Deterrents in recruitment of COVID-19 convalescent plasma donors: Experience from a hospital-based blood centre in India

Transfus Med. 2021 Jun;31(3):149-154. doi: 10.1111/tme.12768. Epub 2021 Mar 21.

Abstract

Introduction: Recruitment of Covid-19 convalescent plasma (CCP) donors may present as a challenge due to inexperience and differences in donor profile as compared to whole blood donation. Present study highlights the deterrents to recruiting CCP donors at a hospital based blood centre.

Materials and methods: Potential CCP donors were contacted individually by telephone and a group approach through camp organisers from May to July 2020. Recruitment challenges were noted and deferrals of these recruited donors during screening and medical examination was obtained and analysed.

Results: Total 1165 potential CCP donors were contacted. Around 47% donors were lost due to challenges related to information storage and retrieval. Fear of health, family pressure, and fear of a new procedure were major reason (27.2%) for unwillingness to donate. The main reasons for deferral among potential donors were multiparity (38%) and being overage/underage (31.6%). Finally, 468 donors were recruited including 408 by individual approach and 60 by a group approach. From these absence of detectable COVID-19 antibodies were found in 15.4%. Few donors (9.0%) were deferred as they had not completed 28 days post recovery.

Conclusion: The process of CCP donor recruitment differs from that of whole blood donation and requires an individualised approach with involvement of clinicians in the initial phases of the pandemic. A group approach targeting specific organisations could be adopted for a successful CCP collection program. There is a need to relook into some aspects of donor selection such as consideration of multiparous female donors and overage/underage donors after reviewing scientific evidence.

Keywords: COVID-19 convalescent plasma (CCP) donors; deferrals; deterrents; donor motivation; donor recruitment.

MeSH terms

  • Adult
  • Age Factors
  • Blood Banks
  • Blood Donors / psychology*
  • Blood Donors / statistics & numerical data
  • COVID-19 / therapy*
  • COVID-19 Serotherapy
  • Donor Selection / methods
  • Donor Selection / statistics & numerical data*
  • Fear
  • Female
  • Hospitals
  • Humans
  • Immunization, Passive / statistics & numerical data
  • India
  • Male
  • Middle Aged
  • Parity
  • Plasma*
  • Pregnancy
  • Retrospective Studies
  • SARS-CoV-2*