Noncompliance with blood donor selection criteria ‐ Complidon 2017, France

Claire Sauvage · Roxane Spinardi · Camille Pelat · Thomas Pouget · Bruno Danic · Geneviève Woimant +4 more

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Blood donation and transfusion practices Blood transfusion and management Organ Donation and Transplantation

Abstract

BACKGROUND: Blood donor selection, consisting of a pre-donation questionnaire and interview, excludes potential donors who may be at risk of transfusion-transmissible infections. Assessing the reasons for noncompliance with blood donor selection criteria is important to maintain a high level of viral safety of blood products. STUDY DESIGN AND METHODS: An anonymous French online survey of a sample of blood donors (Complidon) was conducted from September to December 2017. Data were poststratified to be representative of all donors who donated blood between July 2016 and December 2017. RESULTS: Of 420,190 solicited donors, 108,386 completed the survey (26%). Overall, noncompliance was estimated at 5.6%. The least respected criteria regarded sex with more than one partner during the previous 4 months for donors (1.9%) and for donors' partners (1%), travel-related criteria (1.2%) and sex between men during the previous 12 months (0.73% of men). Reasons for noncompliance differed according to criteria. Donors who were non-compliant to sexuality-based criteria mainly said they did not want to be excluded or that the questions were too personal. Conversely, donors who were exclusively non-compliant to criteria other than sexuality-based criteria more often mentioned their non-compliance during the pre-donation interview but were nevertheless authorized to donate blood. CONCLUSION: Despite noncompliance to blood donor criteria being relatively low in France, it still represents a threat to blood safety. Accordingly, improved communication is important to ensure that donors fully understand each selection criterion and to emphasize to health professionals the importance of listening carefully without judging during pre-donation interviews.

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References

1996The Risk of Transfusion-Transmitted Viral Infections 2010Transfusion‐associated infections: 50 years of relentless challenges and remarkable progress 2011Views and experiences of men who have sex with men on the ban on blood donation: a cross sectional survey with qualitative interviews 2005The impact of male‐to‐male sexual experience on risk profiles of blood donors 2011Donor understanding and attitudes about current and potential deferral criteria for high‐risk sexual behavior 2015Blood donor deferral for men who have sex with men: the Blood Donation Rules Opinion Study (Blood DROPS)2014Understanding noncompliance with selective donor deferral criteria for high‐risk behaviors in A ustralian blood donors 2013Compliance with the current 12‐month deferral for male‐to‐male sex in A ustralia

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2021Blood donation by men who have sex with men: using evidence to change policy 2022HIV incidence and related risks among gay, bisexual, and other men who have sex with men in Montreal, Toronto, and Vancouver: Informing blood donor selection criteria in Canada 2022Removing the men who have sex with men blood donation deferral: Informing risk models using Canadian public health surveillance data 2021

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