3 If any HIV positive individual has a history of a transfusion since
1977, identify the components and locate the donors for HIV testing. Transfusion made
12 months prior to the most recent recorded HIV negative test on the recipient do not
require further investigation.
4 Three cryogenic vials of plasma are to be collected and frozen for
blood donations from which components are to be frozen. This allows for future testing
requirements. One vial is stored in a freezing box with the component, and two are
stored in a freezer in the freezing facility or SBPO establishment repositories. When
there is a need to perform a new test, only one of the latter vials will be thawed and
refrozen. The second vial should be thawed and used only if a test is required which
cannot be performed on thawed and refrozen samples.
(5) Medical treatment facilities (MTFs).
(a) Counseling of HIV positive individuals.
1 MTFs are required to counsel HIV positive individuals, and to
conduct a look-back program.
2 Donors who are repeatedly reactive (RR) for HIV EIA with a western
Blot indeterminate or negative or unconfirmed RR for HIV-1 Ag must be notified and
must be given the name and number of a medical point of contact for information about
the significance of the test results. It is essential that these points of contact have
appropriate information for use in counseling these individuals.
(b) HIV look-back program.
1 Establish an in-house data base for all donor and recipient look-back
requests received. Ensure that all actions taken in conduct of an HIV donor and
recipient look-back program are thoroughly documented and documentation is saved
indefinitely.
2 Communicate look-back requests and information according to the
following:
a For donations, shipments, or information dealing to a recipient of
blood products from blood banks within the same service, forward this information
directly to their own service SBPO.
b. For donation, shipment, or recipient transfusion to blood banks of
another service, forward information to their own service SBPO.
c For donation, shipment, or recipient transfusion of blood and
blood components to civilian blood banks, forward information to their own service
SBPO.
MD0868
2-5
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