Direct Antiglobulin Test For Blood Disorders

Direct Antiglobulin Test For Blood Disorders

The Direct Antiglobulin Test is a blood test that helps detect antibodies attached to red blood cells. Direct Antiglobulin Test (DAT) is essential for diagnosing certain autoimmune and blood disorders.

 

Direct Antiglobulin Test

Here are the basic details of the Direct Antiglobulin Test.

Also Known As DAT Test
Type Blood Test
Purpose Detect Autoimmune Hemolytic Anemia
Sample Type Blood
Preparation None required
Fasting Not required
Gender All genders
Age Group All age groups
Normal Value Negative (No Agglutination)
Reporting Time Within a day
Cost 200 - 600 INR*

*Price range may vary as per location, lab type, and procedure of lab test.

 

Direct Antiglobulin Test Means

The Direct Antiglobulin Test, or DAT, is a blood test.

  • It's used to detect antibodies or proteins on the surface of red blood cells.
  • It helps diagnose autoimmune hemolytic anaemia and certain drug reactions.
  • A positive result means your immune system is attacking your own red blood cells.
  • It's an important tool for understanding and treating blood-related disorders.

 

Direct Antiglobulin Test Purpose

The purpose of the Direct Antiglobulin Test is to:

  • Detects antibodies on the surface of red blood cells.
  • Helps diagnose autoimmune hemolytic anemia.
  • Identifies blood transfusion reactions.
  • Evaluates hemolytic disease in newborns.
  • Ensures safe blood transfusions.

Direct Antiglobulin Test_ Price, Normal Range, Result, Purpose, Meaning and Interpretation - Drlogy Test

 

Direct Antiglobulin Test Preparation

Here is the basic preparation for the Direct Antiglobulin Test.

 

Before Test

  • No special dietary restrictions.
  • Inform your healthcare provider about any medications or supplements you are taking.

 

During Test

  • Passive involvement; the healthcare provider performs the test.

 

After Test

  • Resume regular activities.
  • Follow any post-test instructions provided by your healthcare provider.

 

Direct Antiglobulin Test Procedure

Here is the basic Direct Antiglobulin Test Procedure.

  • A healthcare professional will clean the injection site (usually in your arm) with a sterile wipe.
  • They will insert a small needle into your vein to collect a blood sample.
  • The collected blood will be mixed with specific reagents in a test tube.
  • The mixture is then incubated to allow antibodies to bind to any red blood cells present.
  • After incubation, the blood sample is centrifuged to separate the cells.
  • The supernatant (liquid portion) is carefully removed.
  • The remaining red blood cells are examined under a microscope for agglutination (clumping), which indicates a positive result.
  • The test results help diagnose conditions like hemolytic anemia or autoimmune disorders.

This test is performed in a clinical setting by trained healthcare professionals to assess the presence of antibodies on the surface of red blood cells.

 

Direct Antiglobulin Test Result

Here's how to interpret Direct Antiglobulin Test (DAT) result values.

  • Negative Result: If the test is negative, it means there are no antibodies attached to your red blood cells. This is a normal result.
  • Positive Result: A positive result indicates the presence of antibodies on your red blood cells. It suggests an immune reaction against your own blood cells or the presence of antibodies from an incompatible blood transfusion.
  • Further Evaluation: A positive result may require additional tests to determine the cause. It doesn't provide a specific diagnosis on its own.
  • Medical Consultation: If you have a positive DAT result, it's essential to consult a healthcare professional for proper evaluation and guidance.

 

 

Direct Antiglobulin Test Normal Range

Here is the normal range of the Direct Antiglobulin Test

DAT Result Normal result
Negative No Agglutination

 

Direct Antiglobulin Test Interpretation

Here is the Interpretation of the Direct Antiglobulin Test.

DAT Result Interpretation
Positive Indicates the presence of antibodies or complement proteins attached to red blood cells. This may suggest immune-mediated hemolysis or certain medical conditions. Further testing is often needed.
Negative Suggests the absence of antibodies or complement proteins on red blood cells.

 

Direct Antiglobulin Test Positive Means

Here are possible meanings of a positive Direct Antiglobulin Test (DAT) result.

Positive DAT Result Meaning
Autoantibodies Presence of antibodies
Hemolytic Anemia Suggests blood disorder
Immune Response Immune system activity
Further Evaluation More tests may be needed

 

Direct Antiglobulin Test Negative Means

Here are possible meanings of a negative Direct Antiglobulin Test (DAT) result.

Negative DAT Result Possible Meaning
No Autoantibodies Absence of specific antibodies
Normal Immune System No evidence of immune activity
No Hemolytic Anemia Blood disorder less likely
Routine Screening No need for further tests

 

Specimen Requirements For Direct Antiglobulin Test

Here are the specimen requirements for the Direct Antiglobulin Test.

Specimen

Blood

Volume

4 mL

Container

Lavender-top (EDTA) tube

Collection

Specimens should be tested as soon as possible or within 72 hours of collection. Samples that cannot be tested immediately should be stored at 2°C to 8°C. Do not freeze.

Storage

Room temrature

Sample Stability

Temperature

Period

Room temperature

7 day

Causes for Rejection

Gross hemolysis; bacterial or other contamination; specimen more than five days old

 

Direct Antiglobulin Test is Safe?

The Direct Antiglobulin Test (DAT) is generally safe, and here are two key points:

  • Low Risk: DAT is a blood test, which is a common and relatively low-risk procedure.
  • Minor Discomfort: Some people may experience minor discomfort or bruising at the needle insertion site, but serious complications are rare.

 

When Do You Get Direct Antiglobulin Test Results? 

  • Direct Antiglobulin Test results are typically available within a few hours to a day.
  • The specific reporting time may vary based on the laboratory's workload and policies.

 

Direct Antiglobulin Test Limitation

Here is the basic limitation of Direct Antiglobulin Test.

  • The Direct Antiglobulin Test can yield false-positive or false-negative results.
  • It may not pinpoint the exact cause of hemolytic anemia.
  • Other tests and clinical assessments are often needed for a complete diagnosis.
  • Interpretation may vary between laboratories, affecting consistency.
  • Some medications and medical conditions can interfere with results.

 

Direct Antiglobulin Test Risk Factors

Here are some of the risk factors of the Direct Antiglobulin Test.

  • Previous blood transfusions
  • Autoimmune disorders
  • Hemolytic disease of the newborn
  • Medications like penicillin and methyldopa
  • Family history of hemolytic anemia

 

Doctor Recommendations After Direct Antiglobulin Test Result

 Here are the Doctor's recommendations or consult a specialist after the Direct Antiglobulin Test.

Test Result Doctor to Visit Reason
High Hematologist Evaluate potential health issues
Normal No specific doctor Monitor general health
Low Hematologist Investigate low antibody levels

 

Direct Antiglobulin Test Price

Here are the estimated Direct Antiglobulin Test Prices in India with different top cities:

City

Price Range (INR)*

Mumbai

200-600

New Delhi

300-600

Bangalore

200-600

Hyderabad

300-600

Kolkata

200-600

Pune

300-600

Lucknow

200-600

Noida

300-600

Surat

300-600

Gurugram

200-600

Patna

300-600

Chennai

200-600

Jaipur

300-600

Ahmedabad

200-600

*Prices are approximate and vary depending on a specific laboratory or healthcare facility.

 

Summary

Overall, Direct Antiglobulin Test helps diagnose autoimmune hemolytic anemias by detecting antibodies attached to red blood cells, aiding in the identification and management of these conditions. Also check Drlogy Test for detailed information about all medical tests for patients, doctors, scholers and medical students.

 

Reference

  • Direct Antiglobulin Test - Wikipedia [1].
  • The Direct Antiglobulin Test: Indications and Interpretation - NIH [2].

 

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FAQ

What is a direct Antiglobulin test for?

The direct Antiglobulin test (DAT) is used to detect the presence of antibodies or complement proteins bound to the surface of red blood cells, indicating immune-mediated hemolysis.

What does a positive DAT indicate?

A positive DAT suggests the presence of antibodies or complement on red blood cells, pointing to immune-mediated hemolytic anemia. It helps diagnose conditions like autoimmune hemolytic anemia.

What is the difference between DAT and Coombs test?

The terms DAT (direct Antiglobulin test) and Coombs test are often used interchangeably. However, the DAT specifically refers to the test detecting antibodies or complement on RBCs, while Coombs test encompasses both direct and indirect tests.

What is the purpose of a DAT test?

The DAT is crucial for diagnosing autoimmune hemolytic anemia and hemolytic disease of the newborn. It aids in identifying antibodies or complement proteins that may lead to the destruction of red blood cells.

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