A 13-question approach to resolving serological discrepancies in the transfusion medicine laboratory.

Abstract:

:Laboratory professionals, consultants, and treating physicians may encounter discrepancies in serological testing results for numerous reasons; identifying the reason(s) for the presence of an unexpected antibody or antigen can be challenging. A question-based approach can be useful in identifying the underlying cause of the discrepancy. We describe a new approach to serological problems in a transfusion-service laboratory. The approach we outline herein is targeted towards a general transfusion medicine service, rather than a center that offers complex antibody investigations using specialized techniques. This question-based problem-solving approach considers patient factors including diagnosis, transfusion history, previous pregnancies, and medication history, along with serological test results: ABO and Rh groups, direct and indirect antiglobulin tests, reacting temperature of the antibody, effect of enzyme treatment of cells, strength of reactivity, and antibody reactivity with umbilical cord cells. We also demonstrate the usefulness of this approach through a case scenario.

journal_name

Lab Med

journal_title

Laboratory medicine

authors

Yudin J,Heddle NM

doi

10.1309/LMEWVSNT2F3O5JDN

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

193-206

issue

3

eissn

0007-5027

issn

1943-7730

pii

45/3/193

journal_volume

45

pub_type

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