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Final Defer

The document outlines various deferral periods and restrictions for blood donation based on medication use, medical history, travel history, and risk behaviors. Key points include: - Aspirin and other nonsteroidal anti-inflammatories result in a 2-3 day deferral for plateletpheresis. - Acne medications like isotretinoin result in a 1 year deferral for whole blood donation. - Certain medications for prostate issues, acne, and psoriasis require varying deferral periods after last use due to risk of birth defects if transfused to a pregnant woman. - Travel to European countries on the mad cow disease list or receiving a human pituitary gland medication results

Uploaded by

Mariel Abatayo
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
98 views

Final Defer

The document outlines various deferral periods and restrictions for blood donation based on medication use, medical history, travel history, and risk behaviors. Key points include: - Aspirin and other nonsteroidal anti-inflammatories result in a 2-3 day deferral for plateletpheresis. - Acne medications like isotretinoin result in a 1 year deferral for whole blood donation. - Certain medications for prostate issues, acne, and psoriasis require varying deferral periods after last use due to risk of birth defects if transfused to a pregnant woman. - Travel to European countries on the mad cow disease list or receiving a human pituitary gland medication results

Uploaded by

Mariel Abatayo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Deferred for 2 days

Plateletpheresis (AABB)

Ingestion of aspirin (for plateletpheresis)

Ingestion of piroxicam (for plateletpheresis)

Ingestion of feldene

Deferred for 3 days

Plateletpheresis (DOH)

Ingestion of aspirin (for plateletpheresis)

Deferred for 2 months

Whole blood donation

Anti-acne medications

- Retinoids & Retinoic acid


- Tetracyclines and anti- Acne antibiotics

3 months

Whole blood donation


After lactating

4 months

Two-unit red cell collection

1 month

Infrequent plasmapheresis

Ingestion of proscar

Ingestion of propecia

Ingestion of acutane

CATEGORY 2 : German measles, Varicella zoster

Finasteride (Proscar, Propecia), isotretinoin


(Accutane, Amnesteem, Claravis,
Sotret

following live attenuated


viral and bacterial vaccines: German measles
(rubella),
Chicken pox (varicella zoster).

6 months
After birth

Miscarriage

allogeneic donors
with a history of cardiac disease

Ingestion of avodart

Dutasteride (Avodart, Jalyn

9 months

After child birth

Miscarriage

1 year or 12 months

a transplant such as
organ, tissue, or bone
marrow

from the time of mucous membrane


exposure to blood.
from time of nonsterile skin penetration
with instruments or equipment contaminated
with blood or
body fluids other than the donors own.

donation have undergone ear piercing or


tattooing in which sterile
procedures were not used.
the time of nonsterile skin penetration
with instruments or equipment contaminated
with
blood or body fluids other than the donors own
after close contact with a person who has viral
hepatitis.

Blood transfusion

Major illness

Surgery

Hepatitis B immunoglobulin

CATEGORY 3 : Rabies vaccine HBIg

Infectious diseases : (12 month deferral)

Mucous membrane exposure to blood


(blood transfusion, tissue / organ
transplantation)
Nonsterile skin or needle penetration
(accidental needlesticks, tattoos, piercings,
acupuncture)
Incarceration in a correctional institution
for longer than 72 consecutive hours
(imprisoned for > 3 days)
History of syphilis or gonorrhea (Henry)
after treatment or recovery

Sexual contact with: (12 month deferral)

an individual with a confirmed positive test


for HBsAg / with viral hepatitis
an individual with HIV infection or at high
risk for HIV infection
with prostitutes, IV drug users,
hemophiliacs
A female who had sex with a male who has
had sex with another male
Malaria- following departure from endemic
area

Unlicensed vaccines

3 years
Acitretin (Soriatane

Ingestion of soriatane

Residents of endemic areas for 5 consecutive years

after cessation of signs and symptoms or treatment


for malaria

14 days

Ingestion of Plavix

Ingestion of ticlid

LIVE ATTENUATED VACCINES :

CATEGORY 1 : Measles, Oral Polio, Mumps, Yellow


fever, BCG

following live attenuated


viral and bacterial vaccines: Measles (rubeola),
Mumps,
Polio (Sabin/oral), Typhoid (oral), Yellow fever.

Indefinite deferral

Bovine insulin manufactured in the UK


Ingestion of tegison

Experimental medication or unlicensed


(experimental)
vaccine

receipt of dura mater

Insulin from cows

Thalassemia
Aplastic anemia
SSA
Polycythemia
Hemoglobinopathies
Granulocytopenia
Leukemia
von Willebrands disease
Severe thrombocytopenia
History of prolonged / abnormal bleeding
History of hemophilia A or B
Kaposis sarcoma
Cardiac diseases
Severe lung diseases
CJD / vCJD
Lymphoma
Cancer ( except basal/squamous cell skin
CA, cervical CA, papillary thyroid CA)
Viral hepatitis after 11th birthday
o 6 months 18 months: when
babies receive vaccines
o Effectivity of hepatitis vaccines: 10
years
Positive test for HBsAg
Repeatedly reactive test for anti-HBc
Clinical or laboratory evidence of HCV
Previous donation associated with hepatitis
History of Babesiosis or Chagas disease

HIV

Permanent deferral

Donor with past or present sexually


transmitted disease has permanent deferral

Growth hormone from Human pituitary gland

Male to male sexual contact, even once,


since 1977
Received money, drugs or other forms of
payment for sex
an increased
risk for CJD (ie, a dura mater transplant
or human pituitary-derived
growth hormone).

The ff.list generally do NOT disqualify a donor :

Oral contraceptives
Minor tranquilizers
Vitamins
Hormones
Weight reduction pills
Mild analgesics
Psychic energizer
Diet pills
Marijuana

Killed vaccines and toxoids (DPT and DT, injectable


polio vaccine, Hepatitis B, Cholera, Typhoid,
Paratyphoid, Typhus, Influenza)

No deferral for receipt of toxoids or


synthetic or killed viral,
bacterial, or rickettsial vaccines if donor
is symptom-free and
afebrile [Anthrax, Cholera, Diphtheria,
Hepatitis A, Hepatitis
B, Influenza, Lyme Disease,
Paratyphoid, Pertussis, Plague,
Pneumococcal polysaccharide, Polio
(Salk/injection), Rabies,
Rocky Mountain spotted fever, Tetanus,
Typhoid (by injection)].

Please tell us if you are now taking or if you have


EVER taken any of these medications:

Proscar (finasteride)- usually given for prostate gland


enlargement

Avodart (dutasteride)- usually given for prostate


enlargement

Propecia (finasteride)- usually given for baldness

Accutane (amnesteem, claravis, sotret, isoretinoin)-


usually given for severe acne
Soriatane (acitretin)- usually given for severe
psoriasis

Tegison (etretinate)- usually given for severe


psoriasis

Growth hormone from human pituitary glands- used


usually for children with delayed or impaired growth

Insulin from cows (bovine, beef or insulin)- used to


treat diabetes

Hepatitis B immune globulin- given following an


exposure to hepatitis B

-note: this is different from the hepatitis B vaccine


which is a series of 3 injections given over a 6-month
period to present future infection from exposures to
hepatitis B

Unlicensed vaccine usually associated with a


research protocol

If you would like to know why these medicines affect


you as a blood donor, please keep reading:

If you have taken or are taking Proscar, Avodart,


Propecia, Accutane, Soriatane or Tegison, these
medications can cause birth defects. Your donated
blood could contain high enough levels to damage
the unborn baby if transfused to a pregnant woman.
Once the medication has been cleared from your
blood, you may donate again. Following the last
dose.

Growth hormone from human pituitary glands was


prescribed for children with delayed or impaired
growth. The hormone was obtained from human
pituitary glands, which are found in the brain. Some
people who took this hormone developed a rare
nervous system condition called Creutzfeldt-Jakob
Disease (CJD for short).

Insulin from cows is an injected material used to


treat diabetes. If the insulin was imported from
countries in which MAD COW DISEASE has been
found. It could contain material from infected cattle.

Hepatitis B immune globulin- is an injected material


used to prevent infection following an exposure to
hepatitis B. HBIg does not prevent hepatitis B
infection in every case, therefore persons who have
received HBIg must wait 12 months to donate blood
to be sure they were not infected since hepatitis B
can be transmitted through transfusion to a patient.

Unlicensed vaccine- is usually associated with a


research protocol and the effect on blood
transmission is unknown.

EUROPEAN COUNTRIES LIST

The list is used for deferral of donors based on


geographic risk of bovine spongiform
encephalopathy (BSE) or commonly known as MAD
COW DISEASE

Albania

Austria

Belgium

Bosnia-Herzegovina

Bulgaria

Croatia

Czech Republic
Denmark

Federal Republic of Yugoslavia

Finland

France

Germany

Greece

Hungary

Republic of Ireland

Italy

Liechtenstein

Luxembourg

Macedonia

Netherlands

Norway

Poland
Portugal

Romania

Slovak Republic

Slovenia

Spain

Sweden

Switzerland

United Kingdom

- England
- Isle of Man
- Northern Ireland
- Channel Islands
- Scotland
- Gibraltar
- Wales
- Falkland Islands

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