Test Catalog

Test ID: DCTR    
Direct Antiglobulin Test (Polyspecific), Blood

Useful For Suggests clinical disorders or settings where the test may be helpful

Demonstrating in vivo coating of RBCs with IgG or the complement component C3d in the following settings:

-Autoimmune hemolytic anemia

-Hemolytic transfusion reactions

-Drug-induced hemolytic anemia

Testing Algorithm Delineates situations when tests are added to the initial order. This includes reflex and additional tests.

When the direct antigobulin tests is positive, the DCTR test will be interpreted as “Invalid – See addl testing” and the DATR test will be performed. When direct antiglobulin (DATR) is positive, then the DATR reflex tests, DAT complement 3 and DAT IgG, will be performed at an additional charge.

Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test

IgG antibody or complement components secondary to the action of IgM antibody may be present on the patient's own RBCs or on transfused RBCs.

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

Negative

If positive, test DATR will be performed.

Interpretation Provides information to assist in interpretation of the test results

Negative: No IgG antibody or complement (C3d) detected on the surface of the red cell.

 

Positive: Test DATR will be ordered and performed.

Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances

Autoimmune hemolytic anemia can occasionally occur with a negative direct antiglobulin test.

 

The direct antiglobulin test can be positive in some apparently healthy individuals.

Clinical Reference Recommendations for in-depth reading of a clinical nature

AABB Technical Manual. 19th edition. Edited by MK Fung, AF Eder, SL Spitalnik, CM Westhoff. AABB, 2017