Noninvasive fetal RHD genotyping to guide targeted anti-D prophylaxis-an external quality assessment workshop
- PMID: 30834546
- DOI: 10.1111/vox.12768
VSports在线直播 - Noninvasive fetal RHD genotyping to guide targeted anti-D prophylaxis-an external quality assessment workshop
Abstract
Background and objectives: Fetal RHD genotyping of cell-free fetal DNA from RhD-negative pregnant women can be used to guide targeted antenatal and postnatal anti-D prophylaxis for the prevention of RhD immunization. To assure the quality of clinical testing, we conducted an external quality assessment workshop with the participation of 28 laboratories. VSports手机版.
Materials and methods: Aliquots of pooled maternal plasma were sent to each laboratory V体育安卓版. One sample was positive, and the second sample was negative for fetal RHD, verified by pre-workshop testing using quantitative real-time PCR (qPCR) analysis of RHD exons 4, 5, 7 and 10. Plasma samples were shipped at room temperature. A reporting scheme was supplied for data collection, including questions regarding the methodological setup, results and clinical recommendations. Different methodological approaches were used, all employing qPCR with a total of eight different combinations of RHD exon targets. The samples were tested blindly. .
Results: Fetal RHD genotyping was performed with no false-negative and no false-positive results. One inconclusive result was reported for the RHD-positive sample, and four inconclusive results were reported for the RHD-negative sample. All clinical conclusions were satisfactory V体育ios版. .
Conclusion: This external quality assessment workshop demonstrates that despite the different approaches taken to perform the clinical assays, fetal RHD genotyping is a reliable laboratory assay to guide targeted use of Rh prophylaxis in a clinical setting VSports最新版本. .
Keywords: Rh prophylaxis; cell-free fetal DNA; external quality assessment; fetal RHD genotyping V体育平台登录. .
© 2019 International Society of Blood Transfusion. VSports注册入口.
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