Are we missing out something in donor notification?

Background: Donor notification is an integral part of any blood collection facility. But regarding DAT positive donors there are no standard guidelines to notify them or to refer them to any clinician. Aim of this study was to suggest possible ways to manage DAT positive donors. Material and Methods...

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Main Authors: Rasika D Setia, Mitu Dogra, Anil Handoo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Global Journal of Transfusion Medicine
Subjects:
Online Access:http://www.gjtmonline.com/article.asp?issn=2468-8398;year=2018;volume=3;issue=2;spage=125;epage=127;aulast=Setia
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author Rasika D Setia
Mitu Dogra
Anil Handoo
author_facet Rasika D Setia
Mitu Dogra
Anil Handoo
author_sort Rasika D Setia
collection DOAJ
description Background: Donor notification is an integral part of any blood collection facility. But regarding DAT positive donors there are no standard guidelines to notify them or to refer them to any clinician. Aim of this study was to suggest possible ways to manage DAT positive donors. Material and Methods: This was a retrospective study extended over past 5 years from 2013-2017 in a tertiary care health center. All whole blood donations were tested for ABO Rh, irregular antibody, HIV, HBV, HCV, SYPHILIS, and Malaria parasite. At the time of blood request if crossmatch came incomnpatible and antibody screen was negative we do DAT of the unit and if it comes positive then DAT work up was done. Result: Of total 55,310 donations, Twenty-two (0.04%) donors were DAT positive. From DAT positive donors, in 72% of cases IgG alone was responsible for DAT positivity of the unit, and in 18% of cases, involved IgG was subtyped as I gG1/IgG3. Conclusion: With the evidence of a significantly increased risk of cancer, especially hematologic malignancies, among blood donors with a positive DAT, donor notification is suggested. There should be a standardized protocol across the country about donor notification to avoid confusion and variations seen in different blood collection facilities.
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spelling doaj.art-30ba952babbb45e1b7b35d97cd4e2d832022-12-21T17:33:39ZengWolters Kluwer Medknow PublicationsGlobal Journal of Transfusion Medicine2468-83982455-88932018-01-013212512710.4103/GJTM.GJTM_25_18Are we missing out something in donor notification?Rasika D SetiaMitu DograAnil HandooBackground: Donor notification is an integral part of any blood collection facility. But regarding DAT positive donors there are no standard guidelines to notify them or to refer them to any clinician. Aim of this study was to suggest possible ways to manage DAT positive donors. Material and Methods: This was a retrospective study extended over past 5 years from 2013-2017 in a tertiary care health center. All whole blood donations were tested for ABO Rh, irregular antibody, HIV, HBV, HCV, SYPHILIS, and Malaria parasite. At the time of blood request if crossmatch came incomnpatible and antibody screen was negative we do DAT of the unit and if it comes positive then DAT work up was done. Result: Of total 55,310 donations, Twenty-two (0.04%) donors were DAT positive. From DAT positive donors, in 72% of cases IgG alone was responsible for DAT positivity of the unit, and in 18% of cases, involved IgG was subtyped as I gG1/IgG3. Conclusion: With the evidence of a significantly increased risk of cancer, especially hematologic malignancies, among blood donors with a positive DAT, donor notification is suggested. There should be a standardized protocol across the country about donor notification to avoid confusion and variations seen in different blood collection facilities.http://www.gjtmonline.com/article.asp?issn=2468-8398;year=2018;volume=3;issue=2;spage=125;epage=127;aulast=SetiaDirect antiglobulin testindirect antiglobulin testpacked red blood cells
spellingShingle Rasika D Setia
Mitu Dogra
Anil Handoo
Are we missing out something in donor notification?
Global Journal of Transfusion Medicine
Direct antiglobulin test
indirect antiglobulin test
packed red blood cells
title Are we missing out something in donor notification?
title_full Are we missing out something in donor notification?
title_fullStr Are we missing out something in donor notification?
title_full_unstemmed Are we missing out something in donor notification?
title_short Are we missing out something in donor notification?
title_sort are we missing out something in donor notification
topic Direct antiglobulin test
indirect antiglobulin test
packed red blood cells
url http://www.gjtmonline.com/article.asp?issn=2468-8398;year=2018;volume=3;issue=2;spage=125;epage=127;aulast=Setia
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