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- Title
Seroreactivity prevalence and promotion of voluntary donation in Madurai.
- Authors
Abhishek, L.; Karthikeyan, R.
- Abstract
Background: Blood banking is a powerful tool in modern medical practice but it has a potential to transmit lethal infections. Transmission associated hepatitis and HIV is rampant though feedback is unsatisfactory. It is absolutely preventable if stringent screening is adopted. An integrated effort to maximize non remunerated voluntary donation in preference to replacement donors is on. Aims: To assess the effectiveness of the campaign to promote non remunerated voluntary blood donation. To find out the seroreactivity prevalence in the donor pool. Materials and Methods: The study was conducted at the Department of Transfusion medicine at the Government Rajaji Hospital, Madurai. The study is based on analysis of the data collected from 1992 up to July 2006. Anonymous testing is done as the main aim is to ensure safe transmission. Blood collected is screened routinely for HIV, HBsAg, HCV and VDRL. Results: The total number of donations in the study period of 14 years and 6 months was 1, 33,156. Of these 88,251 were voluntary and 44,905 were replacement donations. Voluntary donation was 45.6% in 1992 and steadily increased to 89.57% in 2004. We have achieved 100% voluntary donation for 2005 and up to July 2006. The overall seroreactivity was 0.54% and 2.17% for HIV and HbsAg respectively. HCV was routine only from 2001 and the prevalence is 0.70%. VDRL prevalence up to end of 2005 was 1.1%. Of the 20,944 voluntary donations since 2005, seroreactivity was 0.12%, 0.91% and 0.84% for HIV, HbsAg and HCV respectively. Conclusion: Good progress made in crusade to promote voluntary donation. It is imperative that we maintain this status and improve upon the strategies to establish better rapport with NGOs and motivate the donor pool. There is still scope for better a donor database and network. Hepatitis appears to be more prevalent than HIV and hence HCV screening must be made routine. Effective hemovigilance and feedback is still unsatisfactory.
- Subjects
MADURAI (India); INDIA; RISK management in blood banks; BLOOD donors; ORGAN donation; BLOOD transfusion reaction; INFECTIOUS disease transmission; VOLUNTEER service
- Publication
Asian Journal of Transfusion Science, 2007, Vol 1, Issue 2, p91
- ISSN
0973-6247
- Publication type
Article