Joanne P. Scannell Posted February 6, 2017 Share Posted February 6, 2017 How are you handling crossmatching when a patient's plasma contains 'Anti-D due to Rh-Immune Globulin'? This is a passively acquired, low titer Anti-D, we are issuing Rh-negative RBCs and the guidelines (AABB) are too broad ('clinically significant antibodies = extended crossmatch') so they don't seem to address this common situation. Are you performing an Extended Crossmatch or just Immediate Spin for these cases? Link to comment Share on other sites More sharing options...
pbaker Posted February 6, 2017 Share Posted February 6, 2017 Our computer system has RhIg built as "not clinically significant" and will let us electronic crossmatch. TreeMoss, Marianne, tricore and 3 others 6 Link to comment Share on other sites More sharing options...
MelAnn Posted February 7, 2017 Share Posted February 7, 2017 Immediate spin only if we can prove they received RhIg. Link to comment Share on other sites More sharing options...
Likewine99 Posted February 7, 2017 Share Posted February 7, 2017 Still doing IgG crossmatches but they are on an analyzer so that helps. Texas Lynn 1 Link to comment Share on other sites More sharing options...
John C. Staley Posted February 10, 2017 Share Posted February 10, 2017 We honored the anti-D with a full AHG X-M as long as it was detectable. Not really sure why other than it made the corporate Transfusion Service Medical Director happy. Link to comment Share on other sites More sharing options...
MaryPDX Posted February 10, 2017 Share Posted February 10, 2017 We consider anti-D due to Rhogam as a passively acquired antibody and is therefore electronic crossmatch eligible. Malcolm Needs 1 Link to comment Share on other sites More sharing options...
mcgardner Posted February 13, 2017 Share Posted February 13, 2017 Our hospital performs immediate spin if RhIG is in recent history. Link to comment Share on other sites More sharing options...
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