A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Platelet Antibody Screen, Serum
Test CodeAPAI2, APAI3
Quest Code
11484
CPT Codes
86022 (x5)
Includes
GPIIb/IIIa (Cell-1)
GPIIb/IIIa (Cell-2)
GPIa/IIa (Cell-1)
GPIa/IIa (Cell-2)
GPIb/IX
GPIV
HLA Class I
GPIIb/IIIa (Cell-2)
GPIa/IIa (Cell-1)
GPIa/IIa (Cell-2)
GPIb/IX
GPIV
HLA Class I
Preferred Specimen
1.5 mL frozen serum collected in a red-top tube (no gel)
Patient Preparation
Do not collect within 72 hours of a platelet transfusion.
Transfused platelets will interfere with this assay.
Minimum Volume
0.5 mL
Instructions
Serum should be separated from red cells prior to shipping.
Note: Erroneous results can occur from bacterial contamination of test materials, inadequate incubation periods, inadequate washing or decanting of test wells, exposure of substrate to stray light, omission of test reagents, exposure to higher or lower than prescribed temperature requirements, insufficient or excessive platelets, or omission of steps. This assay is intended for use as a screening assay. The results of this assay should not be used as the sole basis for a clinical decision. The reaction patterns of a test sample produces with this product should not be relied on solely to establish the identity of a platelet antibody. Therefore, positive or negative results obtained using this assay should be used in conjunction with clinical findings or other serological tests. Some low-titer, low-avidity antibodies may not be detected using this assay. The presence of other HPA polymorphic variants located on GPIIb/IIIa (HPA-6,7,8,9,10,11,14,16,17,19,20,21), GPIa/IIa (HPA-13,18), and GPIb/IX (HPA-12) has not been determined for the antigens captured in this kit. Antibodies to these systems may be reactive in this assay. Antibodies to low incidence HLA Class I antigens may not be detected using this product. This test has not been evaluated for the detection of autoantibodies to platelet antigens. Instead, CBPAN/Cell-Bound Platelet Autoantibody Screen, Blood should be performed.
Note: Erroneous results can occur from bacterial contamination of test materials, inadequate incubation periods, inadequate washing or decanting of test wells, exposure of substrate to stray light, omission of test reagents, exposure to higher or lower than prescribed temperature requirements, insufficient or excessive platelets, or omission of steps. This assay is intended for use as a screening assay. The results of this assay should not be used as the sole basis for a clinical decision. The reaction patterns of a test sample produces with this product should not be relied on solely to establish the identity of a platelet antibody. Therefore, positive or negative results obtained using this assay should be used in conjunction with clinical findings or other serological tests. Some low-titer, low-avidity antibodies may not be detected using this assay. The presence of other HPA polymorphic variants located on GPIIb/IIIa (HPA-6,7,8,9,10,11,14,16,17,19,20,21), GPIa/IIa (HPA-13,18), and GPIb/IX (HPA-12) has not been determined for the antigens captured in this kit. Antibodies to these systems may be reactive in this assay. Antibodies to low incidence HLA Class I antigens may not be detected using this product. This test has not been evaluated for the detection of autoantibodies to platelet antigens. Instead, CBPAN/Cell-Bound Platelet Autoantibody Screen, Blood should be performed.
Transport Container
Transport tube
Transport Temperature
Frozen
Specimen Stability
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen: 1 year
Refrigerated: 48 hours
Frozen: 1 year
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Serum separator tube (SST®)
Methodology
Solid Phase Enzyme-Linked Immunosorbent Assay (ELISA)
Setup Schedule
Mon-sat
Reference Range
See Laboratory Report
Clinical Significance
Platelet antibodies may be allo- or autoantibodies and may be directed to a wide range of antigenic "targets" carried on platelet cytoplasmic membranes. Serum platelet antibody test is optimized to identify the presence of platelet alloantibodies in the patient. Platelet alloantibodies are involved in several clinical situations such as:
- Immune mediated refractoriness to platelet transfusions usually due to antibodies specific to HLA class I and sometimes to antibodies specific to platelet antigens.
- Neonatal alloimmune thrombocytopenia (NAIT)
- Posttransfusion purpura (PTP), which are usually associated with platelet-specific antibodies
This test is not recommended for the diagnosis of immune thrombocytopenia (ITP) or autoimmune thrombocytopenia. Tests that are optimized to detect antibodies bound to the platelets will be useful in these situations; cell-bound platelet antibody (Direct) test is strongly recommended instead of (CBPAN/Cell Bound Platelet Auto-Antibody Screen, Blood).
- Immune mediated refractoriness to platelet transfusions usually due to antibodies specific to HLA class I and sometimes to antibodies specific to platelet antigens.
- Neonatal alloimmune thrombocytopenia (NAIT)
- Posttransfusion purpura (PTP), which are usually associated with platelet-specific antibodies
This test is not recommended for the diagnosis of immune thrombocytopenia (ITP) or autoimmune thrombocytopenia. Tests that are optimized to detect antibodies bound to the platelets will be useful in these situations; cell-bound platelet antibody (Direct) test is strongly recommended instead of (CBPAN/Cell Bound Platelet Auto-Antibody Screen, Blood).
Performing Laboratory
Mayo Clinical Laboratories |
200 1st Street SW |
Rochester, MN 55905-0001 |