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Transfusion reaction is an adverse immune response that occurs when the body rejects blood received during a transfusion. It is caused by incompatibilities between donor and recipient blood, primarily ABO blood group mismatches or Rh factor incompatibilities that trigger the immune system to attack foreign red blood cells. The ABO Grouping and Rho(D) Typing test is the most important test for preventing transfusion reactions by ensuring blood compatibility before transfusion.
Transfusion reactions are caused by incompatibilities between donor and recipient blood that trigger the immune system to attack foreign blood cells. The most common cause is ABO blood group incompatibility, where receiving the wrong blood type (A, B, AB, or O) causes immediate and potentially life-threatening reactions. Rh factor mismatches, particularly when an Rh-negative person receives Rh-positive blood, can also cause severe reactions. Additionally, irregular antibodies developed from previous transfusions, pregnancies, or transplants can react against specific antigens on donor red blood cells, leading to delayed transfusion reactions that occur hours or days after the transfusion.
The ABO Grouping and Rho(D) Typing test is the most important test for preventing transfusion reactions because it determines your exact blood type (A, B, AB, or O) and Rh factor (positive or negative), which are the primary causes of severe transfusion reactions. This test ensures that you receive compatible blood that your immune system will not reject. The Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing is the best complementary test because it detects irregular antibodies in your blood that could react against donor blood, even when ABO and Rh types match. Together, these tests create a complete compatibility profile that prevents both immediate and delayed transfusion reactions, making blood transfusions safe by identifying potential incompatibilities before they can cause harm.
You should get tested before any planned surgery or medical procedure where blood transfusion might be needed, so healthcare providers know your blood type in advance. Testing is essential if you have a history of multiple transfusions, pregnancies, or organ transplants, as these increase your risk of developing antibodies that could cause reactions. You should also get tested if you experienced symptoms like fever, chills, back pain, dark urine, or difficulty breathing during or after a previous transfusion, as these indicate possible transfusion reaction history. Additionally, if you are pregnant and Rh-negative, testing helps prevent reactions that could affect your baby during pregnancy or future transfusions.
What this means
Your blood type has been identified as O Positive, which is the most common blood type (about 38% of the population). This means you can receive blood from O-positive and O-negative donors, and you can donate to anyone with a positive Rh factor (O+, A+, B+, AB+).
Recommended actions
Keep a record of your blood type in your wallet or phone for emergencies
Share this information with your doctor and update your medical records
Consider becoming a blood donor, as O-positive blood is always in high demand
If you're pregnant or planning pregnancy, discuss your Rh-positive status with your healthcare provider
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