Questionnaire Survey on Hospital Blood Donation. Present Situation of the Donor's Interviews and Notification of Test Results.

DOI 2 Citations 10 References
  • Osada Koji
    Department of Transfusion Medicine, Tokyo Women's Medical College
  • Okamoto Michiyo
    Department of Transfusion Medicine, Tokyo Women's Medical College
  • Shimizu Masaru
    Department of Transfusion Medicine, Tokyo Women's Medical College

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Other Title
  • 院内採血実施時の問診と検査結果の通知についてのアンケート調査報告　院内採血の現状とその問題点
  • Present Situation of the Donor's Interviews and Notification of Test Results
  • 院内採血の現状とその問題点

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Abstract

We sent out questionnaires to 906 hospitals with more than 100 beds in the Tokyo Metropolitan area (Tokyo, Kanagawa, Saitama and Chiba), Yamanashi, Nagano and Niigata Prefectures to investigate the hospital blood donations from 1994 to 1995, in particular whether blood donors were asked for their histories and whether they were informed of the results of testing after donation. Blood collection was performed in 79 of the 478 (17%) hospitals that replied representing 7, 186 prospective donors. Donors were asked about their histories at 67 of the 79 (84%) hospitals, and only 15 of the 67 (19%) hospitals positively questioned the donors if they had risk behavior for HIV infection in its window period. 55 of the 67 hospitals tested donor blood for HIV and HTLV-I, with 3 of all prospective donors (at least 42 of 100, 000 donors) positive for HIV confirmatory tests. To exclude unsuitable donors from donating blood, it is imperative that both interviews with donors and blood donor screening tests be consistent. Notification of HIV antibody-positive results to donors was carried out in only 50% of the hospitals. Although Japanese Red Cross Blood Centers do not currently officially inform positive results of HIV antibody tests to donors, this policy should be reconsidered on the basis of avoidance of donation for HIV testing by education and enlightenment, as well as the prevention of secondary HIV infection from positive donors.

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