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SOP

ABO Blood Grouping (Forward and Reverse)

SOP for determining ABO blood group using forward (cell) and reverse (serum) typing.

Last verified 1 month ago 1 min read Blood Bank / Transfusion Medicine Immunohematology #abo grouping #blood typing #forward typing #reverse typing #transfusion
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Document Control
Version
1.0
Effective
Aug 28, 2026
Reviewed
Aug 29, 2026
Department
Blood Bank / Transfusion Medicine
Principle

Forward typing detects A and B antigens on patient RBCs using known antisera. Reverse typing detects naturally occurring anti-A and anti-B antibodies in patient serum using known reagent RBCs.

Standard Operating Procedure: ABO Blood Grouping

1. Purpose: Determine patient ABO blood type for safe transfusion.

2. Specimen: EDTA whole blood (forward) and serum/plasma (reverse).

3. Reagents: Monoclonal Anti-A (blue), Anti-B (yellow), Anti-A,B; 2-5% A1 and B reagent red cells.

4. Procedure:

  • Forward Typing: Add 1 drop patient 3-5% RBC suspension to tubes/slides with Anti-A and Anti-B. Mix, centrifuge (if tube), and read for agglutination.
  • Reverse Typing: Add 1 drop patient serum to tubes/slides with A1 cells and B cells. Mix, incubate 5 mins (RT), centrifuge, and read.

5. Interpretation: Forward and reverse results must match. Discrepancies require investigation.

6. QC: Test reagents daily with known A, B, and O cells/serum.

Frequently Asked Questions

Weak subgroups, cold agglutinins, recent transfusion, or plasma cell disorders (e.g., multiple myeloma).