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Coombs Test - Indirect in Kolkata
(ICT)
You need to provide
Blood
This test is for
Male, Female
Test Preparation
Understanding Coombs Test - Indirect in Kolkata
What is Coombs Test - Indirect in Kolkata?
The Indirect Coombs Test (ICT) is also called as Indirect Antiglobulin Test. It is performed to identify the presence or absence of antibodies in blood directed against antigens found on red blood cells.
ICT test is done at the time of donating blood, tissue, or organ, before receiving blood during the transfusion to determine the compatibility with donated blood, and during pregnancy to determine the risk of incompatibility between mother and fetus.
The Indirect Coombs Test is performed on the principle of the antigen-antibody reaction. It is used to detect very low concentrations of antibodies present in a patient’s plasma. The ICT can also be used for compatibility testing, antibody identification, RBC phenotyping, and titration studies.
Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Coombs Test - Indirect in Kolkata
Frequently Asked Questions about Coombs Test - Indirect in Kolkata
Q. Is there any risk associated with this test?
There is no risk associated with the test. However, since this test involves a needle prick to withdraw the blood sample, in very rare cases, a patient may experience increased bleeding, hematoma formation (blood collection under the skin), bruising or infection at the site of needle prick.
Q. What other tests can be prescribed by your doctor in case of abnormal Indirect Coombs test result?
Additional test that may be prescribed in case of abnormal Indirect Coombs Test result is Antibody Identification Test. It helps to determine which antibodies are present in the sample that are causing an incompatibility reaction.
Q. What else can the Indirect Coombs Test be used for?
The Indirect Coombs Test can also be used to help diagnose the cause of hemolytic anemia due to autoimmune conditions. In an autoimmune disorder, antibodies are produced against the body’s own RBCs which attack and destroy the RBCs causing hemolytic anemia. Autoimmune hemolytic anemia can be caused by autoimmune diseases like Systemic Lupus Erythematosus, mycoplasma pneumonia infections, or certain cancers like lymphocytic leukemia and lymphoma.
Q. What is the difference between Indirect and Direct Coombs Tests?
Both Indirect and Direct Coombs Test are performed to determine the presence of anti-human RBC antibodies directed against human RBC antigens found on the RBCs. The Indirect Coombs Test is performed to determine antibodies produced against incompatible RBCs obtained from outside the body (as during a blood transfusion or during pregnancy). Whereas, the Direct Coombs Test is performed to detect the presence of antibodies directed against the patient’s own RBCs, which occurs during autoimmune diseases. Also, antibodies detected by the Indirect Coombs Test are present in the serum, while those detected by the Direct Coombs Test are attached to the surface of the RBCs. The Direct Coombs Test is performed to confirm if hemolytic anemia is being caused due to autoimmune disorder. The Indirect Coombs Test is performed primarily to determine compatibility of blood transfusion, or to check for Rh compatibility between a pregnant woman and her child before or during pregnancy.
Q. What is HDFN?
Hemolytic Disease of Fetus and Newborn or HDFN is a condition where the blood type of the fetus is incompatible with the blood type of the mother. The most severe reactions typically occur due to Rh incompatibility, where antibodies are produced in the Rh negative mother against Rh positive fetus. These antibodies cross the placenta and react with the RBC of the fetus, causing HDFN.
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