Bleeding Disorder

Must not donate if:
a) Treated with blood derived coagulation factor concentrates.

b) There is a history of excessive bleeding or bruising.

Carrier state:
This does not necessarily prevent donation. Refer to a 'Designated Clinical Support Officer' who will liaise with the haematologist that investigated the donor.

Platelet Disorder
Transfusion

People who have received blood derived coagulation concentrates (these are made from the blood of many hundreds of individual donors) may have been put at risk of infections that can be passed through donations.

They represent one of the groups of individuals within whom emerging infections have spread before they have been recognized. This was the case with HIV and HCV infection. Because of this, the law requires that they are permanently excluded from becoming donors. It can be many years before any infection shows itself.

If someone has had problems with bleeding or bruising, taking blood from them could be harmful.

Some people with the carrier state (trait) for some bleeding disorders may themselves be at risk of bleeding. Also, if their blood is used to make fresh frozen plasma, this may not have enough of the clotting factor in it to be useful to the person receiving it.

See below

Must not donate if:
a) Treated with blood derived coagulation factor concentrates.

b) A sexual partner, or former sexual partner, of a person treated with blood derived coagulation factor concentrates.

c) Less than four months after the date of an inoculation injury with either blood derived coagulation factor concentrates, or from blood contamination from an affected individual.

d) Diagnosed as affected (even mildly) by the disorder.

If three months or more from the last sexual contact, accept.

Non-Consented Exposure to Human Body Fluids
Transfusion

Blood derived coagulation concentrates are made from the blood of many hundreds of individual donors. They may put recipients at risk of infections that can be passed through blood. This risk may be shared by their sexual partners and anyone suffering an inoculation injury.

Many bleeding disorders are inherited. Family members that are blood relations may be affected by the bleeding disorder. They could be at risk of excessive bleeding or bruising. Most close blood relations would have been screened by a haematologist from whom additional information may be available.

Waiting three or four months from the last sexual contact or inoculation injury helps to ensure that the infections tested for by the Blood and Tissues Services will be picked up. 

This guidance presumes that a validated NAT test for hepatitis C is negative. If this test is stopped, the guidance will change.

Part of this entry is a requirement of the Blood Safety and Quality Regulations 2005.

See below