A 28 year old man was screened as a potential blooddonor. He is a healthy donor with unremarkable medical history andno medication. A Medical Technologist performed direct typing as aroutine test for the screening. The reverse typing request wasadded later; during this time the Medical Technologist was swampedwith test requests to perform so she did the procedure as fast asshe could. The initial ABO blood typing results are asfollow:
ABO Testing Results |
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Donor Red Cells with |
Donors Serum with Reagent Cells |
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Anti-A |
Anti-B |
A1 |
B |
0 |
0 |
0 |
0 |
QUESTIONS:
1. Evaluate the ABO results. Are the reactions in theblood typing typical/unusual/ expected to occur?Explain
2. As a quality control, what should the MedicalTechnologist do to establish the correct blood type of thepatient?
3. What could be the possible cause/s of the ABOdiscrepancy in this particular case?