Study on Weak D Prevalence among Blood Donors and Patients

A Study On Weak D Prevalence Among Blood Donors And Patients

Authors

  • Moxda S. Patel
  • Sejal R. Kakadiya
  • Jayshree M. Shah

DOI:

https://doi.org/10.70284/njirm.v8i2.1197

Keywords:

Coomb’s gel card,Donor,Patient,Weak D antigen

Abstract

Background and Objectives: Our study is designed to determine the frequency of weak D antigen in donors and patients coming to our tertiary care hospital which is important when labelling the donor and patient as the donor is labelled D positive, patient as D negative. Methodology: In our centre all blood donors and patients samples are tested for ABO and RhD using anti-D IgM monoclonal and a blend anti-D IgM and IgG reagents. The blood samples which were negative for agglutination by immediate spin method were further tested for weak D using IgG anti-D in the IAT phase with LISS/Coomb’s gel card. Results: A total 26020 blood samples were tested(4491 donors, 21529 patients) during the period September 2015 to September 2016.Among these 24489 were Rh D positive(94.11%) and remaining 1531(5.89%) were Rh D negative. A total of 05 were weakD positive constituting 0.326% of Rh D negative and 0.019 % of total individual screened. Conclusion: This study shows the prevalence of weakD antigen in our population and to inform them about their status as donor and recipient of blood to prevent the hazards of blood transfusion. [Moxda P NJIRM 2017; 8(2):35-38]

References

1. Srikrishna A, Sitalakshmi S, Devi S, Damodhar P, Jayanti M, Paul R. The Rh enigma-problems encountered. Indian Journal of Hematology and Blood Transfusion. 2001;19(4):102-03.
2. Das S, Kumar H. The Rh enigma prospects and pitfalls International Journal of Basic and Applied Medical sciences. 2013;3(1):210-14.
3. Kumar H., Mishra D.K., Sarkar R.S. and Jaiprakash M. - Difficulties in Immunohaematology: The weak D Antigen. MJAFI. 61:348-350, 2005.
4. Mayne K, Bowell P, Woodward T, Sibley C, Lomas C, Tippett P. Rh immunization by the partial D antigen of category DVa. Br J Haematol 1990;76:537-9.
5. Rafei UM. Standard operating procedures for blood transfusion service. World Health Organization. New Delhi. 2002:1-116.
6. Henry’s Clinical Diagnosis and Management by Laboratory methods,1st South Asia edition:680-695,2016
7. WHO Transfusion Medicine,Technical Manual 2nd Edition:75-87,2003
8. Philip; Rufus E. Stetson. - An unusual case of intragroup agglutination. J Am Med Assoc. 113(2):126-127, 1939.
9. Wagner F.F., GassnerC., Muller T.H., Schorritzer D., Schunter F., Flegel W.A. - Molecular basis of weak D phenotypes. Blood. 93:385-393, 1999
10. Merilyn W. The Rh blood group system. In: Modern blood banking and transfusion practices. Harmening DM (ed), Philadelphia FA Davis Co.2008: pp134-47.
11. Stratton F. A new Rh allelomorph.Nature. 1946;158:25-26.
12. Race RR, Mourant EE, Lawler SD, Sanger R. The Rh chromosome frequencies in England. Blood. 1948;3:689-95.
13. Acharya S, Kumar R, Acharya R, Kudesia S, Kishore S. Weak D antigen – Revisited. Indian Medical Gazette. 2011:342-45
14. Bhatia H.M. - Mumbai: Blood Group Reference Centre, Indian Council of Medical Research : 44, 1977.
15. Tippet P. - Subdivisions of the Rh antigen D, review. Med Lab Sci. 45:888-891, 1988.
16. Kotwal U, Raina TR, Sidhu M, Dogra M. Distribution of ABO &Rh(D) blood groups among blood donors of Jammu region with respect to
various ethnic groups. Journal of Medical Thesis. 2014;2(1):31-34.
17. Pahuja S, Pujani M, Sethi N, Kushwaha S, Jain M, Kumari R. Frequency of variant D in Delhi,India. Asian J Transfus Sci. 2014;8(2):142-43.
18. Agarwal N, Chandola I, Agarwal A. Prevalence of weak D in northern hilly areas of Uttarakhand, India. Asian J Transfus Sci. 2013;7(1):90-91.
19. Makroo RN, Raina V, Chowdhry M, Bhatia A, Gupta R, Rosamma NL. Weak D prevalence among indian blood donors. Asian J Transfus Sci. 2010;4(2): 137-39.

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Published

2018-01-31

How to Cite

Patel, M. S., Kakadiya, S. R., & Shah, J. M. (2018). Study on Weak D Prevalence among Blood Donors and Patients: A Study On Weak D Prevalence Among Blood Donors And Patients. National Journal of Integrated Research in Medicine, 8(2), 35–38. https://doi.org/10.70284/njirm.v8i2.1197

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Original Articles