A member asked:

Can bilirubin from a donors blood affect the recipient since checking for bilirubin levels is not part of the criteria for donation

6 doctors weighed in across 5 answers

Unlikely an issue: Screening for donors does include information on illness status or past issues with any form of hepatitis.Units are also tested for the presence of any evidence of infectious disease. Bilirubin is a simple waste product and any contained in the donated blood will be washed out through the recipients kidneys or liver

Answered 6/19/2013

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Dr. Donald Alves answered

Specializes in Emergency Medicine

Could but unlikely: The donor must be in good health (aka: not jaundiced) at the intake screen, and different centers check different liver function tests, which must be normal to accept the unit for transfusion. So it is unlikely. Also, even if high bili, that would be one unit or about 1/10th of blood volume, so would not bump lots.

Answered 9/12/2013

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Dr. Juan Merayo-Rodriguez answered

Specializes in Pathology

Not tested: Bilirubin is normal in every person and should not affect the recipient of blood transfusions. Bilirubin levels may be elevated due to underlying disease process, in which case the potential donor should have signs and symptoms making him or her ineligible for donation during the medical screen and physical exam before donation.

Answered 3/13/2015

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Dr. Michael Dugan answered

Specializes in Hematology

Sort of: The transfusion of blood causes some collateral damage to at least some of the rbcs. Red cell damage/destruction produces an elevation in bilirubin. Not "from the donor" in a pure sense.

Answered 12/21/2013

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Dr. Juan Merayo-Rodriguez answered

Specializes in Pathology

Not tested: Bilirubin is normal in every person and should not affect the recipient of blood transfusions. Bilirubin levels may be elevated due to underlying disease process, in which case the potential donor should have signs and symptoms making him or her ineligible for donation during the medical screen and physical exam before donation.

Answered 1/9/2014

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