Criteria for Blood Donation

Guidelines for Blood Donor Selection and Blood Donor Referral
Blood Donor Selection Criteria
 
Sl. No.Criteria Recommendations
1Well 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
    
2Age*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
    
3Whole Blood Volume Collected and Weight of donor*350 ml – 45 kg
*450 ml – more than 55 kg
*Apheresis – 50 kg
    
4Donation 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
    
5Blood 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
    
6Pulse* 60-100 beats per minute
    
7Temperature* Afebrile; 37°C/98.4°F
    
8Respiration*The donor shall be free from acute respiratory disease
    
9Haemoglobin* It should be above 12.5g/dL
    
10Meal*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
    
11Alcohol*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
    
12Occupation*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
    
13Risk 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)
    
14Travel and 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
    
15Donor 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
    
16Pregnancy or recently delivered*Defer for 12 months after delivery
    
17Abortion*Defer for 6 months after abortion
    
18Breast feeding*Defer for total period of lactation
    
19Menstruation*Defer for the period of menstruation
    
Non-Specific Illness
    
20Minor non-specific symptoms including but not limited to general malaise, pain, headache*Defer until all symptoms subside and donor is afebrile
    
Respiratory (Lung) Diseases
    
21Cold, flu, cough, sore throat or acute sinusitis*Defer until all symptoms subside and donor is afebrile
    
22Chronic sinusitis*Accept unless on antibiotics
    
23Asthmatic attack*Permanently defer
    
24Asthmatics on steroids*Permanently defer
    
Surgical Procedures
    
25Major 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)
    
26Minor Surgery*Defer for 6 months after recovery
    
27Received Blood Transfusion*Defer for 12 months
    
28Open heart surgery Including By-pass surgery*Permanently defer
    
29Cancer surgery*Permanently defer
    
30Tooth extraction*Defer for 6 months after tooth extraction
    
31Dental surgery under anaesthesia*Defer for 6 months after recovery
    
Cardio-Vascular Diseases (Heart Disease)
    
32Has any active symptom (Chest pain, Shortness of breath, swelling of feet)*Permanently defer
    
33Myocardial infarction (Heart Attack)*Permanently defer
    
34Cardiac medication (Digitalis, Nitroglycerine)*Permanently defer
    
35Hypertensive heart disease*Permanently defer
    
36Coronary artery disease*Permanently defer
    
37Angina pectoris*Permanently defer
    
38Rheumatic heart disease with residual damage*Permanently defer
    
Central Nervous System / Psychiatric Diseases
    
39Migraine*Accept if not severe and occurs at a frequency of less than once a week
    
40Convulsions and Epilepsy*Permanently defer
    
41Schizophrenia*Permanently defer
    
42Anxienty 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
    
43Diabetes*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
    
44Thyroid 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:
*1)      Thyrotoxicosis due to Graves’ disease
*2)      Hyper/Hypo thyroid
*3)      History of Malignant Thyroid Tumours
    
45Other endocrine disorders*Permanently defer
    
Liver Diseases And Hepatitis Infection
    
46Hepatitis*Known Hepatitis B, C – Permanently defer
*Unknown Hepatitis – Permanently defer
*Known Hepatitis A or E – Defer for 12 Months
    
47Spouse/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
    
49Spouse/partner of individual receiving transfusion of blood/components*Defer for 12 months
    
50Jaundice*Accept donor with history of jaundice that was attriduted to gall stones, Rh disease, mononucleosis or in neonatal period
    
51Chronic liver disease/Liver failure*Permanently defer
    
HIV Infection/AIDS
    
52At Risk for HIV infection (Transgender, Men who have sex with men, Female Sex Workers, Injecting drug users, Persons with multiple sex partners)*Permanently defer
    
53Known HIV Positive Person Or Spouse/partner of PLHA (Person Living With HIV AIDS)*Permanently defer
    
54Persons 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
    
55Syphilis (Genital Sore, or Generalized skin rashes*Permanently defer
    
56Gonorrhoea*Permanently defer
    
Other Infectious Diseases
    
57History of Measles, Mumps, Chickenpox*Defer for 2 weeks following full recovery
    
58Malaria*Defer for 3 months following full recovery
    
59Typhoid*Defer for 12 months following full recovery
    
60Dengue/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
    
61Zika 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
    
62Tuberculosis*Defer for 2 years following confirmation of cure
    
63Leishmaniasis*Permanently defer
    
64Leprosy*Permanently defer
    
Other Infections
    
65Conjunctivitis*Defer for the period of illness and continuation of local medication
    
66Osteomyelitis*Defer for 2 years following completion of treatment and cure
    
Kidney Disease
    
67Acute infection of Kidney (Pyelonephritis)*Defer for 6 months after complete recovery and last dose of medication
    
68Acute infection of bladder (Cystitis)/UTI*Defer for 2 weeks after complete recovery and last dose of medication
    
69Chronic infection of kidney/Kidney disease/Renal failure*Permanently defer
    
Digestive System
    
70Diarrhoea*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
    
71GI endoscopy*Defer for 12 months
    
Guidelines for Blood Donor Selection and Blood Donor Referral / 2017
    
72Acid 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
    
73Autoimmune disorder like Systemic lupus erythematosis, scleroderma, dermatomyositis, ankylosing spondylitis or several rheumatoid arthritis *Permanently defer
    
74Polycythaemia Vera*Permanently defer
    
75Bleeding disorders and unexplained bleeding tendency*Permanently defer
    
76Malignacy*Permanently defer
    
77Severe allergic disorders*Permanently defer
    
78Haemoglabinopathies and red cell enzyme deficiencies with known history of haemolysis*Permanently defer
    
Vaccination and Inoculation
    
79Non live Vaccines and Toxoid: Typhoid, Cholera, Papillomavirus, Influenza, Meningococcal, Pertussis, Pneumococcal, Polio Injectable, Diphtheria, Tetanus, Plague*Defer for 14 days
    
80Live attenuated vaccines: Polio oral, Measles (Rubella) Mumps, Yellow fever, Japanese encephalitis, influenza, Typhoid, Cholera, Hepatitis A *Defer for 28 days
    
81Anti-tetanus serum, Anti-venom serum, Anti-diphtheria serum and Anti-gas gangrene serum*Defer for 28 days
    
82Anti-rabies vaccination following animal bite, Hepatitis B immuneglobulin, Immunoglobulins*Defer for 1 year
    
83Swine Flu*Defer for 15 days
    
Medications Taken By Prospective Blood Donor
    
84Oral contraceptive *Accept
    
85Analgesics *Accept
    
86Vitamins*Accept
    
87Mild sedative and tranquillizers*Accept
    
88Allopurinol*Accept
    
89Cholesterol lowering medication*Accept
    
90Salicylates (Aspirin), other NSAIDs *Defer for 3 days if blood is to be used for Platelet preparation
    
91Ketoconazole, Antihelminthic drugs including mebendazole*Defer for 7 days after last dose if donor is well
    
92Antibiotics*Defer for 2 weeks after last dose if donor is well
    
93Ticlopidine, Clopidogrel*Defer for 2 weeks after last dose
    
94Piroxicam, Dipyridamole*Defer for 2 weeks after last dose
    
95Etretinate, Acitretin or Isotretinoin (Used for acne)*Defer for 1 month after the last dose
    
96Finasteride used to treat Benign prostatic hyperplasia*Defer for 1 month after the last dose
    
97Radioactive contrast material*Defer for 8 weeks
    
98Dutasteride used to treat Benign prostatic hyperplasia*Defer for 6 months after the last dose
    
99Any medication of unknown nature*Defer till details are available
    
100Oral anti-diabetic drugs*Accept if there is no alteration in dose within last 4 weeks
    
101Insulin*Permanently defer
    
102Anti-arrhythmic, Anti-convulsions, Anticoagulant, Anti-thyroid drugs, Cytotoxic drugs, Cardiac Failure Drugs (Digitalis)*Permanently defer
    
Other Conditions Requiring Permanent Deferral
    
103Recipients 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
    
104Residents of Other Countries*Accept only after stay in India for three continuous years