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Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India
BACKGROUND: Donor notification and counseling plays a vital role in both blood safety and comprehensive donor care. This process informs donors about their status as to transfusion-transmitted infections (TTI), modes of transmission of such infections and helps prevent secondary transmission of thes...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628240/ https://www.ncbi.nlm.nih.gov/pubmed/34908749 http://dx.doi.org/10.4103/ajts.AJTS_123_19 |
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author | Bhasker, P. M. Bala Aluri, Anamika |
author_facet | Bhasker, P. M. Bala Aluri, Anamika |
author_sort | Bhasker, P. M. Bala |
collection | PubMed |
description | BACKGROUND: Donor notification and counseling plays a vital role in both blood safety and comprehensive donor care. This process informs donors about their status as to transfusion-transmitted infections (TTI), modes of transmission of such infections and helps prevent secondary transmission of these infections in the community. AIMS AND OBJECTIVES: This study was initiated to see the response rate of notified reactive donors for counseling and to propose useful recommendations that could probably improve the response rate. MATERIALS AND METHODS: Total of 17025 donations was screened for TTIs, namely, human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis, by serology. All TTI reactive donors were retested and notified of their status by telephone and called for repeat testing followed by face-to-face counseling and referral for treatment. RESULTS: We evaluated 183(1.07%) donors with reactive screening test results, i.e., 106(57.9%) HBV, 38(20.7%) HCV, 29(15.8%) HIV, and 11(0.6%) were syphilis reactive and all (100%) were from replacement blood donations. Only 58.4%(107) of donors could be personally communicated over telephone and only 49 (45.79%) of them returned for counseling. Three (6.1%) among the reactive donors knew their results earlier and 11(22.4%) donors had history of high-risk behavior. CONCLUSION: In spite of strict donor screening and self-exclusion option, donors conceal their high-risk behaviors or their reactive status and continue to donate blood. It reflects the need to implement thorough predonation counseling to extract the history of high-risk factors from the donors. |
format | Online Article Text |
id | pubmed-8628240 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-86282402021-12-13 Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India Bhasker, P. M. Bala Aluri, Anamika Asian J Transfus Sci Original Article BACKGROUND: Donor notification and counseling plays a vital role in both blood safety and comprehensive donor care. This process informs donors about their status as to transfusion-transmitted infections (TTI), modes of transmission of such infections and helps prevent secondary transmission of these infections in the community. AIMS AND OBJECTIVES: This study was initiated to see the response rate of notified reactive donors for counseling and to propose useful recommendations that could probably improve the response rate. MATERIALS AND METHODS: Total of 17025 donations was screened for TTIs, namely, human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis, by serology. All TTI reactive donors were retested and notified of their status by telephone and called for repeat testing followed by face-to-face counseling and referral for treatment. RESULTS: We evaluated 183(1.07%) donors with reactive screening test results, i.e., 106(57.9%) HBV, 38(20.7%) HCV, 29(15.8%) HIV, and 11(0.6%) were syphilis reactive and all (100%) were from replacement blood donations. Only 58.4%(107) of donors could be personally communicated over telephone and only 49 (45.79%) of them returned for counseling. Three (6.1%) among the reactive donors knew their results earlier and 11(22.4%) donors had history of high-risk behavior. CONCLUSION: In spite of strict donor screening and self-exclusion option, donors conceal their high-risk behaviors or their reactive status and continue to donate blood. It reflects the need to implement thorough predonation counseling to extract the history of high-risk factors from the donors. Wolters Kluwer - Medknow 2021 2021-11-01 /pmc/articles/PMC8628240/ /pubmed/34908749 http://dx.doi.org/10.4103/ajts.AJTS_123_19 Text en Copyright: © 2021 Asian Journal of Transfusion Science https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Bhasker, P. M. Bala Aluri, Anamika Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title | Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title_full | Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title_fullStr | Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title_full_unstemmed | Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title_short | Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India |
title_sort | donor notification and counseling: experiences and challenges from a private multi-specialty hospital in south india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628240/ https://www.ncbi.nlm.nih.gov/pubmed/34908749 http://dx.doi.org/10.4103/ajts.AJTS_123_19 |
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