A major goal of transfusion medicine has been to reduce the risk of transfusion-transmitted infection to as low a level as possible. What items in your medical history may get you denied from donating blood in the United States? What laboratory testing is done on donated blood prior to transfusion?
YOU WILL BE DENIED AS A BLOOD DONOR IF:
1. You test positive for HIV-1, HIV-2, human T-lymphotropic virus (HTLV)-I, HTLV-II, hepatitis C virus, hepatitis B virus, West Nile Virus (WNV), and T. pallidum (syphilis).
2. You have a fever at the time of donation, or state that you do not feel well, or are taking antibiotics.
3. You may be declined if you have a history of injection drug use or a history of selected sexually transmitted diseases.
4. You have recent exposure to or a history of hepatitis, malaria, CJD (AKA Mad Cow Disease), babesiosis, and Chagas' disease.
5. You have symptoms that may be compatible with HIV infection like persistent fevers, night sweats, unexplained weight loss, persistent cough or shortness of breath, persistent diarrhea or swollen lymph nodes.
6. You say yes to these questions:
• Have you ever had clinical or laboratory evidence of AIDS or HIV infection?
• For men: Have you had sex with another man, even once since 1977?
• Have you ever injected intravenous drugs?
• Have you engaged in sex in exchange for money or drugs since 1977?
• Have you received clotting factor concentrates for hemophilia or other clotting disorders?
7. You will be turned away for a year if you have had sex 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
8. You have been treated in the past year for syphilis or gonorrhea, received a blood transfusion, experienced an accidental needle stick injury or received a skin or bone graft or a tissue or organ transplant.
9. You have been an inmate at a correctional institution or been incarcerated for more than 72 consecutive hours during the previous 12 months
10. You will be turned away if:
• You have a history of viral hepatitis after age 10.
• You have ever tested (+) for HBsAg.
• You have a history of close contact with someone who has viral hepatitis
• You received a blood transfusion in the last 12 months.
10. You may be denied if you got a tattoo or body piercing within the last 12 months
11. You have traveled to a malaria endemic area in the last year.
12. You received human pituitary derived growth hormone (because of the risk of Mad Cow Disease).
13. Also because of the fear of Mad Cow Disease you will be denied if:
• Have spent =3 cumulative months in the UK from 1980-1996
• Have spent =5 cumulative years in Europe from 1980-present
• As current or former US military personnel, civilian military employees and their dependents, have lived for =6 months at US military bases in Northern Europe from 1980-1990 or elsewhere in Europe from 1980-1996
• Received a blood transfusion in the UK or France between 1980-present
• Injected bovine insulin sourced from the UK.
14. You have a history of a solid organ tumor in the last 1-5 years.
15. You take these medications: Etretinate (Tegison),acitretin (Soriatane) isotretinoin (Accutane), finasteride (Propecia, Proscar),dutasteride
16. You are younger than 16
Even I am surprised at some of the things on this list, are you?
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