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Test Code ABS Antibody Screen

Additional Codes

EPIC LAB4402

 

Clinical Significance

The antibody screen test is used in the detection of unexpected blood group antibodies. In this test, the reagent red blood cells in a hypotonic, buffered, saline solution are combined with patient plasma/serum to allow antigen and antibody interaction. The detection of antibody(ies) occurs when the antigen on cells binds with antibody in plasma and forms an agglutinate that is observed in a glass tubr or MTS card microtube.

 

AABB standards requires that the plasma or serum of every blood recipient be tested for clinically significant, unexpected antibodies as part of pre-transfusion testing. Antibodies that are reactive at 37°C and/or in the AHG phase are morel ikely to be clinically significant.

Methodology

Hemagglutination & gel

Sample Type

Preferred Sample Type
Pink top - EDTA Plasma

 

Acceptable Sample Type(s)
Lavender top - EDTA plasma
Red top - Serum

Centrifuge: Yes (In Blood Bank)

Specimen Minimum Volume

0.5 mL plasma/serum (additional sample needed for antibody ID, if screen is positive)

Specimen Stability

Temperature Time
Ambient (18-25°C)  
Refrigerated (2-8°C) (store)  
Frozen (-15 to -20°C) Do no freeze

Result Interpretations

Antibody Screen Results
Normal Negative
Abnormal Positive

Positive antibody screens reflex to an antibody panel for identification. Antigen typing performed if necessary for new antibody ID or no previous history.

Rejection Criteria

Hemolysis N/A
Icterus N/A
Lipemia N/A

 

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Blood Bank

CPT Code

86850

LOINC

890-4 Blood group antibody screen QI