[Home ] [Archive]   [ فارسی ]  
:: Main :: About us :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
About the Journal
Editorial Board
Advisory Board
Aims & Scope
Journal News
Articles archive::
All Issues
Current Issue
Articles in press
For Authors::
Submission Instruction
For Reviewers::
Reviewers Section
Subscription::
Subscription Form
News& Events::
Journal News
Contact us::
Contact Information
Contact us
Site Facilities::
Site map
Search contents
Top 10 contents
Inform others
Ethics & Permissions::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Indexing
                        
..
:: Volume 12, Issue 1 (Spring 2015) ::
Sci J Iran Blood Transfus Organ 2015, 12(1): 70-78 Back to browse issues page
The effect of confidential self exclusion on blood safety
L. Kasraian , N. Negarestani
Keywords: Key words : Blood Donors, Blood Safety, Donor Selection, Donor Exclusion, Donor Screening
Full-Text [PDF 255 kb]   (1488 Downloads)     |   Abstract (HTML)  (7909 Views)
Type of Study: Short Communication | Subject: Blood transfusion medicine
Published: 2015/04/8
Full-Text:   (1119 Views)
References :  
  1. Newman B. Blood donor suitability and allogeneic whole blood donation. Transfus Med Rev 2001; 15(3): 234-44.
  2. Zou S, Musavi F, Notari EP 4th, Fujii KE, Dodd RY; ARCNET Study Group. Prevalence of selected viral infections among temporarily deferred donors who returned to donate blood: American Red Cross blood donor study. Transfusion 2005; 45(10): 1593-600.
  3. Eder A, Bianco C. Screening blood donors: Science, reason, and the donor history questionnaire. Bethesda: American Association of Blood Banks; 2007. p. 11-6.
  4. Cable R, Musavi F, Notari E, Zou S; ARCNET Research Group. Limited effectiveness of donor deferral registries for transfusion-transmitted disease markers. Transfusion 2008; 48(1): 34-42.
  5. Zou S, Musavi F, Notari EP, Rios JA, Trouern-Trend J, Fang CT. Donor deferral and resulting donor loss at the American Red Cross Blood Services, 2001 through 2006. Transfusion 2008; 48(12): 2531-9
  6. Alaoddolehei H, Nourkojori S, Kalantari N, Sadighian F. Effectiveness of confidential self-exclusion and failed option on blood donation safety in Sari organization of blood transfusion, 2005. Casp J Intern Med 2010; 1(1): 20-2.
  7. Stigum H, Bosnes V, Magnus P, Ørjasaeter H. Risk behavior among blood donors who give blood in order to tested for the human immunodeficiency virus. Vox Sang 2001; 80(1): 24-7.
  8. Kasraian L, Torab Jahromi SA. International Conference on AIDS (15th: 2004: Bangkok, Thailand).
 
 
Surveying the frequency of people who have donated blood for the HIV check up at Shiraz Blood Transfusion Organization In the first half of 2003. Int Conf AIDS 2004 Jul 11-16; 15: abstract no. C11883. Available from: http:// gateway. nlm. nih. gov/ MeetingAbstracts/ma?f=102277448.html.
  1. Kasraian L, Tavasoli A. Positivity of HIV, hepatitis B and hepatitis C in patients enrolled in a confidential self-exclusion system of blood donation: a cross-sectional analytical study. Sao Paulo Med J 2010; 128(6): 320-3.   
  2. Pindyck J, Waldman A, Zang E, Oleszko W, Lowy M, Bianco C. Measures to decrease the risk of acquired immunodeficiency syndrome transmission by blood transfusion. Evidence  of volunteer blood donor cooperation. Transfusion 1985; 25(1): 3-9.
  3. Vogler IH, Saito M, Spinosa AA, da Silva MC, Munhoz E, Reiche EM. Effectiveness of confidential unit exclusion in screening blood donors of the regional blood bank in Londrina,  Paraná State. Rev Bras Hematol Hemoter 2011; 33(5): 347-52.
  4. Castro V. The role of confidential unit exclusion on blood safety. Rev Bras Hematol Hemoter 2009; 31(4): 213-4. [Article in Portuguese]
  5. Chiavetta JA, Nusbacher J, Wall A. Donor self-exclusion patterns and human immunodeficiency virus antibody test results over a twelve-month period. Transfusion 1989; 29(1): 81-3.
  6. Kean CA, Hsueh Y, Querin JJ, Keating LJ, Allensworth DD. A study of confidential unit
exclusion. Transfusion 1990; 30(8): 707-9.
  1. Korelitz JJ, Williams AE, Busch MP, Zuck TF, Ownby HE, Matijas LJ, et al. Demographic characteristics and prevalence of serologic markers among donors who use the confidential unit exclusion process: the Retrovirus Epidemiology Donor Study. Transfusion 1994; 34(10): 870-6.
  2. Petersen LR, Lackritz E, Lewis WF, Smith DS, Herrera G, Raimondi V, et al. The effectiveness of the onfidential unit exclusion option. Transfusion 1994; 34(10): 865-9.
  3. Sumnig A, Konerding U, Kohlmann T, Greinacher A. Factors influencing confidential unit exclusions in blood donors. Vox Sang 2010; 98(9 Pt 1): e231-40.
  4. Chiewslip P, Kithornpan S, Stabunswadigan S, Lamslip W, Suebsaeng C. Evaluation of donor self exclusion program. Southeast Asian J Trop Med Public Health 1993; 24 Suppl 1: 130-2.
  5. Zou S, Notari EP 4th, Musavi F, Dodd RY, ARCNET Study Group. Current impact of the confidential unit exclusion option. Transfusion 2004; 44(5): 651-7.
  6. Koerner K, Peichl-Hoffmann G, Kubanek B. Confidential donor self-exclusion for raising the safety of blood preparations. Dtsch Med Wochenschr 1990; 115(1): 8-11. [Article in German]
  7. Martins PR, Martins RA, Moraes-Souza H, Barbosa VF, Pereira GA, Eustaquio JMJ, et al. Perfil do doador de sangue autoexcluido no Hemocentro Regional de Uberaba-MG (HRU) no period de 1996 a 2006. Rev
    Bras Hematol Hemoter 2009; 31(4): 222-7.
  8. Alavian SM. Confidential unit  exclusion and blood safety. Sao Paulo Med J 2011; 129(5): 359-60.
  9. Pastucha L, Andres J, Stangel W. Analysis of donor self exclusion in repeat blood donors. Beitr Infusionsther 1990; 26: 5-8. [Article in German]
  10. Tosti ME, Solinas S, Prati D, Salvaneschi L, Manca M, Francesconi M, et al. An estimate of the current risk of transmitting blood-borne infections through blood transfusion in Italy. Br J Haematol 2002; 117(1): 215-9.
  11. Goncalez TT, Sabino EC, Salles NA, de Almedia-Neto C, Mendrone-Jr A, Dorlhiac-Laccer PE, et al. The impact of simple donor education on donor behavioral deferral and infectious disease rates in Sao Paulo, Brazil. Transfusion 2010; 50(4): 909-17.
  12. de Almeida-Neto C, Liu J, Wright DJ, Mendrone-Junior A, Takecian PL, Sun Y, et al. Demographic characteristics and prevalence of serologic markers among blood donors who use confidencial unit exclusion (CUE) in Sao Paulo: implications for modification of CUE policies in Brazil. Transfusion 2011; 51(1): 191-7.
  13. Vandewalle G, Baeten M, Bogaerts, K, Vandekerckhove P, Compernolle V. Evaluation of 6 years of confidential unit exclusion at the Belgian Red Cross Flanders Blood Service. Vox Sang 2014; 106(4): 354-60.
 
 
 
 
 


 
 
 
 
 
Sci J Iran Blood Transfus Organ 2015; 12(1): 70-78
 
Original  Article
 
 

The effect of confidential self exclusion
on blood safety
 
Kasraian L.1,2, Negarestani N.1,2
 
 
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shiraz Regional Educational Blood Transfusion Center, Shiraz, Iran
 
 
Abstract
Background and Objectives
Confidential self-exclusion (CUE) system has been designed to enhance transfusion safety as an extra screening test to detect donors who donate their blood during window period.  This study was designed to survey the efficacy of CUE option in Shiraz Blood Transfusion Center (southern Iran).
 
Materials and Methods
The present retrospective study was conducted in Shiraz Blood Transfusion Center from 2009-2012. CUE is used for all individuals who refer for blood donation and prefer their blood not to be used if they have any doubt about their blood suitability for transfusion. The prevalence rates of HIV, HBV, and HCV were compared among blood donors who opted in and out of CUE. The data were   analyzed using  t-test and proportion test  in Med Calc-8.
 
Results
From all donors, 4551 (1.13%) opted for CUE. Self exclusion was more frequent among male, single, low-grade education donors, and donors with the history of previous donation (p < 0.05). The prevalence rate of HBV and HCV was higher among donors who opted CUE option (p < 0.05). The prevalence rate of HIV was not higher among donors who opted CUE option (p > 0.05). The  sensitivity and specificity of CUE were 4.4% and 98.8%, respectively.
 
Conclusions
In our study, the prevalence rate of HBV and HCV was higher among donors who opted CUE option. There is a need to review the process of CUE option and make some changes to prevent unreasonable CUE option.
 
Key words: Blood Donors, Blood Safety, Donor Selection, Donor Exclusion, Donor Screening
 
 
 
 
 
 
 
Received: 19 Nov  2013
Accepted: 24 Dec 2014
 
 

 

Correspondence: Kasraian L., Community Medicine Specialist. Associate Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine and Shiraz Regional Educational Blood Transfusion Center.
P.O.Box: 1153, Shiraz, Iran. Tel: (+98711) 6273445; Fax: (+98711) 6264006
E-mail: lkasraian@yahoo.com
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Kasraian L, Negarestani N. The effect of confidential self exclusion on blood safety. Sci J Iran Blood Transfus Organ 2015; 12 (1) :70-78
URL: http://bloodjournal.ir/article-1-808-en.html
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 12, Issue 1 (Spring 2015) Back to browse issues page
فصلنامه پژوهشی خون Scientific Journal of Iran Blood Transfus Organ
The Scientific Journal of Iranian Blood Transfusion Organization - Copyright 2006 by IBTO
Persian site map - English site map - Created in 0.06 seconds with 39 queries by YEKTAWEB 4645