ABO & Rh Forward And Reverse Typing Flashcards
Is defined using known sources of reagent antisera (anti-A, anti-B) to detect antigens on an individual’s red cells.
FORWARD GROUPING
Is defined as using reagent cells with known A and B antigens to test the patient’s serum for ABO group antibodies.
REVERSE GROUPING
ABO antibodies are generally
IgM
are cold-reacting antibodies that bind complement and do not cross the placenta.
IgM antibodies
individuals that has been reported to be a mixture of IgG and IgM, or IgG, IgM, and IgA.
Anti-A, B from group-ZO
crosses the placenta more frequently than anti-A or anti-B, confirming the presence of IgG.
Anti-A, B
It traverses the placental barrier more readily than naturally occurring anti-A and anti-B and is often involved in ABO hemolytic disease of the newborn.
Anti-C
ABO antibodies are detectable
3 to 6 months after birth
A and B antigens form
in the 37th day of fetal development
Antigens under ABO are found on the
RBC membrane
Antibodies are found in the
plasma
RECIPROCAL RELATIONSHIP BETWEEN ABO ANTIGENS AND ANTIBODIES
Methods Used in ABO Grouping
- SLIDE METHOD
- TUBE METHOD
Detects the A or B antigens on red cells using the principle of agglutination
SLIDE METHOD
This procedure is called DIRECT OR FORWARD GROUPING and is accomplished by combining cells with a known antiserum and observing for agglutination
SLIDE METHOD
Slide method specimen
WB collected from pricking or from EDTA tube
Slide method Reagent
Typing Sera
⚜Anti-A (Blue; Trypan blue dye)
⚜Anti-B (Yellow; Acriflavin yellow)
⚜Anti-D (White)
Slide method Antisera must be
IgM, Highly specific, and Monoclonal
SLIDE METHOD
Unknown
Known
Unknown: Red Cell Suspension
Known: Antiserum
To know is there are ANTIGENS PRESENT
SLIDE METHOD
Is a more sensitive and reliable method of determining a patient’s blood group than slide testing.
TUBE METHOD
Widely used in blood banks and clinical laboratories consists of direct or forward grouping which identifies the antigens on the cells and confirmatory or REVERSE GROUPING which identifies the blood antibodies in the serum.
TUBE METHOD
TUBE METHOD
Reagent:
Specimen:
Reagent: Reagent Red Cells - from a human source (4-5%)
Specimen: patient serum
TUBE METHOD
Unknown:
Known:
Unknown: Serum or Plasma
Known: Red Cell Suspension