Repaneling Donors with Positive Antibody Screens

[mcharapata]

I'm interested to know how you handle the following:

1) Do you defer donors for positive antibody screens that have demonstrable antibody after the identification is performed? If so, for how long?

2) If you have a postive screen on a donor that previously had an antibody ID performed, do you perform the identification again (each time)?

3) If "yes" to #2, do you have any if/then policies (i.e. only repanel if the ID was last performed greater than 12 months)?

4) If "no" to #2, do you save or discard the red cells?

5) If you save the red cells, how do you label your red cells (i.e. do you label with "previously identified as ...." tag)?

Thanks much! I look forward to your reply.

Mike

[SMW]

The FDA requires if the antibody screen is positive and the product is intended for transfusion, the container label must include the statement "Contains (name of antibody)". The only way you would know what it contains is to perform an ID on each donation.

[David Saikin]

You don't defer your ab+ donors . . . just don't make plasma products (FFP/plts/cryo). Their rbcs are still great. do the abid every time because the Feds are going to ask you how you know what the ab is. Label rbcs as SMW has stated - the id of the ab must be on the container.

[Eagle Eye]

is there a REG. that supplier must provide information to transfusion service before sending such units(or have a somekind of agreement with hospital)?