International Journal of Basic & Clinical Pharmacology | April 2021 | Vol 10 | Issue 4 Page 409
International Journal of Basic & Clinical Pharmacology
Kairi JK et al. Int J Basic Clin Pharmacol. 2021 Apr;10(4):409-414
http://www.ijbcp.com
pISSN 2319-2003 | eISSN 2279-0780
Original Research Article
How uniform is donor history questionnaire for screening
potential blood donors: a critical analysis
Jayant Kumar Kairi, Manmeet Kaur*
INTRODUCTION
Blood or blood products are needed for replacement in
numerous clinical conditions. Many of these conditions are
life threatening and hence the transfusion is conducted in
emergency.
1
Blood donated from healthy human
volunteers in the only method currently available to
acquire blood for transfusion and production of blood
products.
2
However, transfusion of blood and its products
are not without risks. In fact, a poorly acquired and
transfused blood may do more harm than good defeating
the therapeutic aim. It was realized quite early that blood
from every donor might not be fit for transfusion. Much of
the unsuitability of donated blood for transfusion is related
to transfusion related infection (TTI). Naturally, there is a
lot of emphasis to prevent TTIs to the recipients.
3
The focus of donor selection is to select a donor in good
health. Such health may have been achieved with the use
of prescribed medicines for whatever chronic ailments
they might be having. Barring a few medicines, most
medicines are not known to cause drastic effect on
transfusible blood.
4
What is not clearly known that how
many amongst the large group of over-the-counter
DOI: https://dx.doi.org/10.18203/2319-2003.ijbcp20211024
Department of Pharmacology, Kalpana Chawla Government Medical College, Karnal, Haryana, India
Received: 05 February 2021
Revised: 11 March 2021
Accepted: 12 March 2021
*Correspondence:
Dr. Manmeet Kaur,
Email: drmanmeet26@hotmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Transfusion of whole blood or blood products are a clinical necessity in numerous clinical conditions.
Blood donated from healthy human volunteers is the only method currently available to acquire blood transfusion and
production of blood products. Donor history questionnaire (DHQ) contributes immensely to ensure safe blood donation.
The aim was to compare the donor history questionnaire for blood donation deferral of various regions and organizations
with that of World Health Organization (WHO).
Methods: An extensive internet search for donor history questionnaires (DHQ) for blood donation deferral of different
regions, countries and organization was conducted. Seven such forms were found which could be downloaded. A critical
analysis of these forms was conducted based on history pertaining to use of medicines, disease history or procedure
undergone recently. A comparative analysis was conducted finally with the World Health Organization (WHO)
recommendations on the issue of donor screening and deferral. Descriptive analysis was done for comparison of donor
history questionnaires in regards to drugs taken, disease history and invasive procedures performed.
Results: After the analysis of the DHQs, we found that despite many similarities, there were significant differences in
the questionnaires. The differences were more with respect to questions asked about the medicines, both traditional as
well as modern.
Conclusions: DHQs analysed by us revealed wide variations in their enquiry from potential donors about exposure to
prescription medicines as well as the disease history. A suggestion is that more questions related to alternative
medicines, nutraceuticals and other similar xenobiotic should be included.
Keywords: Blood donors, Donor history questionnaires, Drugs, Medication