APPENDIX C

A-Z GUIDE TO MEDICAL ASSESSMENT OF BLOOD DONORS

Conditions Timing Donation

A

Abortion/Miscarriage
> up to 12 weeks age of gestation 3 months from incident
> 12 to 24 weeks age of gestation 6 months from incident
> more than 24 weeks age of gestation 9 months from incident
Acne vulgaris
> lesions not active or infected Anytime
> taking cyproterone acetate (an anti-testosterone) Anytime
> taking tetracycline or erythromycin 2 weeks from healing and completion of
treatment
> taking isotretinoin, tretinoin, adapalene 4 weeks from last dose
> lesions active/inflamed 2 weeks from healing and completion of
treatment
> taking acitretin, etretinate (Neotigason) 3 years from last dose
Anytime, provided there is no inflammation
Acupuncture (needle sterilized, practitioner certified)
at the site
Age
> 16 to 65 years old Anytime (16-17 with written consent of
parents/guardian & written assent of donor)

> more than 65 years old At the discretion of physician

Alcoholism, chronic Permanent deferral
Alcohol intake anytime (provided not intoxicated & well hydrated)
Allergy
> with minor symptoms with or without Anytime
medications, and donor fit and well
> with more than minor symptoms with or without 1 month from last incident
medications, and donor fit and well
> moderate allergic reaction (including drug allergy) 1 year from last incident
> history of severe allergic reaction or anaphylactic Permanent deferral
shock
Anemia, iron deficiency After treatment, with Hemoglobin of
125 g/L for female, 135 g/L for male
Anemia, any other cause Permanent deferral
Angiogram Permanent deferral
Angioplasty Permanent deferral
Angina pectoris - diagnosis confirmed Permanent deferral
Antacids - taken occasionally for indigestion or heart Anytime
burn
Antibiotic depends on the condition for which antibiotic
is taken
Anti-inflammatory medicines (underlying condition acceptable)
> NSAIDs - if blood donation not for platelets Anytime
> NSAIDs - blood donation for platelets Defer for 24 hours from last dose
> Aspirin - blood donation not for platelets Anytime
> Aspirin - blood donation for platelets Defer for 72 hours from last dose
Apheresis
> platelet 72 hours
> double red cell 16 weeks from last apheresis provided
height, weight and Hgb (>145g/L) criteria

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 APPENDIX C

Conditions Timing Donation

are met
> single red cell 12 weeks
> single red cell + platelets 12 weeks
> plasma 4 weeks
Appendectomy, uncomplicated 1 month after complete recovery
Arthritis, not on meds Anytime
> on meds Refer to "anti-inflammatory"
Asthma, mild (donor fit and well) Anytime - if not on meds, only on inhaler
maintenance
Asthma, severe Permanent deferral
Autoimmune diseases like SLE Permanent deferral

BCG vaccine (see vaccine) 4 weeks from last vaccination

Biopsy, benign and healed 1 month from the procedure
Blood donation, whole blood 12 weeks from last donation; shorter inter-
val may be allowed provided frequency
does not exceed 6x in the entire year
Blood transfusion
> WB. PRBC, PC, FFP 12 months from last transfusion
> Clotting factors (Factor VIII, IX) Permanent deferral
> BT given in France, Ireland, & UK Permanent deferral
Body piercing (ear/tongue/nose/navel holing) 12 months from procedure
Boils 14 days from healing and completion of
antibiotics
Brain surgery Permanent deferral
Bronchiectasis Permanent deferral
Bronchitis, acute 14 days from complete recovery
Bronchitis, chronic Anytime, if symptom free for 2 years
Brucellosis Permanent deferral

Cancer, all types Permanent deferral

Candidiasis (thrush, monilial infection) 1 week from healing and completion of
treatment
Cataract Anytime
Chagas disease Permanent deferral
1 week after healing and completion of
Cellulitis
antibiotic
Chicken pox (varicella )
> infection in donor 1 month after compelete recovery
> contact with infected person:
contact 1: with no history of previous infection 1 month after last contact
contact 2: with history of previous infection Accept - anytime
Chikungunya 1 month after recovery
9 months after delivery or 3 months after
Childbirth
weaning,
weaningwhich
Cholecystitis 1 month after complete recovery and
completion of treatment
Cholecystectomy 3 months after complete recovery

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 APPENDIX C

Conditions Timing Donation

Cholera vaccine (See Vaccine)
Permanent deferral - if diagnosis is irritable
Colitis bowel syndrome or ulcerative colitis

Colitis, ulcerative Permanent deferral

Common cold 1 week after complete recovery
Concussion, mild 3 months after recovery
Conjunctivitis
> allergic accept - anytime, if over-all reactions
are mild
> infectious 1 week after complete recovery
Convulsions/Seizures/Epilepsy Anytime, if free of attacks for 3 years
Corneal transplant 12 months after procedure
Coronary heart disease Permanent deferral
Cosmetic procedures (facial "cleaning", botox 12 months after procedure
injection, dermabrasion, etc.)
Creutzfeld Jakob Disease at-risk individuals Permanent deferral
> 1st degree blood relatives of person with CJD UK = England, Wales, Scotland, Northern
> recipients of human neurological derived pro- Ireland, Isle of Man, & the Channel
ducts like human growth hormone, human Islands
pituitary
gonadotrophin, dura matter (Lyodura)
> recipient of corneal transplant
> recipient of BT while in UK, Rep. of Ireland, BT = blood transfusion
France

Dengue Fever 1 month after recovery if without BT

Dental surgery 1 month after procedure
Dental extraction, uncomplicated 72 hours after procedure
Dental extraction with abscess 14 days after healing & completion of
antibiotic
Dermatitis 14 days from healing & completion of
treatment
Diabetes mellitus
> controlled by diet & oral meds Anytime
> uncontrolled and on insulin Permanent deferral
Diarrhea, infectious 14 days from complete recovery
Diptheria 14 days from complete recovery
Diverticulosis Anytime
DPT and DT vaccine (see vaccine)
Drugs, prohibited & intravenous Permanent deferral
Duodenal ulcer
> currently on treatment 3 months after recovery
> with partial gastrectomy 3 months after procedure & complete
recovery
> with complete gastrectomy Permanent deferral
Dysentery, amoebic/bacillary 14 days complete recovery & treatment

Ear holing (see "body piercing") 12 months from the procedure

Embolism Permanent deferral
Emphysema Permanent deferral

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 APPENDIX C

Conditions Timing Donation

Encephalitis Permanent deferral
Epilepsy/Convulsion/Seizure Anytime, if free of attacks for 3 years
Anytime if hemoglobin is normal, and not
Epistaxis
due to hematologic disorder

Fainting spells Refer to a physician

> history of faint during blood donation two Permanent deferral
consecutive timestimes
consecutive
Fertility drugs (see "CJD At-Risk Individuals) 1 year from completion of investigation for
fertility
Fever of unknown origin (unexplained) 1 month after resolution of fever & completion of
work up, if not consistent with malaria

Filariasis
> infection Permanent deferral
> took meds during Filariasis Elimination Program 2 weeks after intake of anti-filarial medicine

Fracture, with surgical intervention 3 months after complete recovery

Gallstone, asymptomatic Anytime

Gastrectomy, gastroenterostomy 12 months after surgery
> complete Permanent deferral
Gastroenteritis 14 days after complete recovery
Genital/Perianal wart Permanent deferral
Genital herpes Permanent deferral
Glaucoma - treated by eyedrops other than beta Accept anytime
blocker
Gonorrhea Permanent deferral
Gout If quiescent, accept
Gout active 1 month after complete recovery

Hematuria After recovery

Hemorrhoidectomy 1 month after complete recovery
Hay fever see "allergy"
Head injuries, minor/severe See "concussion"
Hepatitis, exposure to close household contact Indefinite deferral
Hepatitis - type of infective agent unknown Indefinite deferral
6 months after liver function tests have
Hepatitis A normalized, provided that diagnosis is
supported by laboratory tests
Hepatitis B (HBsAg seropositive) Permanent deferral
Hepatitis B (HBsAg seroreactive; unconfirmed) Indefinite deferral until confirmed seronegative
Hepatitis B - current sexual partner of Permanent deferral
Hepatitis B - past sexual partner of Indefinite deferral until confirmed seronegative
Hepatitis B vaccine (Refer to Vaccines)
Hepatitis B vaccine, plasma-derived
Hepatitis immunoglobulin

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 APPENDIX C

Conditions Timing Donation

Herpes simplex Indefinite deferral
Herpes zoster 1 month after complete recovery
Hysterectomy 3 months after complete recovery
Hypertension, >160/100 Indefinite deferral
Hyperthyroidism Anytime if BP and HR are normal
Hypotension, <90/60 Indefinite deferral

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 APPENDIX C

Conditions Timing Donation

I

Incarceration (jail/prison) 12 months from release

Influenza 14 days after complete recovery
Influenza, contact 3 days from last contact
Influenza, vaccine (see vaccine)
Insulin see Diabetis mellitus

Jaundice, cause undetermined Indefinite deferral

Laryngitis 14 days from complete recovery

Leptospirosis 14 days from complete recovery
Lung, abscess (not malignant) 3 months after recovery and off antibiotic

Malaria, infection 3 years after treatment, if asymptomatic

> Travel to area endemic for malaria with or 6 months from departure from area
without prophylaxis (stayed for < 6 months)
> Former resident of malaria endemic area, or stayed in 12 months from date of departure from area
malaria endemic area for 6 months or more

Malignant disease Permanent deferral

Mass drug administration - filariasis 2 weeks from treatment
Mass drug administration - schistosomiasis 2 weeks from treatment
Measles (Rubeola) 6 weeks after recovery
Measles vaccine Refer to Vaccines
Medications Refer to Medication List
Meningitis 6 months after recovery and if no history of
seizures
Migraine Accept if asymptomatic
Mumps, infection 4 weeks from recovery
> contact 1: with previous infection Accept, anytime
> contact 2: no previous infection 4 weeks from last contact

Nephritis, acute (pylonephritis) 5 years after recovery & off antibiotic

Nephritis, chronic Permanent deferral

Oral polio vaccine Refer to vaccine listing

Osteomyelitis 6 months after recovery

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 APPENDIX C

Conditions Timing Donation

P

Paget's disease Permanent deferral

Pancreatitis 1 month after complete recovery
Peptic ulcer 1 month after complete recovery
Peritonitis 1 month after complete recovery
Phlebitis 1 month after complete recovery
Pneumothorax 1 month after complete recovery
Polycythemia, secondary For therapeutic bleeding only, discard blood
Female (maximum 175mmol/L)
Male (maximum 185mmol/L)

Pregnancy See "childbirth"

Prolonged bleeding Permanent deferral
Psychiatric disorder Permanent deferral
Anytime if 60-100 beats/min (regular
Pulse rate
rhythm)
rhythm
Pyelitis See "cystitis"
Psoriasis Permanent deferral

Renal colic Anytime if symptom free

Rabies vaccine Refer to Vaccines
Raynaud's disease Permanent deferral
Rheumatic fever Permanent deferral
Rheumatism Anytime, if not on drugs
Rubella (German measles)
> infection 4 weeks from recovery
> contact 1: no previous infection 4 weeks from last exposure
> contact 2: with previous infection Accept, anytime
> vaccination 8 weeks from vaccination

Sarcoidosis Permanent deferral

Salmonella food poisoning 14 days from complete recovery
Schistosomiasis Permanent deferral
Schistosomiasis, mass drug administration 2 weeks from treatment
Septicemia 1 month after complete recovery
Sexually Transmitted Infection (STI) Permanent deferral
Shingles (herpes zoster)
> infection 4 weeks from recovery
> contact 1:with previous infection Accept, anytime
> contact 2:with no previous infection 4 weeks from last exposure
SLE Permanent deferral
Small pox vaccine (see vaccine) Refer to vaccine listing
Syphilis Permanent deferral
Warts, genital Permanent deferral
Sore eyes 14 days from complete recovery
T

Tattooing (permanent not henna) 12 months from procedure

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 APPENDIX C

Conditions Timing Donation

Temperature Anytime if <37ºC
Tetanus, infection 1 month after complete recovery
Thrombophlebitis 1 month after complete recovery
Thyroidectomy (benign tumor) 3 months from complete recovery
Thyroid malignancy Permanent deferral
Tonsillitis 4 weeks after recovery
Tonsillectomy 3 months after recovery
Travel
- to UK and Republic of Ireland Permanent deferral
> lived or visited for a total period of 6 months or
or more from 1980 to present
- to malaria endemic area
> Travel to area endemic for malaria with or 6 months from departure from the area
without prophylaxis
without (stay for
prophylaxis < 6for
(stay months)
< 6 months)
> Former resident of malaria endemic area, or for 12 months from date of departure from
6 months or more
stayed in malaria endemic area for 6 months the area
or more
2 years after complete recovery/cure
Tuberculosis cure = completion of chemotherapy + 2 negative
follow-up sputum exams

Tuberculin Injection/TB Skin Test/PPD 1 week from injection

Typhoid/Salmonella
> infection 14 days from complete recovery
> household contacts 4 weeks from last exposure

Unexplained weight loss of more than 5 kg. within 6 Permanent deferral

months
months
URTI 14 days after complete recovery

Vaccines (see separate table)

Vitamins Anytime
Z

Zika infection 1 month after recovery

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 APPENDIX C

Conditions Timing Donation

Timing of Blood Donation When Donor Received Vaccine

I. Live attenuated vaccine

BCG (tuberculosis) 1 month after vaccination
Chicken pox (varicella zoster) 1 month after vaccination
Japanese encephalitis 1 month after vaccination
Polio (oral, Sabin) 1 month after vaccination
Measles 1 month after vaccination
Mumps 1 month after vaccination
Polio (oral, Sabin) 1 month after vaccination
Rabies (no exposure, for prophylaxis) 1 month after vaccination
Rotavirus 1 month after vaccination
Shingles 1 month after vaccination
Typhoid (oral) 1 month after vaccination
Yellow fever 1 month after vaccination

II. Other Vaccines

MMR (measles, mumps and rubella) 8 weeks after vaccination
Plague 4 weeks after vaccination
Rubella 8 weeks after vaccination
Vaccinia (smallpox) 8 weeks after vaccination
Rabies (post animal bite, immunoglobulin) 12 months after vaccination
Hepatitis B (post-exposure, immunoglobulin) 12 months after vaccination

II. Killed Vaccines/Toxoids

Anthrax Accept, anytime if asymptomatic
Botulism Accept, anytime if asymptomatic
Cholera Accept, anytime if asymptomatic
Diphtheria Accept, anytime if asymptomatic
Hemophilus influenzae type B (HIB) Accept, anytime if asymptomatic
Hepatitis A (non exposure) Accept, anytime if asymptomatic
Hepatitis B (active immunization) 1-2 weeks after injection
Influenza Accept, anytime if asymptomatic
Meninggococcal Accept, anytime if asymptomatic
Pertussis (whooping cough) Accept, anytime if asymptomatic
Pneumococcal Accept, anytime if asymptomatic
Polio (injection, Salk) Accept, anytime if asymptomatic
Tetanus (active immunization) Accept, anytime if asymptomatic
Typhoid (injection only) Accept, anytime if asymptomatic
Typhus Accept, anytime if asymptomatic

III. Gamma Globulin (passive immunization)

> for contact with person with hepatitis A 12 months from injection
> for contact with person with hepatitis B 12 months from injection
> tetanus immnunoglobulin 12 months from injection
> rabies, post exposure 12 months from injection

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 APPENDIX C

Timing of Blood Donation When Medications Are Being Taken by Donors

Medications Timing of Donation

A
Allergy causing drugs: Penicillin, Aspirin 3 weeks after completion
Single dose 3 days after
Chronic intake 3 weeks after last dose

Analgesics, except Aspirin Anytime, if symptom is free

Anorectics Anytime
Anti-acne like Retinoids, Retinoic Acid, Accutance One Month deferral from last dose
Antibiotic other than Anti-TB drugs and One month after completion of treartment
Allergic drugs and reasons for taking antibiotics must be
assessed

Anticonvulsant Defer indenitely

Antifungal (oral) One month after completion of treatment
Antifungal (topical) - for cutaneous infection Anytime; in case where fungal infections
involved the phelebotomy site or larger
extent of the body, the donor should be
deferred.

Antihistamine Anytime
Antihypertensive drugs Anytime (Note: ask for aspirin intake)
Anti-inflammatory (non-steroidal) Anytime but not for platelet preparation
Antipsychotic drugs Defer permanently
Until TB case is completely cured, see
Anti-TB drugs
"tuberculosis"
Aspirin, Piroxicam Chronic intake - one week after last dose
Single dose- Anytime, but not for platelet
preparation

B
Bronchodilators Anytime, if not symptomatic
Betablockers
> If donor is on Beta Blockers for hypertension &
has remained stable for 3 months, has no episodes of Anytime
postural hypotension, PR at least 60/min, DBP >70mmHg
& SBP 100-160mmHg

C
Colchicine Anytime, if over the acute episode of gout
Contraceptive pills, and injection Anytime

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 APPENDIX C

After completion of treatment; inquire the

Corticosteroid (oral) condition for which the donor is taking the
medicine

D
Decongestant Anytime, if symptom free
include list of prep with phenylpropanolamine
Digitalis Defer permanently
DEC + Alben (MDA - filariasis) 2 weeks from treatment
Drugs with no therapeutic effects (food supplements) Anytime

G
Growth hormone Defer permanently

H
Hypoglycemic agent, oral see diabetes

I
Insulin Defer permanently
Isoretinoin (Roaccutane) 1 month after last dose

P
Paracetamol See "analgesic"
Prazi (MDA - schisto) 2 weeks from treatment
Propecia (hair grower) 1 month from last dose
Proscar 1 month from last dose

S
Steroids preparation, topical Anytime, as long as not at the venipuncture
site
T
Tegison Defer permanently
Tetracycline for acne If for infected acne, wait for 2 weeks after
heaing and completion of antibiotics &
inquire about other medications

V
Vitamins Anytime
This page is not updated.

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