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ABO Blood Grouping System
Based on the presence or absence of antigens on red blood cells and antibodies in plasma.
Antigens
Carbohydrate molecules on red blood cell surfaces that determine blood type.
ABO gene
The gene on chromosome 9 that controls blood type inheritance, with three possible alleles: A, B, and O.
Dominant Alleles
A and B alleles are dominant over the O allele in determining blood type.
Type A Blood
Blood type characterized by A antigen and anti-B antibodies.
Type B Blood
Blood type characterized by B antigen and anti-A antibodies.
Type AB Blood
Blood type characterized by both A and B antigens and no antibodies (universal recipient).
Type O Blood
Blood type characterized by no ABO antigens and both anti-A and anti-B antibodies (universal donor).
H Antigen
A precursor molecule for both A and B antigens; absent in individuals with the Bombay phenotype.
Landsteiner’s Law
States that individuals produce antibodies against ABO antigens they do not possess.
IgM Antibody
Large pentamer-shaped antibody important in ABO blood group reactions, causing immediate agglutination.
IgG Antibody
Smaller monomer-shaped antibody important in Rh system reactions and able to cross the placenta.
Hemolysis
The destruction of red blood cells, which can occur due to mismatched transfusions.
Rh System
Blood group system involving several antigens, with the D antigen being the most clinically significant.
Anti-D Prophylaxis
Injection given to Rh-negative mothers to prevent antibody formation in cases of Rh incompatibility.
Transfusion Laboratory
A facility ensuring safe blood transfusions through compatibility testing, antibody identification, and crossmatching.
Pre-Transfusion Testing
Laboratory tests performed before blood transfusions to ensure safety and compatibility.
Crossmatching
A method to confirm that donor blood is compatible with the recipient’s plasma.
Immediate Spin Crossmatch
Quick test to check for ABO compatibility with no detectable antibodies.
Indirect Antiglobulin Test (IAT)
Test used to detect antibodies that require AHG for a reaction.
Quality Control in Testing
Measures taken to ensure accuracy and reliability in blood testing.
Agglutination Testing
Detection of antigen-antibody reactions through the clumping of red blood cells.
Positive Reaction
Indicates incompatibility or presence of antibodies in testing.
Negative Reaction
Suggests compatibility and no detectable antibodies.
Severe Reactions of Mismatched Transfusions
Includes Hemolytic Transfusion Reaction, Delayed Hemolytic Reaction, and Febrile Non-Hemolytic Reaction.
Prevention Measures for Transfusion Reactions
Strict compatibility testing and immediate medical intervention if reactions occur.