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...

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Autores principales:	P M Bala Bhasker, Anamika Aluri
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	blood donor counseling notification transfusion-transmitted infections Diseases of the blood and blood-forming organs RC633-647.5
Acceso en línea:	https://doaj.org/article/1b3b01303cb547cc9c63bfe23097ec88
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spelling	oai:doaj.org-article:1b3b01303cb547cc9c63bfe23097ec882021-11-12T10:08:28ZDonor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India0973-62471998-356510.4103/ajts.AJTS_123_19https://doaj.org/article/1b3b01303cb547cc9c63bfe23097ec882021-01-01T00:00:00Zhttp://www.ajts.org/article.asp?issn=0973-6247;year=2021;volume=15;issue=2;spage=166;epage=171;aulast=Bhaskerhttps://doaj.org/toc/0973-6247https://doaj.org/toc/1998-3565BACKGROUND: 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.P M Bala BhaskerAnamika AluriWolters Kluwer Medknow Publicationsarticleblood donorcounselingnotificationtransfusion-transmitted infectionsDiseases of the blood and blood-forming organsRC633-647.5ENAsian Journal of Transfusion Science, Vol 15, Iss 2, Pp 166-171 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood donor counseling notification transfusion-transmitted infections Diseases of the blood and blood-forming organs RC633-647.5
spellingShingle	blood donor counseling notification transfusion-transmitted infections Diseases of the blood and blood-forming organs RC633-647.5 P M Bala Bhasker Anamika Aluri Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India
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	article
author	P M Bala Bhasker Anamika Aluri
author_facet	P M Bala Bhasker Anamika Aluri
author_sort	P M Bala Bhasker
title	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_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_sort	donor notification and counseling: experiences and challenges from a private multi-specialty hospital in south india
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/1b3b01303cb547cc9c63bfe23097ec88
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Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India

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