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# Coronavirus infection - Whole blood and components

Also known as: COVID-19

## Essential information

Definition/s

  Testing: polymerase chain reaction (PCR) and rapid lateral flow tests (LFTs), usually by throat and/or nose swab, to detect the presence of SARS-CoV-2. This does not include testing for antibodies to SARS-CoV-2.

Includes

  COVID-19 disease due to infection with SARS-CoV-2 virus, previously known as Novel Coronavirus or 2019-nCoV.

### Scenarios

Individuals with confirmed or suspected COVID-19 infection

Includes
  - Individuals with confirmed COVID-19 infection, diagnosed by a positive LFT or PCR test.
  - Individuals where the results of SARS-CoV-2 testing, if carried out at the request of a health care professional, are awaited.
Obligatory

  Must not donate.

Discretionary

  If it is at least 7 days from the resolution of symptoms, and no further testing is required, accept.

Individuals with non-specific symptoms, not confirmed as COVID-19

Includes
  Individuals who have non-specific symptoms of a respiratory infection, including coughs and cold symptoms.
Excludes
  Individuals who are awaiting test results for SARS-CoV-2 infection, as requested by a healthcare professional.
Obligatory

  See Infection, acute

Post-COVID syndrome

Also known as

  Long COVID

Obligatory

  Must not donate.

Discretionary

  If it is at least 6 months since all symptoms, including fatigue, have resolved, accept.

Occupational and other routine surveillance

Discretionary

  Donors who have regular testing for the presence of SARS-CoV-2 can be accepted to donate provided they have not had a positive test for SARS-CoV-2 in the last 7 days.

  This includes donors who work in a health, social care or educational setting.

## Supporting information

See if relevant

  Clinical trials

  Immunisation, non-live

  Infection, acute

Additional information

  Common coronaviruses cause colds and respiratory tract infections but are not considered a risk for transfusion recipients. Since 2002, there have been outbreaks in humans of new strains of coronavirus, associated with severe pulmonary infections and mortality rates of 10–35% (e.g. SARS and MERS).

  COVID-19 is an illness caused by infection with SARS-CoV-2, a new coronavirus first identified in 2019. The guidance within this entry is focused on COVID-19. Donors who report MERS or SARS, or contact with these infections, should be referred to a Designated Clinical Support Officer.

  Many respiratory illnesses, including COVID-19, share common symptoms. As routine testing for SARS-CoV-2 infection is no longer recommended, most individuals will not have test results to confirm or exclude COVID-19. Where COVID-19 testing is not being undertaken, assessing donors using the Infection, acute entry ensures that individuals are deferred for the appropriate time based on their symptoms.

  Individuals affected by COVID-19 may experience longer term symptoms. Post-COVID syndrome (PCS), which may also be known as Long COVID, is recognised in individuals who have persistent symptoms for 12 weeks or more. PCS is a multisystem disease; common symptoms include fatigue, breathlessness and 'brain fog'. Affected individuals may also experience cardiac, musculoskeletal, gastrointestinal and neurological symptoms. As PCS may follow a relapsing course, it is important individuals have fully recovered before being accepted to donate.

Post donation illness

  There is no evidence at present that coronaviruses can be transmitted by blood transfusion and therefore these measures are precautionary.

  Donors must be provided with information about contacting the blood service if they develop any illness after blood or component donation.

  If a donor reports post-donation respiratory illness, refer to Appendix 4: Management of post donation illness.

Reason for change:
  The deferral after COVID-19 vaccination has been removed.
Version details:

  WB-DSG Edition 203 Release 74 (26 November 2024)

BETA

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