Criteria for Deferral of Blood Donors

ALCOHOLISM
  • 24hours or till intoxicated.
  • Donor should not be “Under the Influence of alcohol”.
RESPIRATORY INFECTIONS
  • Cold, flu, cough, sore throat or acute sinusitisDefer until all symptoms subside and temperature is normal
  • Chronic sinusitis No deferral unless using antibiotics
  • Asthmatic attack1 week after last attack if chest is clear
  • Asthmatic on steroids Defer
PREGNANCY AND ABORTION
  • Pregnancy or recently deliveredDefer for 6 month after delivery
  • AbortionDefer 6 month after abortion
  • Breast feeding12 month after delivery
SURGICAL PROCEDURE
  • Major surgery 12 month after recovery
  • Minor surgery 6 month after recovery
  • Open heart surgery including By-pass surgery permanently defer
  • Cancer surgery permanently defer
  • Localized skin cancer that was removed 6 month after removal
  • Tooth extraction or dental manipulatio Defer 3 days
  • Dental surgery under anesthesia Defer for 1 month
  • Transfusion of blood and products Defer for 12 months
HEART DISEASE
  • Has any active symptom (Chest pain,shortness of breath, swelling of feet) Permanently defer
  • Restricted activity Permanently defer
  • Cardiac medication (digitalis, nitroglycerine) permanently defer
CARDIOVASCULAR DISEASES
  • Myocardial infarction Permanently defer
  • Coronary artery disease Permanently defer
  • Angina pectoris Permanently defer
  • Rheumatic heart disease with residual damage Permanently defer
SEIZURES
  • Convulsions and Epilepsy Permanently defer
  • Endocrinal disorder Permanently defer
INFECTIOUS DISEASES

Donors should be free from infectious diseases known to be transmissible by blood, so far as can be determined by usual examination and history.

VIRAL HEPATITIS
  • Has had hepatitis (Jaundice other than Hepatitis A) Permanently defer
  • Exposure to tattoos, acupuncture or body piercing Defer for 12 months
  • Worked in renal dialysis Defer for 12 months
  • Received transfusion of blood and its components Defer for 12 months
  • Close contact with individual suffering with hepatitis Defer for 12 months
HIV INFECTION/AIDS
  • High risk group for HIV infection Permanently defer
  • HIV positive person Permanently defer
  • Donor having symptom of AIDS Permanently defer
MALARIA

History of malaria in endemic area but treatment is complete. Accepted 3 months after duly treated and free from any symptoms.

SYPHILIS

Genital sore or generalized skin rashes Defer for 12 month after rashes disappear & completion of therapy

GONORRHEA 12 month deferral after completion of therapy

Cold / Cough Accept if no fever; and expectoration (if present) is not purulent.

Open Wound (Skin breached) Accept when healed

Acute infection Accept when cured

Menstrual Bleeding 2 days of active bleeding

Sex outside marriage with CSW Permanently Deferred

Chickenpox 1 month after complete recovery

Typhoid 12 months

TUBERCULOSIS Defer for 5 years after successful completion of treatment

KIDNEY DISEASE
  • Acute infection of kidney (pyelonephritis) Defer for 6 months after
  • Acute infection of bladder (cystitis) Cessation
  • Chronic kidney disease/failure Permanently defer
DIGESTIVE SYSTEM
  • Stomach ulcer with symptoms or with recurrent bleeding Permanently defer
  • Chronic liver disease/failure Permanently defer

VACCINATION AND INOCULATION

1. INOCULATION WITH TOXOID OR A KILLED VIRAL/BACTERIAL VACCINE

No waiting period if symptom free

  • Typhoid paratyphoid
  • Cholera influenza
  • Diphtheria pertussis
  • Tetanus polio(Salk Vaccine, injection)
  • Plague rabies as prophylactic
  • Hepatitis B

 
2. TWO WEEKS DEFERRAL BEFORE DONATION IF SYMPTOMS FREE

  • Polio oral (Sabine vaccine, oral)
  • Measles (rubella)
  • Mumps
  • Yellow fever

 
3. FOUR-WEEKS DEFERRAL FROM TIME OF VACCINE

  • Anti-tetanus serum
  • Anti-venom serum
  • Anti –diphtheria serum
  • Anti-gas gangrene
  • Rubella (German measles)

 
4. TWELVE MONTHS DEFERRAL FROM TIME OF VACCINATION

  • Anti-rabies vaccination as a result of animal bite
  • HBIG ( hepatitis B immune globulin)
  • Gamma globulins

MEDICATION

If a donor taking a medicine it may not be in his/her own interest to donate blood and may also affect the patient/recipient who would receive the blood.

MEDICINE ACCEPTED/DEFERRED
Oral contraceptive, replacement hormones Accepted
Analgesics Accepted
Vitamins Accepted
Mild sedative and tranquillisers Accepted
Sailcloth(aspirin) taken in last three days Not accepted if blood be used for preparing platelets
Isotretinoin( accutane) used for acne Defer for 1 month after the last dose.
Finasteride( e.g. Pros car) used to treat benign Prostate hyperplasia Defer for 1 month after the last dose.
Oral anti-diabetic drugs with no vascular completion Acceptable
Diabetics on insulin Defer while taking the drug
Antibiotic(oral) Defer for 3 days and till symptoms free
Antibiotics(injection) Defer for 4 days and till symptoms free/after the last injection
Cortisone Defer for 7 days after the last dose
Medicine to treat hypercholesterolemia accepted
Medication for hypertension (diuretics, beta blockers and amlodipine) Accepted if taking one drug and BP under control

Donors taking following medicine are permanently rejected

  • Anti-arrhythmic
  • immunosuppressive
  • Anticonvulsions
  • Pituitary
  • Anticoagulants
  • Sedatives or tranquillizers in high dose
  • Antithyroid drugs
  • vasodilators
  • Digitalis
  • Drugs for Parkinson’s disease
  • Dilantin

Other conditions requiring permanent deferral

No person shall donate blood and no blood bank shall draw blood from person, suffering from any of these disease mentioned below, namely

  • Cancer
  • Abnormal bleeding tendencies
  • Unexplained weight loss (>10kg in 6 months).
  • Polycythemia Vera
  • Active Leprosy
  • Schizophrenia
  • Severe allergic disorders
  • Epilepsy
  • Acute Asthma
  • Severe Endocrine Disorders