A parallel study of red cell antibodies was undertaken using two wellknown
AutoAnalyzer techniques: the bromelin-methylcellulose (BMC) method as
described by Marsh, and the low-ionic strength-Polybrene (LISP) technique of
Lalezari. In the present study, minor modifications were made to both methods,
without changing the basic principle of antibody detection. The results obtained
in this parallel study were compared to standard manual techniques. Screening
of 13,135 sera gave 8.7% positive reactions. Of these, 22% were identified manually
as being caused by red cell antibodies. Further antibodies could be identified by
the machine [described elsewhere].
The sensitivity of the automated methods was generally higher than manual
techniques, about 12 times for the BMC and 70 times for the LISP method. Anti-s,
-Fy^a, -Jk^a, -Jk^h, and -K were less sensitively detected by the BMC than the most
appropriate manual method in a test of 14 commercial typing sera. In no case was
the LISP less sensitive than manual techniques. However, hemolyzing antibodies
can be missed in rare instances. Anti-D was found at a lower sensitivity level of
20-50 ng/ml with the indirect antiglobulin technique, 5-15 ng/ml with the twostage
papain technique, 2-4 ng/ml with the BMC method and 0.2-0.4 ng/ml with
the LISP method. Some weak anti-D’s (5%) reacted more strongly in the BMC
than LISP. When anti-D preparations used for Rh prophylaxis were quantitated
with both methods, the results agreed well.