    • Person Having history of diarrhoea in preceding week particularly if associated With fever: Defer For 2 weeks after Complete recovery and last dose of medication
    71 GI endoscopy
    • Defer for 12 months

    Guidelines for Blood Donor Selection and Blood Donor Referral / 2017

    72 Acid Peptic Disease
    • Accept person with acid reflux, Mild Gastro-Oesophageal reflux, mild hiatus hernia, Gastro-Oesophageal reflux disorder (GERD), Hiatal hernia
    • Permanently defer person with stomach ulcer with symptoms or with recurrent bleeding

    Other Diseases / Disorders

    73 Autoimmune disorder like Systemic lupus erythematosis, scleroderma, dermatomyositis, ankylosing spondylitis or several rheumatoid arthritis
    • Permanently defer
    74 Polycythaemia Vera
    • Permanently defer
    75 Bleeding disorders and unexplained bleeding tendency
    • Permanently defer
    76 Malignacy
    • Permanently defer
    77 Severe allergic disorders
    • Permanently defer
    78 Haemoglabinopathies and red cell enzyme deficiencies with known history of haemolysis
    • Permanently defer

    Vaccination and Inoculation

    79 Non live Vaccines and Toxoid: Typhoid, Cholera, Papillomavirus, Influenza, Meningococcal, Pertussis, Pneumococcal, Polio Injectable, Diphtheria, Tetanus, Plague
    • Defer for 28 days
    80 Live attenuated vaccines: Polio oral, Measles (Rubella) Mumps, Yellow fever, Japanese encephalitis, influenza, Typhoid, Cholera, Hepatitis A
    • Defer for 28 days
    81 Anti-tetanus serum, Anti-venom serum, Anti-diphtheria serum and Anti-gas gangrene serum
    • Defer for 28 days
    82 Anti-rabies vaccination following animal bite, Hepatitis B immuneglobulin, Immunoglobulins
    • Defer for 28 days
    83 Swine Flu
    • Defer for 28 days

    Medications Taken By Prospective Blood Donor

    84 Oral contraceptive
    • Accept
    85 Analgesics
    • Accept
    86 Vitamins
    • Accept
    87 Mild sedative and tranquillizers
    • Accept
    88 Allopurinol
    • Accept
    89 Cholesterol lowering medication
    • Accept
    90 Salicylates (Aspirin), other NSAIDs
    • Defer for 3 days if blood is to be used for Platelet preparation
    91 Ketoconazole, Antihelminthic drugs including mebendazole
    • Defer for 7 days after last dose if donor is well
    92 Antibiotics
    • Defer for 2 weeks after last dose if donor is well
    93 Ticlopidine, Clopidogrel
    • Defer for 2 weeks after last dose
    94 Piroxicam, Dipyridamole
    • Defer for 2 weeks after last dose
    95 Etretinate, Acitretin or Isotretinoin (Used for acne)
    • Defer for 1 month after the last dose
    96 Finasteride used to treat Benign prostatic hyperplasia
    • Defer for 1 month after the last dose
    97 Radioactive contrast material
    • Defer for 8 weeks
    98 Dutasteride used to treat Benign prostatic hyperplasia
    • Defer for 6 months after the last dose
    99 Any medication of unknown nature
    • Defer till details are available
    100 Oral anti-diabetic drugs
    • Accept if there is no alteration in dose within last 4 weeks
    101 Insulin
    • Permanently defer
    102 Anti-arrhythmic, Anti-convulsions, Anticoagulant, Anti-thyroid drugs, Cytotoxic drugs, Cardiac Failure Drugs (Digitalis)
    • Permanently defer

    Other Conditions Requiring Permanent Deferral

    103 Recipients of organ, stem cell and tissue transplants. Donors who have an delayed faint with injury or two consecutive faints following a blood donation
    • Permanently defer

    Residents of Other Countries

    104 Residents of Other Countries
    • Accept only after stay in India for three continuous years

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