Monday, October 22, 2012

Who Should Not Donate Blood?

Who Should Not Donate Blood?


All cannot donate blood  Here is an updated list as to who cannot donate blood.
• People with coronary artery disease, valvular heart disease, arrhythmia, significant cerebrovascular disease, or heart failure.
•  People with any active lung disease impairing gas exchange.
•  Persons who have undergone recent surgery in the absence of blood transfusion until healing is complete and full activity has been resumed.
•  Pregnant women are deferred during pregnancy and for six weeks after delivery.
•  Persons with seizure disorders are acceptable provided that they have had no seizures within the past 12 months with or without medications.
• The minimal age for donation is generally 16 to 18. Most blood centers do not impose an upper age limit for donor eligibility.
• Blood is not collected from persons who are febrile at the time of donation, who state that they do not feel well, or who are taking systemic antibiotics.
• A donor with a history of a solid organ tumor should be deferred and will be eligible to donate only if he/she has been symptom-free and considered to be clinically cured for a defined time period.
• Persons with a history of blood cancer are permanently deferred.
• Some drugs may pose a risk due to their demonstrated cancer producing potential at low plasma concentrations. One should not donate blood for one month after taking isotretinoin and finasteride, six months for dutasteride, three years for acitretin and permanent for etretinate.
•       Persons should not donate if they have taken bovine insulin (risk of variant CJD transmission) or human growth hormone derived from pituitary glands (risk of iatrogenic CJD).
•       Persons who have received Hepatitis B immunoglobulin (HBIG) or an unlicensed vaccine are not allowed to donate for one year.
•       Most donors are also temporarily deferred if they are taking warfarin, heparin, or another anticoagulant.
•       Collections of platelets for pheresis should not occur from donors who ingested aspirin, aspirin-containing drugs, or feldene in the previous 48 hours or from donors who ingested clopidogrel or ticlopidine in the previous 14 days.
•       One should not donate blood if suffering from HIV, AIDS, for men having sex with men, IV drug users, commercial sex exchangers, receiving clotting factor concentrates for hemophilia or other clotting disorders.
•       One should not donate blood for one year if he/she has had sex in the past one year with a person who has HIV infection or AIDS; a prostitute; a person who currently or previously used intravenous drugs; for women: a man who has had sex with another man; a person receiving clotting factor concentrates.
•       Persons with a history of viral hepatitis after age 10 are permanently deferred.
•       Persons currently or previously testing positive for HBsAg are permanently deferred.
•       Persons with a history of close contact with someone who has viral hepatitis are deferred for 12 months following their last potential exposure.
•       Persons who have received a blood transfusion are deferred for 12 months.
•       Deferral is not required when the donor’s history is based solely on a positive serologic test result (i.e., anti-HBc or anti-HBs) that indicates past exposure to HBV.
•       Receiving a tattoo or body piercing within the last 12 months has also been included on the donor questionnaire, due to concerns about hepatitis transmission. Some blood centers will accept donors with body piercing, provided that the procedure was performed with sterile, single use equipment. Donors with tattoos or permanent makeup are deferred for 12 months after the exposure.
•  Donors with a history of malaria are deferred for three years after becoming asymptomatic.
•  Travelers to a malaria endemic area are deferred for one year (provided they have not had malarial symptoms).
•  Immigrants from or residents of malarial endemic countries, defined as living in that country for more than five years, are deferred for three years after their departure from the endemic country based upon the premise that such individuals may have partial tolerance to malarial parasites, thereby resulting in the delay of malarial symptoms beyond one year.

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