Leaderboard

If your computer is validated to detect ABO incompatibiliity you do not need to perform an IS XM. Our procedure says that only if the LIS is down that we need to perform an IS XM for antibody patients.

The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own. his hgb is down to 10.7. He is still in house. Still no hematologist on the case. Barbara

I agree with every word you say Phil, EXCEPT that, as the baby is fine, trying to identify an antibody directed against a low-prevalence antigen is like hitting your head against a brick wall, over and over and over again! One has to remember that it is not just the specificities within the 701 series (assuming that it is not a novel specificity all together), but most of the "larger" Blood Group Systems also contain low-prevalence antigens (just look at the Diego Blood Group System, as an example); you could spend many "happy" hours testing the plasma, and still get nowhere. So, the serologist in me says "YES", the pragmatist in me shouts "NO"!!!!!!! The thing is, the next pregnancy, if there is one, should, without doubt, be closely monitored (probably by MCA Doppler, or something similar), but, if either an IUT or an exchange transfusion (or a top-up transfusion, come to that) is required, finding compatible blood would be easy, even without knowing the actual antibody specificity.

Although the baby seems to be doing well, it would indeed be nice if the father's cells were available to test with the eluate (and Mom's serum). Or you could have a reference lab take a look for antiboduies to low-incidence antigens. Identifying the antibody might also be helpful in managing future pregnancies which probably would have a 50% chance of the same serologic scenario. I would think that no clinical signs of HDFN are no guarentee that the next child would fare as well. And if nothing else, the ex-blood banker in me would just want to know what the darn thing is!

Hi! I just started in a new blood bank, and Meditech is a .... mess! The blood types are not calculating, I need to add a D control result line because we are using manual gel, remove the Anti-AB and many many other issues that need to be fixed. I worked with BB Meditech for a while, but not the building and changing calculations. I am trying to have Meditech help me, but after a week, I am still trying to reach someone (I heard that their customer service is bad...). I would like to get my hands on a manual or web site on how the calculations work. Do you have any ideas? At this point, I am very frustrated! Helen