Blood Typing Presentation
Blood Typing Presentation
Karl Landsteiner
Austrian Scientist Discovered three of the four blood group system in the year 1900. A, B, and O blood groups
Rh Factor
Presence or absence of the D antigen. Defined as Rh+ or Rh-. Incompatibility can cause Blue-Baby Syndrome of the new born.
Newer Techniques
Procedure
Place 1 drop of anti-A and 1 drop of anti-B reagent separately on a labeled slide or tile. Add 1 drop of 20% test red cell suspension to each drop of the typing antiserum Mix the cells and reagent using a clean stick. Spread each mixture evenly on the slide over an area of 10-15 mm diameter.
Procedure
Tilt the slide and leave the test for 2 minutes at room temperature (22-24C). Then rock again and look for agglutination.
Less sensitive than the tube test Drying up of the reaction mixture can cause aggregation of cells, giving false positive results. Weaker reactions are difficult to interpret.
Tube Testing
Test tubes either of glass or plastic may be used, of lOx75mm size. The tube technique is more sensitive than slide technique for ABO grouping. Cell grouping / forward grouping Serum grouping / reverse grouping
Add I drop of anti-A in tube labeled A, anti-B in tube labeled B, and anti-AB in tube labeled AB. Add 1 drop of 2-5% test cell suspension in the three tubes A,B and AB.
Resuspend cell button by gently shaking the tubes and read against well-lit background. Record results according to grades of agglutination.
This test is used to confirm and must not substitute the front grouping that remains the pillar of ABO typing.
Reverse grouping is useful in resolving the infrequent but possible dubious or weak results in the front typing, and it helps to identify the rare cases of false negative and false positive results.