IMMUNOHEMATOLOGY/ o To determine antigens in the
RBCs of an individual by
BLOOD BANKING
using commercially prepared
A branch of immunology which deals with
antisera of known specificity
the uses of immunologic principles to study
2. Serum typing (Backward or
and identify the different blood groups.
Reverse typing)
Blood Bank o To determine antibodies in
A separate area in a hospital where blood is the serum/plasma of an
collected from donors individual by using RBCs of
Performs blood typing
known specificity
Prepares blood and blood components for
transfusion
Blood that is transfused into a recipient
must be tested first to ensure compatibility
with the recipient’s blood.
To reduce the risk of transfusion
reactions
To ensure that the blood/blood
components are safe
ABO BLOOD GROUP SYSTEM
Discovered by Karl Landsteiner (1900s) and
received the Nobel Prize (1930).
He categorized the blood groups as A, B,
and O
AB – 4th major ABO blood type
Discovered by Alfred von Decastello
and Adriano Sturli
Forward and Reverse/Backward
Blood Typing
ABO Blood Typing
A test to determine the blood type of an
individual.
1. Cell typing (Direct or Forward
typing)
Rh BLOOD GROUP SYSTEM MINOR CROSSMATCHING
Discovered by Karl Landsteiner and Patient RBCs are mixed with the
Alexander Wiener (1940) donor serum
5 important antigens: D, C, E, c, e Detects if there are antibodies in the
Rh typing: based on the presence or donor serum that can destroy the
absence of D antigen using an anti-D patients RBCs
antisera PR-DS
o Rh antibodies + human RBCs Blood Components and their
= AGGLUTINATION Rh Indications
POSITIVE WHOLE BLOOD
o Rh antibodies + human RBCs Indication: volume replacement;
= NO AGGLUTINATION Rh restoration of oxygen-carrying
NEGATIVE capacity
PACKED RED BLOOD CELL (PRBC)
Indication: impairment of
oxygenation by acute or chronic
anemia or hemorrhage
WASHED PRBC (washed with NSS)
Indication: patient sensitivity to
plasma proteins
LEUKOCYTE-REDUCED PRBC
Indication: febrile transfusion
reactions
IRRADIATED PRBC (gamma rays)
Indication: prevention of graft-
versus-host disease
PLATELET CONCENTRATE
Indications: thrombocytopenia and
COMPATIBILITY TEST platelet dysfunction (bleeding
Blood typing and crossmatching are patients)
procedures done to prevent harmful FRESH FROZEN PLASMA (FFP)
transfusion reactions between the Effect: replacement of plasma
recipient blood and the donor blood coagulation factors
2 parts: Indications: severe bleeding in
MAJOR CROSSMATCHING unknown factor deficiency
Patient serum is mixed with the CRYOPRECIPITATE
donor RBCs Indications: patients with fibrinogen
Detects if there are antibodies in the defects
patient serum that can destroy the
transfused RBCs from the donor
PS-DR