Locations of Blood Groups up to Donor Deferrals

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Last updated: November 11, 2025
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First submittedNovember 8, 2025
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Location
Glycophorin A
MN
Glycophorin B
S
Band 3
Diego
AE1
Diego
Erythrocyte acetylcholinesterase
Cartwright
p chromosome X
Xg
SLC4A1
Diego
carried on ART4 by GPI anchor
Dombrock
AQP1
Colton
4th component of C4
Chido/Rodgers
Glycophorin C and/or D
Gerbich
CR1
Knops
Hematopoietic isoform of CD44 marker
Indian
CD147
Ok
basigin
Ok
CD151
Raph
Semaphorin 7A
JMH
CD108
JMH
AQP3
Gill
Chromosome 6
RHAG
HLA Class 1 on RBC
Bennett Good Speed Antigens
DAF
Cromer
CD55
Cromer
 
 
Antiglobulin Test
is an important technical aspect in the performance of an antiglobulin test.
Patent blue and ariavit tartrazine
Source of error in AHG: Improper specimen (refrigerated, clotted) may cause in vitro complement attachment
FP
Source of error in AHG: Cell suspension either too weak or too heavy
FN
Source of error in AHG: Inadequate or improper washing of cells
FN
Source of error in AHG: AHG reagent, test serum, or enhancement medium not added
FN
Source of error in AHG: Bacterial contamination of cells or saline used in washing.
FP
Source of error in AHG: AHG reagent nonreactive because of deterioration or neutralization (improper reagent storage)
FN
Source of error in AHG: Using a serum sample for a DAT
FP
Source of error in AHG: Cells with a positive DAT will yield a positive IAT.
FP
 
 
Detection and ID of Antibodies
22% albumin mechanism
decrease zeta potential
22% albumin incubation time
30-60 minutes
LISS mechanism
lower zeta potential and decrease ionic cloud increasing antibody uptake by RBCs
LISS incubation time
10-15 minutes
What does LISS contain making it low ionic?
0.2% sodium chloride
What does LISS contain that reduces zeta potential?
glycine or dextrose (glucose)
PEG mechanism
removes water from the test system
PEG incubation time
10-30 minutes
Most sensitive among all potentiators
PEG
Describe Coomb’s check cells
O+ coated with anti-D
pH of saline used in washing cell-serum mixture before performing AHG in test tube
7.2-7.4
What does LISS contain making it low ionic?
0.2% sodium chloride
Error if washing of cell-serum mixture is not done before AHG phase
FN
Simulate how Antibody Screening is done
2,1,c,o,p,i,o,w,2,c,o,CCC,o
Advantage of test tube method
flexibility, availability, cost
Disadvantage of test tube method
subjective
Advantage of gel technology and solid phase technology method
standardization
Disadvantage of gel technology and solid phase technology method
specialized instrument or equipment
Centrifugation time of gel technology
10 minutes at 910 rpm
Incubation time of gel technology
15 minutes
Principle of gel technology
Hemagglutination
Gel used in gel technology
dextran-acrylamide gel
Screening and panel cells are suspended in what solution
LISS
Gel technology applications
ABO forward and reverse, Rh typing, DAT, Antibody screening, Antibody identification, Compatibility testing
Measure of gel card
5x7 cm
No. of microtubes consisting the gel card
6
4+ gel reaction
Solid band of agglutinated red cells at the top of the gel column. Usually no red cells are visible in the bottom of the microtube.
3+ gel reaction
Predominant amount of agglutinated red cells at the top of the gel column with a few agglutinates staggered below the thicker band.
2+ gel reaction
Red cell agglutinates are dispersed throughout the gel column with few agglutinates at the bottom of the microtube.
1+ gel reaction
Red cell agglutinates predominantly observed in the lower half of the gel column with red cells also in the bottom
Mixed-field gel reaction
Layer of red cell agglutinates at the top of the gel column accompanied by a pellet of unagglutinated cells in the bottom of the microtube
Negative gel reaction
Red cells forming a well-delineated pellet in the bottom of the microtube. The gel above the red cell pellet is clear and free of agglutinates
Antibody class capable of causing agglutination of saline-suspended RBCs
IgM
Donor Screening
Patient’s history includes
age, sex, race, diagnosis, pregnancy, transfusion history, current medications, intravenous solutions
Reagent used in antibody identification
collection of 11-20 group O RBCs w/ various antigen expression
Destroys the pentameric structure of agglutinating IGM
sulfhydryl reagents
example of sulfhydryl reagents
2-mercaptoethanol
example of sulfhydryl reagents
dithiothreitol
process used to physically remove antibodies from sera
adsorption
process used to remove antibodies bound to RBCs
elution
harvested antibody-containing fluid
eluate
measurement of scrubbing
4 cm (2x2)
minimum time of scrubbing the site
30 seconds
For blood collection, most blood centers use an iodine compound such as ____ (1)
PVP iodine
For blood collection, most blood centers use an iodine compound such as ____ (2)
polymer iodine complex
Donors who are allergic or sensitive to iodine compounds may use
Chlorhexidine gluconate and isopropyl alcohol
apply tourniquet or blood pressure cuff about ____ to increase distention of the vein
40-60 mmHg
Is the gauge number of needle often used for bleeding/donation
16G
Ask the donor to open and close the hand every _______ during collection procedure
10-12 seconds
Mix blood and anticoagulant periodically every _____ during the procedure
45 seconds
The conversion factor ____ is used to convert grams to milliliters
1.06 g/mL
Volume of anticoagulant in blood bag
63 mL
If the volume collected is in the low volume range (300 to 404 mL in a 450-mL collection or 333 to 449 mL in a 500-mL collection), the unit must be labeled as a “low volume unit,” and ______ cannot be made from this unit as it would not contain adequate levels of coagulation factors.
FFP
Before the needle is removed from the donor’s arm, pilot tubes are filled. The pressure is reduced to __________
20 mmHg or less
Blood withdrawn over a 7-10 time period and mixed with anticoagulant
450 10% (405-495 mL)
Donations of whole blood where the bleed time exceeded ______ are not suitable for the production of plasma components, platelet products, and cryoprecipitate for direct clinical use
15 minutes
Blood collected must be processed for component preparation within __ of collection.
6-8 hours
Units in which platelets will be made must be maintained at room temperature _______ until the platelet concentrate has been prepared;
20-24C
Diversion of at least the first __ of blood into a special diversion pouch can capture skin debris and has been shown to reduce the proportion of platelet components containing viable bacteria.
10 mL (15-20 mL)
Governing body for blood bank inspection; inspects blood banks every year
FDA
Blood is regulated both as a ___ and as a ____
Drug
Blood is regulated both as a ___ and as a ____
Biologic
Common anticoagulant for apheresis
ACD
Types of Donation
Type of donation: genetically different individual of the same species
allogenic donation
In autologous donation, what are the minimum tests needed to perform?
ABO and Rh
What is required to be tested if collecting and transfusing facilities are the same?
viral markers and STS
In the case of autologous donation in which collecting and transfusing facilities are different, what unit should be tested?
first unit
In the case of autologous donation in which collecting and transfusing facilities are different, how frequent should the unit be tested?
every 30-day period
Autologous units color
Green
The idea of apheresis was developed by
Dr. Edwin J. Cohn
In apheresis, the donor or patient remains attached to the amount of time for a particular procedure can range from
45 to 120 minutes
First product to be collected by apheresis methods
Plasma
Greek word apheresis is derived from
aphairos
Type of donation: collected under the same requirements as those for allogeneic donors, except that the unit collected is directed toward a specific patient
Directed blood donation
Directed blood donation color
yellow, salmon
 
 
Qualifications in Allogenic Donation
General appearance
good health
General appearance
no intake of drugs
General appearance
no intake of alcohol
General appearance
no skin lesions
General requirement as per DOH
6-8 hrs uninterrupted sleep
General requirement as per DOH
no alcohol (24 hours)
General requirement as per DOH
no smoking (4 hours)
Age (AABB)
18-65
Age (DOH)
16-65
needed document of a 16-17 year old donor
parental consent
donor age that needs physician consent
>65
Regular donors may be accepted up to ___ yrs old (before ___ birthday) subject to evaluation by a medical officer
70; 71st
Weight in kg
50
Weight in pounds
110
Standards mandates a maximum of ___ of blood/kg of donor weight for whole blood collection, inclusive of pilot tubes for testing.
10.5 mL
Temperature in celcius
less than or equal to 37.5
Temperature in fahrenheit
less than or equal to 99.5
Pulse as per trans
50-100
Pulse as per DOH
60-100
Pulse of an athletic — not a cause for deferral
less than 50
Blood pressure systolic as per AABB
less than or equal to 180 mmHg
Blood pressure diastolic as per AABB
less than pr equal to 100 mmHg
Blood pressure systolic as per DOH
90-160 mmHg
Blood pressure diastolic as per DOH
60-100 mmHg
Hemoglobin as per AABB (Female)
greater than or equal to 12.5 g/dL
Hemoglobin as per AABB (Male)
greater than or equal to 13.0 g/dL
Range of Hemoglobin as per DOH (Female)
12.5-17.5 g/dL
Range of Hemoglobin as per DOH (Male)
13.5-18.5 g/dL
Hematocrit of women
38%
Hematocrit of men
39%
CuSO4 specific gravity should be
1.053
Volume of the container to be used in CuSO4 method
30 mL
Distance between drop of blood and solution should be
1 cm
Acceptable drop of blood will sink in solution within ______ if Hb concentration is greater than or equal to 12.5 mg/dL
15 seconds
General Requirements for Autologous Donation
Age
None
Weight
None
Hemoglobin
greater than or equal to 11 g/dL
Hematocrit
greater than or equal to 33%
Frequency
not more than 3 days
Methods for Obtaining Autologous Blood
Occurs during the 5 to 6 weeks immediately preceding a scheduled, elective surgical procedure unless the red blood cells and plasma are scheduled to be frozen.
Postoperative Collection
The last blood collection should occur no later than __________ before the scheduled surgery to allow for volume replacement.
3 days
Results in the collection of whole blood with the concurrent infusion of crystalloid or colloid solutions, thus maintaining a normal blood volume but decreasing the patient’s hematocrit
Acute normovolemic hemodilution
Ratio of replacement for crystalloids
3:1
Ratio of replacement for colloids
1:1
Involves collecting shed blood from the surgical site; processing the blood through an instrument that washes it with saline to remove tissue debris, free hemoglobin, and plasma that may contain activated coagulation factors; concentrating the residual red cells (to a hematocrit of 50% to 60%); and then reinfusing those cells immediately.
Intraoperative collection
In the 3rd method of obtaining autologous blood, how much is the hematocrit of the residual red cells concentrated into before reinfusing the cells?
50-60%
a drainage tube is placed in the surgical site and postoperative bleeding is salvaged, cleaned and reinfused
Postoperative blood salvage
Donor Deferral
Prospective donor is unable to donate blood for a limited period of time.
Temporary
Prospective donor is unable to donate blood for someone else for an unspecified period of time due to current regulatory requirements.
Indefinite
Prospective donor will never be eligible to donate blood for someone else.
Permanent
This donor would not be able to donate blood until the current requirement changes.
Indefinite
Identify: Permanent/Indefinite (PI), 1 year (1Y), 1 month (1M)
Chronic cardiopulmonary disease
PI
Tattoo
1Y
Received clotting factors
1M
After Hepa B immunoglobulin administration
1Y
Chicken pox vaccination
1M
Positive for HTLV
PI
Finasteride (Proscar)
1M
Rape victim
1Y
Leukemia, lymphoma, or myeloproliferative disorder
PI
Recipient of human pituitary—derived growth hormone
PI
Received transfusion of blood components, or other human tissues (organ, bone, marrow, or skin graft)
1Y
Positive for AIDS
P1
Recipient of bovine insulin
PI
Experimental medication or unlicensed (experimental) vaccine
1Y
German measles (rubella) vaccination
1M
Needle stick injury
1Y
Renal disease (chronic)
PI
IV drug user
PI
Sexual contact with prostitute, person with AIDS/hepatitis, or hemophiliac, or IV drug user
1Y
Recipient of cornea and dura mater (trans)
PI
Recipient of cornea and dura mater (DOH)
1Y
Positive for HBsAg
PI
Major operation including dental surgery
1Y
Female who had sexual contact with a man who ever had sex with another man
1Y
History of babesiosis
PI
Syphilis or gonorrhea
1Y
History of Chagas disease
PI
Etretinate (Tegison’ treatment for psoriasis
PI
Healthcare worker exposed to blood or body fluids
1Y
Ear or body piercing
1Y
Malignant solid tumors
PI
Liver disease (chronic)
PI
Have been in prison, detention or lockup >72 hours
1Y
Isotretinoin (Accutane) for acne
1M
Rabies vaccination
PI
Hemophiliacs
PI
Tegison
PI
Other deferrals
Childbirth (AABB)
6 weeks after
Childbirth (WHO)
9 months after until 3 months after weaning
Childbirth (DOH)
1 year or 3 months after weaning
Is abortion in 1st trimester or 2nd trimester a cause for deferral?
No
Transfusion during pregnancy
1 year
MMR combined (DOH)
8 weeks
MMR combined (book)
4 weeks
2 weeks referral due to vaccination
Typhoid
2 weeks referral due to vaccination
Oral polio
2 weeks referral due to vaccination
Measles
2 weeks referral due to vaccination
Mumps
2 weeks referral due to vaccination
Yellow fever
Proscar
1 month
Soriatane
3 years
Accutane
1 month
Propecia
1 month
Avodart
6 months
Plavix
14 days
Feldene
2 days
Effient
3 days
Brilinta
7 days
Ticlid
14 days
Zontivity
1 month
Aspirin (Book)
2 days
Aspirin (DOH)
3 days
Piroxicam (Book)
2 days
Piroxicam (DOH)
3 days
HIV Prevention
3 months
PrEP or PEP
3 months
Malaria Deferral: Travelers to endemic areas (AABB)
1 year
Malaria Deferral: Immigrants, refuges, citizens who resided on endemic areas, and diagnosed/infected with malaria (AABB)
3 years
Malaria Deferral: Malaria Infection (DOH)
3 years after treatment, if asymptomatic
Malaria Deferral: Travel to area endemic for malaria with or without prophylaxis (stay for < 6 months)
6 months
Malaria Deferral: Former resident of malaria endemic area, or stayed in malaria endemic area for 6 months or more
1 year
Whole Blood Donation (AABB)
2 months
Whole Blood Donation (DOH)
3 months
Toxoid/killed/synthetic vaccines
None
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