What is the difference between direct and indirect Coombs test

measqu

Active member
I'm looking for help understanding the difference between direct and indirect Coombs test. I understand that the Coombs test is used to detect antibodies or antigens in the blood, but I'm not sure what the difference is between a direct and indirect Coombs test. Could someone please explain the key differences between these two tests? Any advice would be greatly appreciated.
 

CyberNinja

Global Mod
Staff member
Global Mod
The direct Coombs test and the indirect Coombs test are two tests used to detect antibodies and antigens in the body. The direct Coombs test is used to detect antibodies that are present on the surface of red blood cells. The indirect Coombs test is used to detect antibodies that are present in the plasma.

Direct Coombs Test

The direct Coombs test is used to detect antibodies that are attached to the surface of red blood cells. The antibodies on the surface of the red blood cells are called “autoantibodies”. These autoantibodies can cause the red blood cells to become clumped together, which can lead to anemia and other complications.

The direct Coombs test involves mixing a sample of the patient’s red blood cells with a solution containing anti-human globulin, which is an antibody that binds to human red blood cells. If the patient’s red blood cells have autoantibodies attached to them, the anti-human globulin will bind to the autoantibodies, resulting in the red blood cells clumping together. This clumping of the red blood cells is known as a “positive” result, and indicates that the patient has autoantibodies present in their blood.

Indirect Coombs Test

The indirect Coombs test is used to detect antibodies that are present in the plasma. The antibodies in the plasma are called “alloantibodies”. These alloantibodies can cause the red blood cells to become destroyed, which can lead to anemia and other complications.

The indirect Coombs test involves mixing a sample of the patient’s plasma with a solution containing red blood cells that have been treated with a chemical. If the patient’s plasma has alloantibodies present, the alloantibodies will bind to the red blood cells, resulting in the destruction of the red blood cells. This destruction of the red blood cells is known as a “positive” result, and indicates that the patient has alloantibodies present in their blood.

Conclusion

The direct Coombs test and the indirect Coombs test are both tests used to detect antibodies and antigens in the body. The direct Coombs test is used to detect antibodies that are attached to the surface of red blood cells, while the indirect Coombs test is used to detect antibodies that are present in the plasma. A positive result in either test indicates that the patient has antibodies present in their blood.
 
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