New HIV Blood Donor Guidance
FDA has issued a guidance, Revised Recommendations for Reducing the Risk of Human Immunodeficiency Virus Transmission by Blood and Blood Products, with the agency’s revised donor deferral recommendations for individuals with increased risk of transmitting HIV infections. The guidance says FDA also recommends that establishments that collect blood or blood components make corresponding revisions to their donor educational materials, donor history questionnaires and accompanying materials, along with revisions to the donor requalification and product management procedures.
The revision updates a 1992 guidance and changes the agency recommendations from the indefinite deferral for men who have sex with other men (MSM), to a 12-month blood donor deferral since the last MSM contact. “For other behavioral deferrals such as commercial sex workers and injection drug use,” the agency says, “insufficient data are available to support a change to the existing deferral recommendations at this time.”
FDA also issued a questions-and-answers document on the revised guidance. “FDA expects that the changes made to the recommendations will maintain or improve blood safety with respect to HIV,” that document says. “The change with respect to MSM reflects current scientific evidence, and better aligns the deferral period with the deferral period for other men and women at an increased risk for HIV infection…. To help ensure the continued high level of safety of the blood supply, FDA is implementing a Transfusion Transmissible Infections Monitoring System [that] will provide critical information, along with new and emerging scientific evidence, to help inform future actions that FDA may take on blood donor policies. The system will monitor a majority of the blood collected in the U.S. for a number of different transfusion-transmitted viral infections, including HIV.”