Retrospective analysis of leukopenia in apheresis platelet donors
10.13303/j.cjbt.issn.1004-549x.2026.01.013
- VernacularTitle:对单采血小板捐献人群中白细胞减少者的回顾性分析
- Author:
Xiaomei JIE
1
;
Jingyi CAI
2
;
Ziyi HE
1
;
Yatao FEI
1
;
Yingmei LIANG
1
Author Information
1. Dongguan Central Blood Station, Dongguan 523000, China
2. College of Medical Technology, Guangdong Medical UniversityDongguan 523000, China
- Publication Type:Journal Article
- Keywords:
leukopenia;
apheresis platelet donors;
blood smear;
characteristic analysis
- From:
Chinese Journal of Blood Transfusion
2026;39(1):90-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the causes and distribution characteristics of leukopenia in apheresis platelet donors, and to formulate effective pre-donation intervention measures. Methods: The data of apheresis platelet donors with leukopenia in Dongguan Central Blood Station during the entire year of 2021 were collected. Combined with the results of peripheral blood smear examination, the related factors that may cause leukopenia were analyzed. Results: There were 57 apheresis platelet donors with leukopenia in peripheral blood, with an incidence of 1.53% (57/3 726). The rate of leukopenia showed no significant difference between male and female apheresis platelet donors (χ
=0.627, P>0.05), and was not related to the frequency of platelet donation (χ
=1.48, P>0.05). However, there were statistically significant differences in the rate of leukopenia across seasons (χ
=10.13, P<0.05), highly significant differences among different age groups (χ
=22.98, P<0.001), and a significant association with the number of apheresis platelet donations (χ
=7.80, P<0.05). Multivariate logistic regression analysis showed that age (36-55 years old), number of donations (≥26 times), and season (first and fourth quarters) were independent risk factors for leukopenia in apheresis platelet donors, while gender had no significant independent effect on leukopenia. Peripheral blood smear examination was performed on all apheresis platelet donors with leukopenia, and primary malignant hematological diseases infiltrated into peripheral blood were excluded. Among them, two cases of peripheral blood smear showed left shift of granulocyte nucleus with increased and thickened granules, whereas the other 55 cases only showed decreased peripheral blood nucleated cell counts without obvious morphological abnormalities. Conclusion: Leukopenia in apheresis platelet donors mainly occurred in young and middle-aged people and those with ≥26 donations, with high incidence in winter and spring, and more common in males. Blood routine examination combined with blood smear examination can facilitate the detection of conditions that are not suitable for blood donation, including hematological malignant diseases and infection-related leukopenia. Strengthening health consultation before blood donation is an important measure to identify blood donors with leukopenia.
