Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix

Noise in the immunohematological investigations can be described as a false reactivity of red blood cells (RBCs) in serologic testing that is not related to the interaction of RBC antigens and antibodies that the test system is intended to detect. These false-positive reactions can cause confusion d...

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Main Authors: Durba Biswas, Debapriya Basu, Mahua Reddy, Suvro Sankha Datta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:https://journals.lww.com/10.4103/ajts.ajts_97_23
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author Durba Biswas
Debapriya Basu
Mahua Reddy
Suvro Sankha Datta
author_facet Durba Biswas
Debapriya Basu
Mahua Reddy
Suvro Sankha Datta
author_sort Durba Biswas
collection DOAJ
description Noise in the immunohematological investigations can be described as a false reactivity of red blood cells (RBCs) in serologic testing that is not related to the interaction of RBC antigens and antibodies that the test system is intended to detect. These false-positive reactions can cause confusion during the cross-matching and RBC antibody screening and may result in delays in patient transfusion. Although these antibodies are predominantly clinically insignificant, proper laboratory work-up is indicated to avoid misidentification of a clinically significant antibody as a noise. In this report, we describe the three rare cases where the reactivity was found against the ingredients of the column matrix (glass beads). It is imperative that such reactivity is recognized and resolved during the investigation of blood group discrepancies, positive RBC antibody screens and in cases of positive cross-matches.
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id doaj-art-79f5cf0f969f4791b6d6eea698ee42e4
institution Kabale University
issn 0973-6247
1998-3565
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Asian Journal of Transfusion Science
spelling doaj-art-79f5cf0f969f4791b6d6eea698ee42e42025-01-08T09:11:58ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652024-12-0118234134410.4103/ajts.ajts_97_23Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrixDurba BiswasDebapriya BasuMahua ReddySuvro Sankha DattaNoise in the immunohematological investigations can be described as a false reactivity of red blood cells (RBCs) in serologic testing that is not related to the interaction of RBC antigens and antibodies that the test system is intended to detect. These false-positive reactions can cause confusion during the cross-matching and RBC antibody screening and may result in delays in patient transfusion. Although these antibodies are predominantly clinically insignificant, proper laboratory work-up is indicated to avoid misidentification of a clinically significant antibody as a noise. In this report, we describe the three rare cases where the reactivity was found against the ingredients of the column matrix (glass beads). It is imperative that such reactivity is recognized and resolved during the investigation of blood group discrepancies, positive RBC antibody screens and in cases of positive cross-matches.https://journals.lww.com/10.4103/ajts.ajts_97_23antibody screeningblood group discrepancyfalse-positive reactionsglass beadspanreactivity
spellingShingle Durba Biswas
Debapriya Basu
Mahua Reddy
Suvro Sankha Datta
Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
Asian Journal of Transfusion Science
antibody screening
blood group discrepancy
false-positive reactions
glass beads
panreactivity
title Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
title_full Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
title_fullStr Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
title_full_unstemmed Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
title_short Red cell antibodies or noise? A case series on reactivity against the ingredients in column matrix
title_sort red cell antibodies or noise a case series on reactivity against the ingredients in column matrix
topic antibody screening
blood group discrepancy
false-positive reactions
glass beads
panreactivity
url https://journals.lww.com/10.4103/ajts.ajts_97_23
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AT debapriyabasu redcellantibodiesornoiseacaseseriesonreactivityagainsttheingredientsincolumnmatrix
AT mahuareddy redcellantibodiesornoiseacaseseriesonreactivityagainsttheingredientsincolumnmatrix
AT suvrosankhadatta redcellantibodiesornoiseacaseseriesonreactivityagainsttheingredientsincolumnmatrix