Antibody Detection and Identification (by LabCE)

(based on 604 customer ratings)

Author: Margaret Alba, DOM, CLS(NCA), BB(ASCP)
Reviewer: Erin Tretter, MBA, MT(ASCP)

Course provided by LabCE.

See more courses in: Blood Banking / Immunohematology

Continuing Education Credits

Florida Board of Clinical Laboratory Personnel Credit Hours - General (Blood Banking / Immunohematology): 2.5 hour(s)
Course number 20-547497, approved through 9/1/2020


  • Discuss methods that are used to facilitate antibody identification.
  • Discuss the reactions that would be seen on an antibody panel if any of the following antibodies are present: homozygous, heterozygous, antibody to high-incidence antigen or low-incidence antigen, and an antibody exhibiting dosage.
  • Outline the process that should be followed to identify the unknown antibodies that are present in the given case studies.
  • Assess antibody panels to determine if any of the following are present: Multiple antibodies, cold antibodies, or warm autoantibodies.
  • Determine how to interpret the strengths of panel reactions, how to choose selected cell panels, and when to run enzyme panels.

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(based on 604 customer ratings)

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Course Outline

  • Introduction
      • Course Introduction
      • Antibody Detection and Identification
  • Methods used for Antibody Detection and Identification
      • Indirect Antiglobulin Test (IAT)
      • Test Methods
      • Significance of Reactions at Different Phases of Testing
      • Products Used to Facilitate Antibody Identification
      • Effect of Enzymes and Dithiothreitol (DTT)
  • Antibody Detection and Identification
      • Initial Steps for Identifying an Antibody
      • Initial Observations of Antibody Panel
      • Rule-Out Procedures
      • Rule-Out Procedures, continued
      • Ruling Out Example
      • Ruling Out Example, continued
      • Ruling Out Example, continued
      • Case Study 1: Immune Alloantibody
      • Case Study 1: Immune Alloantibody, continued
      • Rule Out Procedures: Selecting Additional Rule-Out Cells
      • Rule-Out Procedures: Selecting Additional Rule-Out Cells-- Example
      • Picking Selected Panel Cells Conservatively
      • Rule-Out Procedure Summary Guidelines
  • Differentiate between naturally occurring and immune antibodies
      • Naturally Occurring Antibodies
      • Example Of A Naturally Occurring Antibody
      • Immune Antibodies
      • Example of Clinically Significant Immune Antibody
  • Advanced Antibody ID
      • When to Suspect Multiple Antibodies
      • Example of Dosage and/or Multiple Antibodies Influencing the Strength of Reactions
      • Multiple Antibodies: Example
      • Multiple Antibodies Example, continued: Selected Cell Rule-Out Panel
      • Multiple Antibodies Example, continued: Explanation of Varying Strengths of Reactions
      • When to Suspect an Autoantibody
      • Cold Antibodies
      • Cold Autoantibody Example
      • Example Of A Warm Autoantibody
      • Is It a Cold or a Warm Autoantibody?
  • Antibodies to High Incidence and Low Incidence Antigens
      • Antibodies to Low- and High-Incidence Antigens
      • Examples of Antibodies to Low-Incidence Antigens
      • Examples of Antibodies to High-Incidence Antigens
  • Conclusion
      • Conclusion
  • References
      • References

Additional Information

Level of instruction: Intermediate

Intended Audience: Clinical laboratory technologists, technicians, and pathologists. This course is also appropriate for clinical laboratory science students and pathology residents.
Author information: Margaret Alba, DOM, CLS(NCA), BB(ASCP) is a Lecturer in Clinical Immunohematology at the University of New Mexico in Albuquerque, New Mexico, and a Medical Technologist at Tricore-University Hospital, also located in Albuquerque. She holds a Masters in Oriental Medicine from the International Institute of Chinese Medicine and a Bachelor of Science degree in Medical Technology from the University of Texas at El Paso.
Reviewer information: Erin Tretter, MBA, MT(ASCP), is currently the Rapid Response Laboratory Supervisor at Paoli Hospital. Erin received her Masters in Business Administration from Florida Institute of Technology where she is a member of the Phi Kappa Phi Honor’s Society. She received her BS in Medical Technology from California University of Pennsylvania and has experience as a Generalist, including Blood Bank, Hematology and Chemistry. Erin is currently the Blood Bank Clinical Instructor for the Clinical Laboratory Science Program at St. Christopher’s Hospital for Children and has 7 years experience teaching immunohematology concepts and laboratory procedures to laboratory science students. She has also taught Blood Bank in the Clinical Laboratory Technician program at the Community College of Philadelphia.
Course description: This course will take you through several methods that can be used in the process of identifying an antibody in transfusion medicine. Four case studies are presented that take you step-by-step through these procedures and provide you with appropriate panel results.

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Course provided by LabCE.
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