POLYETHYLENE-GLYCOL VERSUS LOW-IONIC-STRENGTH SOLUTION IN PRETRANSFUSION TESTING - A BLINDED COMPARISON STUDY

Background: Polyethylene glycol (PEG) has been shown to potentiate ant igen-antibody reactions. Study Design and Methods:To investigate the u tility of PEG in pretransfusion testing, a blinded comparison study of PEG and a low-ionic-strength additive solution (LISS) was conducted. A total of 500 patient samples were tested in parallel with reagent an tibody-detection cells using blind-coded PEG and LISS potentiators. Re sults: in 34 (34%) of 100 samples with known antibodies in the Ph, Kel l, Duffy, Kidd, and MNS systems, PEG antiglobulin reactions were stron ger (total score, 382) than LISS antiglobulin reactions (total score, 216), and in 66 cases (66%), they were equal to those of LISS. Of 400 samples without detectable antibodies, 384 were negative with PEG and LISS, and 16 were positive in PEG tests and negative in LISS. Seven of the 16 were clinically important antibodies (D 1; E, 3; Fy(a), 1; Jk( a); 1; Jk(b), 1), and four were clinically benign antibodies (Le(a), 2 ; McC(c), 1; Sd(a), 1). Five of the 16 demonstrated inconclusive PEG r eactions, for a false-positive rate of 5 in 400 (1.3%). Of the 500 sam ples, none was negative in PEG tests and positive in LISS (0% false-ne gative rate). Conclusion: Although PEG demonstrates a relatively high false-positive rate, PEG is more sensitive than LISS in detecting clin ically significant antibodies.