INTERACTIVE FORUM

Scenario 1:

A 23-year-old male patient was admitted to the A & E department of a tertiary health facility on account of severe anaemia. samples were sent for CBC and other investigations. The physician indicated urgent PCV.
The result of urgent PCV (15%) was copied out and dispatched to the physician for patient’s care.

While waiting for other results, a request was made for 2 units of blood as part of the treatment protocol and post-transfusion PCV was done after each blood transfusion. The post-transfusion PCV results were 27% and 38% respectively. The physician came later to complain of wrong post-transfusion PCV results. No other issues.

Questions 1: What went wrong or right here? Present your scientific defense.

Scenario 2: A prospective blood donor came to blood transfusion laboratory for donation. He was a 20-year-old boy.

The pre-donation counselling and assessment were done and was found fit at that level. The prospective blood donor indicated 5 months ago as last time of donation.

MLT collected sample for donor screening and the results were these:

Blood group= B Rh. ‘D’ positive; Microfilaria= Not seen; TTIs= All non–reactive and PCV=33%. He was disqualified from donating.

Question 1: What went wrong or right here?

Question 2: The prospective blood donor claimed to be group O Rh. ‘D’ positive. What is likely issue here? How will you verify the claim?