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A common term given to individuals with blood type O-negative and plasma type AB, these individuals can donate red blood cells or plasma, respectively, to any individual without the risk of a transfusion reaction. However, this term tends to be an exaggeration, as adverse reactions can still occur. The term generally describes the absence of a negative reaction among the recipient. However, the transfused material can incur a negative reaction with the recipient. To complicate the matter, compatibility between donors and recipients of transfused packed red blood cells (PRBCs) is opposite that of fresh frozen plasma (FFP).

Universal Donors of PRBCs

Individuals with O-negative type blood can theoretically donate blood to a recipient with any blood type. Despite this, there has been evidence that a negative reaction can still occur among the donor's antibodies and the recipient's antigens. Thus, the term universal donor generally describes the lack of a reaction between the donor's antigens and the recipient's antibodies, although the vice versa is still possible. Exact blood-type matches are preferable in the hospital setting to limit these types of negative reactions.

Universal Donors of FFP

The situation when transfusing FFP is opposite that of PRBCs. Recipients with O-type blood can receive FFP only from donors with O-type blood. In this case, the “universal donors” of FFP are those with AB-type blood, not O-type as in the case with PRBCs.

The term universal donor has generally been used to describe donors whose blood is compatible with any recipient. Despite the fact that the term is not wholly accurate or inclusive, the term helps the public understand the process behind donating blood and who the donated blood is best suited for.

  • blood
  • universal donor
  • blood cells
Bradley E.Goldstein, M.S., M.P.H., Lake Erie College of Osteopathic Medicine

Bibliography

American Red Cross, http://www.givelife.org (cited July 2007)
Lorri A.Zipperer, ed., The Health Care Almanac: A Resource Guide to the Medical Field (American Medical Association, 1995).
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