False-Positive Reactions with Rh Typing Reagents

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The page below is a sample from the LabCE course Overview Of Major Antigens of the Rh Blood Group System. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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False-Positive Reactions with Rh Typing Reagents

Rh antigen testing must strictly adhere to the manufacturer's instructions and clearly understand the limitations of the reagents used in the procedure. Table 6 below delineates some of the more commonly seen false-positive reactions with Rh typing reagents and provides insight into the causes and corrective actions that may be undertaken when these problems are presented.
Table 6. False-Positive Reactions with Rh Typing Reagents.
Likely CauseCorrective Action
Cell suspension too heavy Adjust suspension; retest
Rouleaux Use saline-washed cells; retest
Bacterial contamination of reagent vial Open new vial of reagent; retest
Incorrect reagent selected Read vial label carefully when repeating test
Centrifugation too long Repeat test using shorter centrifugation time, per package insert/SOP