Deteksi Varian Rhesus Dweak pada Populasi Rhesus Negatif di Provinsi DKI Jakarta
Abstract
Background: The Rhesus blood group system is determined by the presence or absence of the D-antigen, and has clinical importance because it can cause Haemolytic Transfusion Reaction (HTR) and Haemolytic Disease of the Newborn (HDN). There are several variants of the D-antigen which are weak, so it will be detected as Rhesus Negative.
Objective: The purpose of this study was to determine the prevalence of the Rhesus D weak blood group variant in DKI Jakarta Province, so that it could determine the identity status of the blood group correctly.
Methods: The samples used in this study were whole blood samples with a maximum storage time of three days in the blood refrigerator. The examination used in this study is the Indirect Antiglobulin Test (IAT).
Results: Rhesus Dweak variant was detected in 103 samples examined using the IAT examination method.
Conclusion: Determination of the Rhesus variant in individuals is necessary to prevent clinical impact on the patient. Further examination is needed to ensure the D-antigen of the Rhesus blood group
References
Primer of Blood Administration, AABB, Chapter 1, page 3-7, Rev.2012.
Daniels G, Human Blood Groups, Second edition, Blackwell Science Ltd, Australia, 2002, Chapter 1
Castillo B, Dasgupta A, Klein K, Tint H, Wahed A, Transfusion Medicine for Pathologist : A Comprehensive Review for Board Preparation, Certification and Clinical Practise, First Edition, 2018, DOI : 10.1016/b978-0-12-814313-1.00005-8
Dean L, Blood Group And Red Cell, National Centre for Biotechnology Information (NCBI), USA, 2005, Chapter 7. The Rh Blood Group
Choate J.D, Clinical Principles of Transfusion Medicine : ABO and Rh Blood Groups, Elsevier, 2018, pp. 15–24. https://doi.org/10.1016/B978-0-323-54458-0.00003-9
Huang CH, Rh Factor and Rh System, Brenner’s Encyclopedia of Genetics 2nd Edition, Vol 6, Elsevier, New York Blood Centre, New York, USA, 2013, https://doi.org/10.1016/B978-0-12- 374984-0.01333-4
Daniels G, Variants of RhD – Current testing and clinical consequences, British Jurnal of Haematology, UK, 2013, https://doi:10.1111/bjh.12275
Westhoff CM, The Stucture and Function of The Rh Antigen Complex, Seminar in Hematology, Elsevier, 2007, American Red Cross and Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, https://doi.org/10.1053/j.seminhematol.2006.09.010
Avent MD, Reid ME, The Rh Blood Group System : A Review, Blood, volume 95, number 2, New York, 2000, https://doi.org/10.1182/blood.V95.2.375
Sandler S.G, Flegel W.A, Westhoff C.M, Denomme G.A, Delaney M, Keller M.A, et.all, Transfusion Medicine and Hemostasis : Rh and RhAG Blood Group Systems, Elsevier, 2019, pp. 149–155. https://doi.org/10.1016/B978-0-12-813726-0.00026-X
Infodatin : Pusat Data dan Informasi, Kementerian Kesehatan RI, Pelayanan Darah di Indonesia, 2016.
Harmening DM, Modern Blood Banking and Transfusion Practices, 5th ed, Philadelphia, PA: F.A, Davis Company, 2005.
Li, Q., Hou, L., Guo, Z.-H., Ye, L.-Y., Yue, D.-Q., & Zhu, Z.-Y. (2009). Molecular basis of the RHD gene in blood donors with DEL phenotypes in Shanghai. Vox Sanguinis, 97(2), 139–46. doi:10.1111/j.1423- 0410.2009.01181.x
Sandler SG, Chen L, Flegel WA, Serological weak D phenotypes : A review and guidance for interpreting the RhD blood type using the RHD genotype, Br J Haematol, Department of Health and Human Services, USA, 2017, available in PMC 2018, doi : 10.1111/bjh.14757
Westhoff CM, Molecular DNA–Based Blood Group Typing, Transfusion Medicine and Hemostasis, Elsevier, 2019, https://doi:10.1016/b978-0-12-813726-0.00024-6
Körmöczi GF, Gassner C, Shao CP, Uchikawa M, Legler TJ, Immunohematology : A comprehensive of DEL types : partial DEL individuals are prone to anti-D alloimmunization, Transfusion, vol.45, October 2005
Rizzo C, Castiglia L, Arena E, Gangi S, Mazzola G, Carusso C, Vasto S, Weak D and partial D: our experience in daily activity, Blood Transfus, University Hospital, Palermo, Italy, 2012, https://doi.org/10.2450/2012.0060-11
Peraturan Menteri Kesehatan RI Nomor 91 tentang Standar Pelayanan Transfusi Darah, 2015.
Wah TS, Chi SN, Kyaing KK, Khin AA, Aung T, Serological Detection of Rh-DEL Phenotype Among Rh-Negative Blood Donors at National Blood Center, Yangon, Myanmar, Hindawi, 2020
Wagner T, Körmöczi GF, Buchta C, Vadon M, Lanzer G, Mayr WR, et al. Anti-D immunization by DEL red blood cells, Transfusion 2005; 45:520-6
Zarandona JM and Yazer MH, The role of the Coombs test in the evaluation of hemolysis in adults, Canadian Medical Association Journal, 2006, DOI: 10.1503/cmaj.051489
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