Does anyone run an autocontrol with the antibody screen if the patient has a history of clinically significant antibodies?
We do not normally run an autocontrol with our antibody screens (gel). We run them when we do panel work.
I recently ran an autocontrol anticipating a positive screen as the patient already had 3 antibodies, the screen reacted last month, and he had been transfused recently. The screen was negative, the autocontrol was positive, and the eluate was negative. I did go beyond our policy since the screen was negative, but I felt better about issuing the blood, and talked to the supervisor about it. We'd both like to know what the policy is at other places.
