kjaggers1

Good morning, Blood Bankers. I work at a Level 1 Trauma center and we just purchased 4 of these coolers. Has anyone had a successful validation plan? If so do you mind sharing. TIA. I am trying to find the most efficient way to validate and make sure we are covering every extreme possible.

I have a little bit more info on my case. In July she had a T&S done and the ABID was neg. She came through our ER as an MVA patient.  We use Capture R method (Echo) All panels show a perfect Jka. The throw off is the Complement is w+ after 5 min incubation. she antigen typed Jka+. Is this a true Jka or possible auto-Jka or varient. Patient was discharged same day. So no extra samples can be collected for send-off to reference lab. Our hospital does not handle OBGYN patients. 

I would most strongly advise you to send a sample, possibly even multiple samples throughout the pregnancy, to a Reference Laboratory.

As the patient is pregnant, there is the possibility that the Jk(a) antigen you are detecting is actually being expressed on the red cells of the foetus, and you are detecting it as a result of a foeto-maternal haemorrhage.  However, the Jk(a) antigen is not necessarily straight forward, as there are weakened forms of the antigen (and the Jk(b) antigen come to that) where there are amino acid substitutions remote from the site usually associated with the Jk(a) and Jk(b) antigens (280 of the mature protein).
In addition though, you have, obviously, to consider the health of the unborn baby who, even if the antibody does turn out to be a maternal auto-anti-Jka, may cause haemolytic disease of the foetus and newborn, albeit this will usually be be very mild.
I attach a PowerPoint which may, or may not help you in your decision to send a sample to your local Reference Laboratory (also tell them the ethnicity of the patient).
 
Interesting case - please keep us informed.
In Depth Lecture on The Kidd Blood Group System.pptx