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The Blood Matters Blog ·

What Blood Type Is the Universal Donor?

You've probably heard the term. But what exactly does it mean? We'll break it down, covering all the fascinating details behind a "universal" blood type that can be transfused to anyone.

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Donor with universal blood type gives red blood cells

Every blood type plays a vital role, but when it comes to saving lives in emergencies, one type stands out: O negative.

Commonly called the universal blood donor, this rare blood type is critically important to hospitals and trauma centers across the world. So why does O negative hold such a unique status? And what does it mean to have a "universal" blood type? Let's dive into those questions and more.

Why O Negative Is Considered the Universal Donor

A person's blood type is determined by the presence or absence of A and B antigens, which make up the ABO system, and the Rh (D) antigen, which determines whether their blood type is positive or negative.

These tiny molecules attach to the membranes of red blood cells and can trigger an adverse immune response if not recognized by the recipient's body. Because of these reactions, not all human blood can be safely transfused from one person to another.

...Unless, of course, a person's red blood cells don't have A, B or Rh antigens to cause a reaction in the first place! Those people have O negative blood and can donate red blood cells to anyone, regardless of blood type.

A, B and Rh antigen blood type chart

Is O Negative Blood Rare?

It sure is! Only about 1 in every 14 Americans have O negative blood. Its rarity, combined with its incredible versatility, means O negative blood is practically always needed to support local hospitals and patients.

O negative blood is often used for:

  • Trauma and accident victims before blood typing is complete

  • Premature or newborn babies, who are more sensitive to incompatible blood

  • Cancer and surgery patients with rare or complex transfusion needs

  • Patients with O negative blood

Who Can O Negative Receive Blood From?

While the rest of the world depends on O negative blood, universal blood donors are even more reliant on O negative donations. That's because people with O negative blood can only receive red blood cells from other O negative blood donors. Because they lack A, B and Rh antigens, their immune system will reject any other type.

This is why O negative donors are doubly important — they're universal donors, but when they themselves need a transfusion, they depend on others of the same universal donor blood type.

Origins of the Term 'Universal Donor'

The concept of a "universal donor" began in the early 1900s, when the Austrian-American scientist and Nobel Prize winner Karl Landsteiner discovered the ABO blood group system, identifying how certain blood types could or couldn’t mix. In the following decades, scientists also discovered the Rh factor, further refining blood compatibility.

The term "universal donor" was first used after scientists discovered that blood group O — particularly O negative — could be transfused to almost anyone without immediate complications.

Are There Universal Plasma Donors?

If you're AB positive, congratulations — you're a universal plasma donor!

Plasma from AB donors contains no anti-A or anti-B antibodies, which means it can be safely transfused to patients of any ABO blood type.

Your plasma can help save the lives of so many people, so if you're ready to donate — plasma donors can do so every 28 days! — you can schedule your appointment right here.

Want to know more about what it means to be AB positive? Visit our AB positive blood type page using the button below!

See Your AB Positive Superpowers

Are There Universal Platelet Donors?

This question is a bit more complicated as platelet compatibility depends on more than just ABO or Rh types.

We recommend our A positive and B positive donors give platelets, but there's no single "universal" platelet donor like there is for red cells or plasma.

Platelets are also regularly in demand as they're vitally important to cancer patients, bone marrow transplant recipients and so many others, so if you're considering what blood product you should donate, give us a call or ask one of our Donor Services staff members before giving and they'll be sure to guide you toward maximizing your donation!

More on the Importance of Platelets

Are Any Other Blood Types Considered Universal Donors?

Technically, yes. Functionally, no.

Like O negative blood, Rhnull lacks A, B and Rh antigens. So why isn't Rhnull considered to be a universal blood type? Because it's so rare that fewer than 50 people have ever been known to have it! Naturally, it's far too uncommon to be used for standard transfusions.

What to Know About the World's Rarest Blood Type

Why People With O Positive Blood Aren't Universal Donors

It's certainly understandable to assume that if O negative is the universal blood type, O positive might be too. Unfortunately, that's not the case.

While O positive blood is highly transfusable, it can’t be given to patients with Rh-negative blood types without risking a serious immune reaction.

Why We Love Our O+ Donors

How You Can Help As an O Negative Donor

If you have O negative blood, you have inside of you one of the most powerful lifesaving tools in the world! Here's how you can help:

  • Donate regularly: you can make a traditional whole blood donation every 56 days

  • Donate double your red blood cells with Power Red: with this kind of donation, you'll be able to help twice as many patients as would be possible through a traditional whole blood donation! Plus, our Power Red machines will hydrate you and return your plasma and platelets back to you during the donation process, allowing you to recover quickly and safely.

  • Encourage others to donate: every blood type matters, but we want our O negative donors to know that they have a lifesaving story to share! Share that story with friends and family, on social media and you'll be making a massive difference in your community.

  • Host a blood drive: Take your encouragement one step further and host a blood drive with us! You can host one at your work, church or religious organization, school and so many places where you've plugged into your community. Interested? Let us know and we'll walk you through the process.

Remember: even one donation can help save up to three lives. And if you're O negative, your donation might be the first — and only — option in a crisis.

Book Your Donation Today!