Hepatitis of unknown origin - Tissue - Deceased Donors

Scenarios

Affected individual
Obligatory

Must not donate if:

Less than 24 months from recovery.

Discretionary
  1. If more than 12 months, but less than 24 months from recovery, obtain history and blood samples and refer to a Designated Medical Officer.

  2. If more than 24 months from recovery, accept.

  3. If more than 12 months and less than 24 months from recovery:
    1. If negative for all markers of hepatitis B, accept.
    2. If HB core antibody is positive and HBsAg is negative, HBV-DNA is negative and anti-HBs has been documented at more than 100 IU/L at some time, accept.
Sexual partner of an affected individual
Obligatory

Must not donate if:

Less than 12 months from recovery of partner.

Person sharing a home with an affected individual
Obligatory

Must not donate if:

Less than 12 months from recovery of the last affected person in the home.

See if relevant
  • Sexual partner of an affected individual above
Additional information

Most hepatitis of unknown origin will have been due to hepatitis A or hepatitis E (or non-viral causes). Additional testing for those who give a history of hepatitis between 12 and 24 months before donation will exclude the rare case of HBV which may have delayed clearance of infection and therefore will still present a risk through donation.

Reason for change:
Clarification regarding hepatitis B markers has been added to the additional information.
Version details:

TD-DSG Edition 203 Release 17 (31 March 2013)