Direct antiglobulin test positive blood donors and blood transfusion safety

Direct antiglobulin test (DAT), also known as Coomb's test, is a method used in blood immunology to detect whether the surface of red blood cells is sensitized by immunoglobulin or complement. It is mainly used in the diagnosis of autoimmune hemolytic anemia (AIHA), neonatal hemolytic anemia, h...

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Main Authors: JIE Xiaomei, HE Ziyi, HU Yingming, BEI Menghui
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2025-04-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.04.018&lang=en
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author JIE Xiaomei
HE Ziyi
HU Yingming
BEI Menghui
author_facet JIE Xiaomei
HE Ziyi
HU Yingming
BEI Menghui
author_sort JIE Xiaomei
collection DOAJ
description Direct antiglobulin test (DAT), also known as Coomb's test, is a method used in blood immunology to detect whether the surface of red blood cells is sensitized by immunoglobulin or complement. It is mainly used in the diagnosis of autoimmune hemolytic anemia (AIHA), neonatal hemolytic anemia, hemolytic transfusion reaction and blood matching during blood transfusion. DAT positive has always been the focus of researchers, because it has an important impact on the efficacy of blood transfusion. In recent years, there has been extensive research on the identification of DAT positivity types and the distribution characteristics of diseases in clinical patients, and the study on hemolytic disease of the newborn has also been popular. However, the transfusion safety of DAT-positive blood donors has been a hot topic in the field of blood transfusion for many years. Moreover, there is no clear requirement from the state on the handling of DAT-positive blood and whether DAT-positive blood donors should be deferred from donation. Therefore, this article reviews the serological studies on DAT immunotyping and IgG subtype typing of voluntary blood donors, as well as the impact of DAT-positive blood on blood transfusion safety, in order to provide references for the blood issuance strategy of DAT-positive blood and whether DAT-positive blood donors should be deferred.
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publisher Institute of Blood Transfusion of Chinese Academy of Medical Sciences
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spelling doaj-art-99da1e291e854a1c82dcab964621faa32025-08-20T02:16:13ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2025-04-0138457858410.13303/j.cjbt.issn.1004-549x.2025.04.0181004-549X(2025)4-0578-07Direct antiglobulin test positive blood donors and blood transfusion safetyJIE Xiaomei0HE Ziyi1HU Yingming2BEI Menghui3Dongguan Central Blood Station, Dongguan 523000, ChinaDongguan Central Blood Station, Dongguan 523000, ChinaDongguan Central Blood Station, Dongguan 523000, ChinaDongguan Central Blood Station, Dongguan 523000, ChinaDirect antiglobulin test (DAT), also known as Coomb's test, is a method used in blood immunology to detect whether the surface of red blood cells is sensitized by immunoglobulin or complement. It is mainly used in the diagnosis of autoimmune hemolytic anemia (AIHA), neonatal hemolytic anemia, hemolytic transfusion reaction and blood matching during blood transfusion. DAT positive has always been the focus of researchers, because it has an important impact on the efficacy of blood transfusion. In recent years, there has been extensive research on the identification of DAT positivity types and the distribution characteristics of diseases in clinical patients, and the study on hemolytic disease of the newborn has also been popular. However, the transfusion safety of DAT-positive blood donors has been a hot topic in the field of blood transfusion for many years. Moreover, there is no clear requirement from the state on the handling of DAT-positive blood and whether DAT-positive blood donors should be deferred from donation. Therefore, this article reviews the serological studies on DAT immunotyping and IgG subtype typing of voluntary blood donors, as well as the impact of DAT-positive blood on blood transfusion safety, in order to provide references for the blood issuance strategy of DAT-positive blood and whether DAT-positive blood donors should be deferred.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.04.018&lang=endirect antiglobulin test (dat)blood donorhematogenic immunityblood donation recruitmenttransfusion safety
spellingShingle JIE Xiaomei
HE Ziyi
HU Yingming
BEI Menghui
Direct antiglobulin test positive blood donors and blood transfusion safety
Zhongguo shuxue zazhi
direct antiglobulin test (dat)
blood donor
hematogenic immunity
blood donation recruitment
transfusion safety
title Direct antiglobulin test positive blood donors and blood transfusion safety
title_full Direct antiglobulin test positive blood donors and blood transfusion safety
title_fullStr Direct antiglobulin test positive blood donors and blood transfusion safety
title_full_unstemmed Direct antiglobulin test positive blood donors and blood transfusion safety
title_short Direct antiglobulin test positive blood donors and blood transfusion safety
title_sort direct antiglobulin test positive blood donors and blood transfusion safety
topic direct antiglobulin test (dat)
blood donor
hematogenic immunity
blood donation recruitment
transfusion safety
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.04.018&lang=en
work_keys_str_mv AT jiexiaomei directantiglobulintestpositiveblooddonorsandbloodtransfusionsafety
AT heziyi directantiglobulintestpositiveblooddonorsandbloodtransfusionsafety
AT huyingming directantiglobulintestpositiveblooddonorsandbloodtransfusionsafety
AT beimenghui directantiglobulintestpositiveblooddonorsandbloodtransfusionsafety