What are platelets?

Platelets are cells in the blood that play a vital role in stopping bleeding in our bodies by forming ‘plugs’ at the site of blood vessel injuries. Without platelets, the body would not be able to stop bleeding when there is injury.

Why should I donate platelets?

Some patients have very low platelet counts, either because their bone marrow cannot produce enough, or the platelets are being destroyed in their blood streams. This results in these people being more prone to uncontrollable bleeding as they are unable to stop this process. Patients that need platelet transfusions include people who have cancer, liver disease, burns and trauma.

How do you donate platelets?

The platelet donation process is quite different to normal whole blood donation in a number of ways:

  • A needle is placed in your arm and you are connected to an apheresis machine.
  • Your blood is drawn into the apheresis machine, and some of your platelets and plasma are removed.
  • The rest of your blood is returned to your circulation via the needle.
  • This process is repeated in cycles and the entire procedure takes about 90 minutes.

As you are required to sit in an armchair for a long time, refreshments and visual entertainment are provided for you.

Is platelet donation safe?

Like normal blood donation, you can have side effects such as bruising, a painful arm or fainting. Some people also experience symptoms such as tingling around their mouth or spasms in their hands – this is due to a drop in their calcium levels from exposure to the substance (called citrate) that prevents the blood from clotting in the tubing of the machine. This can be prevented by having calcium supplemented drinks at the start of the donation. Your body will fully replace the platelets that you have donated within about two days, and you can donate platelets every four weeks.

Who can donate platelets?

  • You need to meet all our regular donor criteria and should have comfortably donated whole blood at least five times before.
  • You need to have a flexible schedule that can allow you to donate on weekday mornings. Platelet products have a shelf life of only five days and must be processed within eight hours of donation. Unlike other blood components that can be refrigerated or frozen for far longer periods, platelets must be obtained more frequently and often at short notice.
  • You need to have easily accessible veins.
  • You cannot use aspiring or anti-inflammatory medication within 72 hours of donating, as these can affect the functioning of your platelets.

How can I donate platelets?

Platelet donations are currently only collected from our headquarter clinic in Ndabeni, Cape Town during weekday mornings (07h00-15h00). The last donation must be completed by 13h00 for the samples to undergo testing and be released to the hospitals on the same day.

If you are interested in becoming a platelet donor, please discuss this with our clinic staff who will assist you to complete a registration form, or contact the WCBS Apheresis Department directly on 021 507 6395/6396 for an appointment.

What are designated platelet donations?

There are certain circumstances where people are selected from the South African Bone Marrow Registry to donate platelets for a specific patient – this is called a ‘designated’ or ‘HLA matched’ platelet donation. The reason for doing this is that the patient has developed platelet antibodies so needs to receive transfusions from a donor whose platelets closely match theirs. For more information about becoming a platelet donor, please contact the Apheresis Unit at the Western Cape Blood Service on 021 507 6300 or info@wcbs.org.za.