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Everything posted by gagpinks
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Once a year
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She has been given routine dose at 28 weeks and she had sensitizing event at 32 weeks and this why we received G/S and she is been issued another dose on same day. Sample was taken before anti-D was given so that's strength of reaction wasn't due to recent dose.
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Interesting case!! We have ANC patient whose blood group is O Rh D negative and antibody screen was negative at 28 weeks so she has been given Prophylaxis anti D at 28 weeks. She attend A&E due to sensitizing event at 32 weeks. Her antibody screen positive due to prophylaxis anti-D but strength of the reaction was 4+ by IAT so we sent sample to reference lab for quantification report came back with 1.1 iu/ml and within 3 days its gone up to 4.1iu/ ml. So do we still have to rely on strength of the reaction in conjunction with new guidelines. ?
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I have to prepare 2 case study as a part of my HSD portfolio? Can I present my interesting 10 years old case study where I was involved or does is has to be recently?
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How can you differentiate between anti-LW and auto anti-D ? How can we differentiate between anti-LW and auto anti D?
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Hello USA friend. What method do you use to measure anti-D level. If you are measuring titre what is significant level of titre which can cause HDFN ?
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Hi This might help you.
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I agree with you Malcolm! ! The way we are sending sample to reference lab, I feel like to buy elution kit. But it's their any guidelines on Positive DAT where I could convince my boss. My understanding is to send sample to reference lab if there is strong indication of transfusion reaction or HDFN.
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Hi All My manger has decided to send all positive DAT( even if it's weak positive ) to reference lab for elution if patient has been transfused in last 28 days. Is it really necessary to perform elution when there's no sign of haemolysis ? Is there any guidelines to follow for investigation of positive DAT.
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Thanks Malcolm !! I will definitely mention your name.
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I have been reading about this new blood group antigen discovered in India is called INRA . Does it cause HTR or HDN? Does anyone know is this going present in BBTS congres?
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OMG!! I really have to be careful with my terminology now. I am bit worried now since you are the chief examiner . There used to forum on IBMS website where we can share the experience but I think it is going to be discontinued. Is there anyway can I keep in touch with the HSD students ? Thank you
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Hi I am planning to do Higher specialist diploma run by IBMS ( UK members ) Is anyone doing or has already done this course ? I would be much appreciated if someone can give tips and guidance on this course. Thanks in advance
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R1R1 patient with only anti-E: R1R1 RBC?
gagpinks replied to woebegone1997's topic in Transfusion Services
If you have 70% of population E neg and 14% E neg c neg, that's mean most of your patients are R1r. I would prefer to perform Rh phenotype on patient, if patient is c pos, There is no need to provide E neg c neg blood. If patient has anti-c than you have to provide c neg E neg blood, it's very difficult to find unit which is c neg E pos. -
Our klehuier test is screening test, if more than 2 ml fetal cells seen we send sample to reference lab for quantification. I think when there is screening test CV wouldn't not be helpful.
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Agree with you!
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Hi Malcolm Sorry about using wrong terminology , and yes I would love to learn from you. We arre monitoring this lady as per guidelines. It was just thought came in mind because she developed anti-c during pregnancy. We have performed antibody identification at room temperature and it was reacting strongly 4+( anti-c).
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We have patient who has developed anti-c at 30 weeks gestation.Her antibody screen was negative at 28 weeks and her bloos group is B RhD positive . Sample sent to reference lab for titre and it was 15 and at 34 weeks her titre gone up do 20 iu/ml. Since she developed anti-c her her reverse group is reacting with B cell 2+ or 3+. Do you think it's because of anti-c is IgM in nature. If that the case, Will it casues severe HDFN? Thanks
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Emergency RBC for Pediatric Hospital
gagpinks replied to heathervaught's topic in Transfusion Services
Yes first time heard. We have 2 remote fridge one in maternity and one in theatre for emergency o neg and recently we had UKAS inspection but they didn't raise any NC. In fact they actually went to examine both remote fridge. -
Using mother's specimen for infant type and screen
gagpinks replied to CMCDCHI's topic in Transfusion Services
If baby'sDAT is negative and mother antibody screen is negative at the time of birth or within 72 hours. There is no need to perform antibody screen on baby sample and that result is valid for up to 4 months. -
Hi everyone We recently had a UKAS inspection and they have raised NC on not performing measurements of uncertainty on Kleihauer test . Does anyone had any experience on performing MU. what data do we need to collect to perform MU ?
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We have Lab cold freezer since last 4 years and so far there is no problem .
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Yes I agree!! This is how I found about this website and I just loved it
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Thanks Malcolm Enjoy your holiday! !!
