Pattern of Anemia Amongst Deferred Blood Donors At A Tertiary Care Hospital In Bikaner, Rajasthan, India
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 8
Abstract
Background: A large majority of the donor population in a developing country, like India, is deferred due to temporary but easily correctable cause like anaemia. Nutritional anaemia is a worldwide problem with the highest prevalence in developing countries like India. A proper track of temporarily deferred donors regarding their management should be made in blood bank so that these donors can be recruited back in donor’s pool. Aim: To study the prevalence and severity of anaemia in otherwise healthy persons who have reported for blood donation and to study the morphologic type of anaemia in anaemic cases among reported blood donors. Subjects and Methods: This Cross sectional study was conducted over a period of 2 months (May- June 2017) at blood bank, of associated group hospital S.P. Medical College, Bikaner; which is a Tertiary Care Hospital in North India in coordination with RSACS Jaipur. Total 5227 reported donors were interviewed during this period. Donor selection criteria laid down by the Drug and Cosmetic Act of India. Criteria laid down by director general Health Services, New Delhi and Drug’s Controller of India were strictly followed. Each donor was evaluated based on detailed medical history and physical examination of donors with regard to hemoglobin, blood pressure, RR, temperature, and pulse rate. All the persons with haemoglobin less than 12.5gm% were deferred and further studied. Results: Total 5227 pre donation screening interviews were conducted at our blood bank unit and various blood donation camps during the study period, of which 5038 were males (96.4%) and 189 (3.6%) were females. Here, females contributed a small proportion of 3.6% only. Total number of deferrals due to various reasons was 940 giving an overall incidence of 18%. In our study, the most common cause of deferral was anemia both in male and female donors. Donors deferred due to anemia were 526, so the prevalence of anemia among donors was 10.06 %. Out of the total 526 anemic donors 442 were males and 84 were females. We found that deferral rate due to anemia among the female donors was higher than male counterparts. The most common type was microcytic hypochromic anemia 287(54.56%). Conclusion: The data of the present study shows that there is a need to understand the problem and to educate the regular donors regarding iron deficiency and iron supplementation. This is our responsibility towards these very important persons of society who give gift of life to needy patients in morbid situations.
Authors and Affiliations
Dr. S. S. Chauhan
Keywords
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