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Table 1 Mozambican screening questionnaire for blood donation and main reasons for deferral in this study (n = 71)

From: Seroprevalence of transfusion-transmissible infections and evaluation of the pre-donation screening performance at the Provincial Hospital of Tete, Mozambique

Questionnaire

Number of persons excluded per question (n = 71)

Questions for definitive exclusion

 

01

Do you have more than 65 years of age?

0 (-)

02

Do you have a disease without cure (chronic)?

2 (2.6%)

03

Were you once suspected of being infected with HIV?

1 (1.3%)

04

Did you have once hepatitis/jaundice?

4 (5.1%)

05

Did you already have once a venereal disease?

22 (28.2%)

06

Do you belong to a risk group for HIV infection (injection of drugs, sexual contacts without condom, traditional vaccines with blades used for different persons, several blood transfusions)?

6 (8.5%)

Questions for temporary exclusion

 

07

A person with HIV can not donate blood?

4 (5.1%)

08

Were you refused before to donate blood?

1 (1.4%)

09

Do you suffer from diseases of the cardiovascular system (e. g pericardial pain)?

2 (2.6%)

10

Do you suffer from diseases of the respiratory system (e.g., asthma)?

6 (8.5%)

11

Do you suffer from diseases of the gastrointestinal system (e.g.; peptic ulcer)

1 (1.4%)

12

Do you suffer from diseases of the central nervous system (e.g. epilepsy)?

1 (1.4%)

13

Do you suffer from diseases of the muscular/skeletal system?

0 (-)

14

Do you suffer from diseases of the genital/urinary system?

0 (-)

15

Do you suffer from diseases of the endocrine system? (e.g. diabetes).

0 (-)

16

Do you suffer from diseases of the immune system? (e.g. allergy)

1 (1.4%)

17

Do you have a blood disease? (e.g. hemophilia)?

0 (-)

18

Do you have a fever?

3 (5.1%)

19

Are you pregnant /menstruating? (women)

2 (2.6%)

20

Are you taking any medication?

0 (2.6%)

21

Were you vaccinated in the last 4 weeks?

1 (1.4%)

22

Were you operated in the last 6 months?

0 (-)

Physical examination

 

23

Control if donor has infectious diseases

0 (-)

24

Do you have a blood pressure higher than 160/110 mmHg or lower than 120/80 mmHg?

1 (1.4%)

25

Do you have a pulse higher than 120 beats per minute (bpm) or lower than 70 bpm?

0 (-)

26

Do you have a weight below 50 kg?

5 (6.4%)

27

Do you have a hemoglobin level below 12.5 g/dl?

3 (3.8%)

28

Others

5 (7.0%)