TABLE 4.
Donor medical history questionnaire content
| Number of centers asking each question | |||||
|---|---|---|---|---|---|
| Questionnaire content | Collection unit (n = 1) |
Hospital based (n = 5) |
Regional (n = 10) |
National (n = 6) |
Total (n = 22), n (%) |
| Questions pertaining to donor safety | |||||
| Prior donation | 1 | 4 | 5 | 4 | 14 (64) |
| Complications after donation | 1 | 3 | 1 | 2 | 7 (32) |
| Hypertension | 1 | 5 | 7 | 4 | 17 (77) |
| Asthma | 1 | 3 | 7 | 3 | 14 (64) |
| Epilepsy | 1 | 4 | 7 | 3 | 15 (68) |
| Sickle cell anemia | 0 | 4 | 4 | 0 | 8 (37) |
| Pregnancy or breast feeding | 1 | 5 | 6 | 6 | 18 (82) |
| Diabetes | 1 | 4 | 7 | 4 | 16 (73) |
| Heart, liver, or kidney diseases | 1 | 5 | 7 | 4 | 17 (77) |
| Cancer | 1 | 3 | 2 | 4 | 10 (45) |
| Questions pertaining to recipient safety | |||||
| Homosexuality | 1 | 3 | 6 | 2 | 12 (55) |
| Injection drug use | 0 | 5 | 10 | 3 | 18 (82) |
| Multiple or occasional sex partners | 1 | 4 | 10 | 4 | 19 (86) |
| Scarification | 1 | 3 | 4 | 1 | 9 (41) |
| Tattoos | 1 | 3 | 9 | 4 | 17 (77) |
| Piercing | 1 | 3 | 8 | 4 | 16 (73) |
| Recent fever | 1 | 4 | 10 | 4 | 19 (86) |
| Transfusion | 0 | 5 | 10 | 5 | 20 (91) |
| Jaundice | 1 | 4 | 3 | 6 | 14 (64) |
| Chronic coughing | 1 | 3 | 6 | 4 | 14 (64) |
| Recent hospitalization | 1 | 5 | 10 | 6 | 22 (100) |
| Diarrhea | 1 | 3 | 7 | 3 | 14 (64) |
| Recent immunization | 1 | 4 | 10 | 4 | 19 (86) |
| STD(s) | 1 | 5 | 7 | 6 | 19 (86) |
| Medications | 0 | 4 | 6 | 6 | 16 (73) |
| Sexual intercourse with partner with STD | 1 | 3 | 7 | 3 | 14 (64) |
| Sexual intercourse with prostitute | 0 | 3 | 10 | 1 | 14 (64) |
| History of hemorrhage | 0 | 3 | 2 | 1 | 6 (27) |
| Type of donor (volunteer, family, paid) | 0 | 3 | 4 | 2 | 9 (41) |
STD = sexually transmitted disease.