PTD - 29

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Test Directory -  Haemoglobin S Screen

Synonyms

Sickledex, Sickle Sol, Sickle Solubility Test, Sickle Screen, HbS.

Clinical Indications

To confirm or exclude presence of Haemoglobin S as a confirmation test as part of the haemoglobinopathy screen or in cases of urgent clinical need prior to emergency surgery etc.

Part of Profile

Haemoglobinopathy screen (HPLC)

Request Form

Combined Pathology Blood form (Yellow/Black or Blue for GP's)

Availability

The test will be performed on urgent requests (pre-op) where there is insufficient time to perform HPLC. Please phone the laboratory to request urgent testing. Test performed when confirming HPLC results.

Specific Criteria

Ethnic origin required

Turnaround Time

Same day

Specimen

Whole blood (EDTA)

Volume

1 x 3 ml.

Container

Purple top (EDTA) tube (however, any anticoagulated sample may be used)

Lab. Handling

Hb variants requiring confirmation or definitive diagnosis are  sent to Royal London Hospital.

Causes for Rejection

Unlabelled / inadequately sample. Clotted sample.

Limitations

This test is unreliable:
i) In infants less than 3 months old.
ii) In the presence of Dextrans.

iii) In the presence of abnormal levels of serum protein,.

Reference Range

        

 

Version 1.0 / January 2013