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In the routine of clinical analysis laboratories and blood banks, reliability and precision in blood typing tests are essential to guarantee patient safety. This process is part of Immunohematology, an area of Hemotherapy that studies the antigens present on red blood cells and the corresponding antibodies, with a focus on compatibility between donor and recipient. In other words, it is the field that investigates how the immune system reacts to blood and is therefore fundamental to avoiding adverse reactions during transfusions.
Ebram's Immunohematology range includes reagents such as Anti-A, Anti-B, Anti-AB, Anti-Human serums, Bovine Albumin 22%, as well as reagents used to investigate the Rh factor, such as Anti-D serum and Rh Control. These last two are widely used in the laboratory routine, and because they have complementary characteristics and applications, they can generate doubts as to their specific functions.
In this article, you'll understand why both are important, how they work and the main differences between them.
The Rh factor, also called the D antigen, is a protein present on the surface of red blood cells. People who have this protein are classified as Rh positive (Rh+); those who don't are Rh negative (Rh-).
The correct Rh factor diagnosis is extremely important in two situations:
Anti-D serum is a reagent containing anti-D antibodies used to detect the presence of the D antigen on red blood cells. It is essential in:
The method is based on agglutination: if the D antigen is present in the sample, a visible reaction occurs between the antibodies of the reagent and the antigens of the patient's red blood cells. In the absence of agglutination, further investigation may be necessary, such as the weak D test, which detects less reactive variants of the D antigen.
Rh Control contains the same formulation as Anti-D, except that it does not contain anti-D antibodies and is used as a negative control in tests with Anti-D serum, ensuring that the agglutination observed is specific and true.
Why is it important?
Rh control is essential to rule out false positives, which can occur for a number of reasons:
The expected result with the Rh Control is always the absence of agglutination; if there is agglutination, the result obtained with the Anti-D serum cannot be considered reliable.
| Features | Anti-D serum | Rh control |
| Does it contain antibodies? | Yes, anti-D | No |
| Purpose | Detecting the D antigen | Confirm the reliability of the positive result |
| Positive sample | Clear agglutination | No agglutination |
| Negative sample | No agglutination | No agglutination |
| Type of test | Diagnostic reagent | Negative control |
Both reagents are supplied in 10 mL vials, with an estimated yield of 200 tests, considering the use of 1 drop (50µL) of the reagent and 1 drop of the sample per test.
| Product | Presentation | Income |
| Anti-D serum | 10 mL | 200 tests |
| Rh control | 10 mL | 200 tests |
Ebram's Immunohematology range brings together the main reagents used in the routine of laboratories and blood banks. Produced nationally, all the products strictly follow good manufacturing practices, guaranteeing a high standard of quality.
Given the importance of immunohematology tests in blood banks, minimum specifications are established for the reagents used. With validated performance, reliable stability and results that exceed these requirements, Ebram's reagents offer safety and precision for blood typing and compatibility routines.
The main parameters evaluated for Anti-D serum reagents are avidity and titration.
Avidity indicates the strength with which the antibody binds to the antigen. The higher the avidity, the stronger and faster this binding, guaranteeing safe and reliable reactions. Ebram's Anti-D has an average reaction time of 21 seconds, less than the maximum limit of 30 seconds required by blood banks.
Titration measures the lowest concentration of antibodies in the serum capable of generating a visible reaction in the laboratory. The minimum requirement is 1:32, while Ebram's Anti-D serum reaches 1:64, demonstrating its high sensitivity and efficiency.
The Rh Control, being a negative control, has no titration or avidity parameters.
To find out more about the products or how to purchase them, contact us through our service channels, staffed by specialists who are ready to answer all your questions: Customer Service 0800 500 2424 | e-mail: [email protected]
Sales department: 11 2291-2811 - e-mail: [email protected]