Tube versus Gel Cross Match Methods at the National Blood Centre in Malaysia: A Comparative Study

The objective was to determine the prevalence of positive gel cross match in situation of conjoint negative tube cross match and antibody screening in pre-transfusion testing practices. Study design: Prospective analysis of 2,600 samples with negative gel antibody screening...

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Bibliographic Details
Main Authors: Uday Younis, Hussein, Herda, R. Boher, Afifah, H. Hassan
Format: Article
Published: 2013
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Online Access:http://eprints.unisza.edu.my/4403/
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Summary:The objective was to determine the prevalence of positive gel cross match in situation of conjoint negative tube cross match and antibody screening in pre-transfusion testing practices. Study design: Prospective analysis of 2,600 samples with negative gel antibody screening results was done by tube and gel cross-match techniques in the Transfusion Medicine Unit in National Blood Center / Kuala Lumpur. Results: Positive gel cross-match was detected in 12 out of 2,600 (0.5%) tested samples that have negative both antibody screening and tube cross-match testing results. Six (50%) out of the total positive gel cross-match showed strong agglutination reaction (4+ and 3+ agglutination reaction grade). Conclusion: The situation of reactive gel cross-match with conjoint negative gel antibody screening and conventional tube cross match could occur despite using screening cells that cover most of the clinically significant antigens.