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Class work, unpublished.
BLOOD COLLECTION,
TYPING AND
TRANSFUSION
PROCESS IN DOGS
Authored By:
LUANAR,2018
shareefngunguni@gmail.com
Shareef Ngunguni, BVM
Page 2
BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS
INTRODUCTION
Canine blood types are classified by the dog
erythrocyte antigen (DEA) system based on
RBC surface antigens and include DEA 1.1,
1.2, 1.3, 3, 4, 5, 6, 7 and 8 although anti-
sera for DEA 6 and 8 are no longer available
(Aiello and Moses, 2016). The most clinically
relevant blood group is DEA 1 which has
three alleles 1.1, 1.2 and 1.3. DEA 1.1 is the
most immunogenic. The theoretic universal
donor is negative for DEA 1.1, 1.2, 3, 5 and
7 and positive for DEA 4( Kilos et al, 2010).
BLOOD COLLLECTION
In dogs blood samples can be collected from
cephalic, saphenous or jugular vein using 20
-22 Gauge needles. Before blood collection
the dog is restrained either manually or
using sling. Then the site of collection is
shaved using an electric clipper or lazor
blade and cleaned with alternating scrubs of
70% alcohol. This helps to remove some
superficial skin contaminants, causes
vasodilation, and improves visualization of
the vein (Aiello and Moses, 2016) .When
collecting blood from cephalic vein, the vein
is firstly located and blood is collected from
distal of the forelimb (near the paw) and
working proximally (away from the paw).
When using the jugular vein, the vein is
located first and it is raised by compressing
distal to thoracic inlet. Sampling sites ranges
from the base of the neck towards the head
along the jugular groove.
Generally blood collection involves insertion
of the needle into the occluded vessels as
far distally as possible. If the initial
venipuncutre attempt is unsuccessful, the
needle is reinserted more proximal to the
previous entry site. The blood is collected in
syringes or directly into anticoagulant tubes.
Once collected in a syringe, the needle is
detached from the syringe before the blood
is transferred into collection tube. This
reduces the amount of hemolysis that may
occur if blood is forcefully ejected through
the narrow lumen of a needle (Abrams-Ogg,
2000). If blood is transferred into a tube
containing an anticoagulant, such as
lavender-topped EDTA tubes, the stopper is
quickly replaced and the tube is gently
inverted a few times to mix the blood with
the anticoagulant. Vigorous shaking can
cause hemolysis. The tube containing the
anticoagulant is at least half filled with blood
to achieve the appropriate blood/
anticoagulant ratio.
BLOOD TYPING
Before going for a blood transfusion, the
donor and recipient should be blood typed
(i.e., blood group should be determined) to
avoid incompatibility problems (Aiello and
Moses, 2016). DEA 1.1 is highly antigenic
and should be determined in all donor and
recipient dogs before transfusion (Tocci &
Ewing 2009).Methods of identifying blood
groups in animals such as canine which
include immmunochromatography assay and
slide/card agglutination test. The tube
method is used and it’s a gold standard for
blood typing but used in reference
laboratories.
The tube method
This method involves the use of antisera,
which contains antibodies specific for each
blood type of a given species, in this case a
dog. It involves collection of whole blood into
tubes containing EDTA, Heparin, or acid-
citrate dextrose anticoagulants. The blood is
Page 3
BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS
centrifuged at 1000g for 10 minutes,
followed by removal of buffy coat and
plasma leaving only erythrocytes. Then
erythrocytes are washed 3 times in saline
solution, centrifuged and resuspended. The
suspended erythrocytes are distributed into
as many tubes as required for the number of
blood type antisera tested for. Then 0.ml of
antisera is added to each well labelled
tubes, incubated for 15minutes at room
temperature and recentrifuged for
15seconds at 1000g. Finally the tubes are
observed macroscopically and
microscopically for the evidence of
hemolysis or agglutination.
Card agglutination method
This method involves the use of test card for
blood typing. The rapid vet – canine DEA 1.1
is an example of blood-typing test card to
class dogs as positive or negative for DEA
1.1. The card contains monoclonal
antibodies specific for DEA 1.1, and has 3
well defined wells labelled as ‘’auto
agglutination patient screen (well 1)’’,’’DEA
1.1 –positive control (well 2)’’ and ‘’patient
test (well 3)’’.Samples are first screened for
auto agglutination in well 1,and samples
must be negative to have valid results. If
auto agglutination is positive, the RBC must
be washed with Phosphate Buffer Saline
until negative result is obtained. Then a drop
of EDTA anticoagulated whole blood is added
into each well and mixed. Positive DEA 1.1
blood shows agglutination/clumps on the
‘’DEA 1.1 positive control well’ ’this is due to
the monoclonal antibodies in the well forms
antiserum, which reacts with positive DEA1.1
erythrocytes. The antiserum in the patient
test well does not react with negative DEA
1.1 erythrocytes.
Immunochromatography Assay
This involves the use of paper strip
impregnated with monoclonal anti-DEA 1.1
antibody and second antibody to a universal
RBC antigen as a control. The strip is dipped
into blood sample solution. RBC solution
diffuses through the strip and if they express
DEA 1.1 they concentrate in an area of
antibody impregnation. The cells also
concentrate to an area of the control
antigen, this indicates that the solution has
successfully diffused up the length of the
strip.
BLOOD TRANSFUSION
Blood Transfusion aims to replace the
missing component of blood and, in the case
of anemia, hemorrhage, hemolysis or
ineffective erythropoiesis, to increase oxygen
carrying capacity. Blood is best administered
intravenously although intra-osseous routes
could be considered if venous access is not
achieved. In most instances a first time
transfusion in a dog of unmatched blood will
not result in any reaction (Abrams-Ogg,
2000).
DEA 1.1 positive donor is compatible with
DEA 1.1 positive recipient, DEA 1.1 negative
donor is compatible with DEA 1.1 negative
recipient, and DEA 1.1 negative donor is
compatible with DEA 1.1 positive recipient,
Universal donors are generally accepted as
being negative for DEA 1.1, 1.2, 3, 5 and 7
but positive for DEA 4; Mismatching during
transfusion can lead to incompatibility
problems such as hemolytic anemia.
The canine donor should be lean, 2-5 years
of age, weigh at least 25 kg, be in good
physical condition, have a packed cell
Page 4
BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS
volume (PCV) of at least 40 %, and be
adequately immunized. It should not have
received prior blood transfusions or had a
prior pregnancy(Tocci & Ewing 2009).
Females should be spayed because of
estrogen influences on platelet number and
function. Potential donors should be blood
typed and vaccinated for distemper,
hepatitis, leptospirosis, parainfluenza, and
parvovirus. A complete blood count, serum
chemistry profile, urinalysis, fecal
examination, should be performed.
CONCLUSION
All in All, blood transfusion is now used in
animals. It is important to know the donor
and recipient blood types before transfusion
to prevent conditions such as hemolytic
anemia in the recipient. Blood must be
properly collected to have a successful
typing and transfusion.
REFERENCES
i. Abrams-Ogg A.( 2000). Practical
Blood Transfusion. In: DAY MJ ET AL.
(Eds), BSAVA manual of canine
andfeline haematology and
transfusion medicine, Gloucester,
U.K.: British Small Animal Veterinary
Association, p. 263–307.
ii. Aiello. E.S and Moses.A.M (2016).The
Merck Veterinary Manual. 11th
Edition.Merk and Co,Inc. Kenilworth.
iii. Kilos,M.B.,Graham,F and lee J.
(2010).Comparison of two anesthetic
protocols for feline blood
donation.Veterinary Anasthesia and
Analgesia.37,230-239.
jjj. Tocci L.J, and Ewing P.J. (2009)
Increasing patient safety in veterinary
transfusion medicine: an overview of
pre-transfusion testing. J Vet Emerg
Crit Care 19,

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Blood collection,typing,and transfusion in dogs

  • 1. Class work, unpublished. BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS Authored By: LUANAR,2018 shareefngunguni@gmail.com Shareef Ngunguni, BVM
  • 2. Page 2 BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS INTRODUCTION Canine blood types are classified by the dog erythrocyte antigen (DEA) system based on RBC surface antigens and include DEA 1.1, 1.2, 1.3, 3, 4, 5, 6, 7 and 8 although anti- sera for DEA 6 and 8 are no longer available (Aiello and Moses, 2016). The most clinically relevant blood group is DEA 1 which has three alleles 1.1, 1.2 and 1.3. DEA 1.1 is the most immunogenic. The theoretic universal donor is negative for DEA 1.1, 1.2, 3, 5 and 7 and positive for DEA 4( Kilos et al, 2010). BLOOD COLLLECTION In dogs blood samples can be collected from cephalic, saphenous or jugular vein using 20 -22 Gauge needles. Before blood collection the dog is restrained either manually or using sling. Then the site of collection is shaved using an electric clipper or lazor blade and cleaned with alternating scrubs of 70% alcohol. This helps to remove some superficial skin contaminants, causes vasodilation, and improves visualization of the vein (Aiello and Moses, 2016) .When collecting blood from cephalic vein, the vein is firstly located and blood is collected from distal of the forelimb (near the paw) and working proximally (away from the paw). When using the jugular vein, the vein is located first and it is raised by compressing distal to thoracic inlet. Sampling sites ranges from the base of the neck towards the head along the jugular groove. Generally blood collection involves insertion of the needle into the occluded vessels as far distally as possible. If the initial venipuncutre attempt is unsuccessful, the needle is reinserted more proximal to the previous entry site. The blood is collected in syringes or directly into anticoagulant tubes. Once collected in a syringe, the needle is detached from the syringe before the blood is transferred into collection tube. This reduces the amount of hemolysis that may occur if blood is forcefully ejected through the narrow lumen of a needle (Abrams-Ogg, 2000). If blood is transferred into a tube containing an anticoagulant, such as lavender-topped EDTA tubes, the stopper is quickly replaced and the tube is gently inverted a few times to mix the blood with the anticoagulant. Vigorous shaking can cause hemolysis. The tube containing the anticoagulant is at least half filled with blood to achieve the appropriate blood/ anticoagulant ratio. BLOOD TYPING Before going for a blood transfusion, the donor and recipient should be blood typed (i.e., blood group should be determined) to avoid incompatibility problems (Aiello and Moses, 2016). DEA 1.1 is highly antigenic and should be determined in all donor and recipient dogs before transfusion (Tocci & Ewing 2009).Methods of identifying blood groups in animals such as canine which include immmunochromatography assay and slide/card agglutination test. The tube method is used and it’s a gold standard for blood typing but used in reference laboratories. The tube method This method involves the use of antisera, which contains antibodies specific for each blood type of a given species, in this case a dog. It involves collection of whole blood into tubes containing EDTA, Heparin, or acid- citrate dextrose anticoagulants. The blood is
  • 3. Page 3 BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS centrifuged at 1000g for 10 minutes, followed by removal of buffy coat and plasma leaving only erythrocytes. Then erythrocytes are washed 3 times in saline solution, centrifuged and resuspended. The suspended erythrocytes are distributed into as many tubes as required for the number of blood type antisera tested for. Then 0.ml of antisera is added to each well labelled tubes, incubated for 15minutes at room temperature and recentrifuged for 15seconds at 1000g. Finally the tubes are observed macroscopically and microscopically for the evidence of hemolysis or agglutination. Card agglutination method This method involves the use of test card for blood typing. The rapid vet – canine DEA 1.1 is an example of blood-typing test card to class dogs as positive or negative for DEA 1.1. The card contains monoclonal antibodies specific for DEA 1.1, and has 3 well defined wells labelled as ‘’auto agglutination patient screen (well 1)’’,’’DEA 1.1 –positive control (well 2)’’ and ‘’patient test (well 3)’’.Samples are first screened for auto agglutination in well 1,and samples must be negative to have valid results. If auto agglutination is positive, the RBC must be washed with Phosphate Buffer Saline until negative result is obtained. Then a drop of EDTA anticoagulated whole blood is added into each well and mixed. Positive DEA 1.1 blood shows agglutination/clumps on the ‘’DEA 1.1 positive control well’ ’this is due to the monoclonal antibodies in the well forms antiserum, which reacts with positive DEA1.1 erythrocytes. The antiserum in the patient test well does not react with negative DEA 1.1 erythrocytes. Immunochromatography Assay This involves the use of paper strip impregnated with monoclonal anti-DEA 1.1 antibody and second antibody to a universal RBC antigen as a control. The strip is dipped into blood sample solution. RBC solution diffuses through the strip and if they express DEA 1.1 they concentrate in an area of antibody impregnation. The cells also concentrate to an area of the control antigen, this indicates that the solution has successfully diffused up the length of the strip. BLOOD TRANSFUSION Blood Transfusion aims to replace the missing component of blood and, in the case of anemia, hemorrhage, hemolysis or ineffective erythropoiesis, to increase oxygen carrying capacity. Blood is best administered intravenously although intra-osseous routes could be considered if venous access is not achieved. In most instances a first time transfusion in a dog of unmatched blood will not result in any reaction (Abrams-Ogg, 2000). DEA 1.1 positive donor is compatible with DEA 1.1 positive recipient, DEA 1.1 negative donor is compatible with DEA 1.1 negative recipient, and DEA 1.1 negative donor is compatible with DEA 1.1 positive recipient, Universal donors are generally accepted as being negative for DEA 1.1, 1.2, 3, 5 and 7 but positive for DEA 4; Mismatching during transfusion can lead to incompatibility problems such as hemolytic anemia. The canine donor should be lean, 2-5 years of age, weigh at least 25 kg, be in good physical condition, have a packed cell
  • 4. Page 4 BLOOD COLLECTION, TYPING AND TRANSFUSION PROCESS IN DOGS volume (PCV) of at least 40 %, and be adequately immunized. It should not have received prior blood transfusions or had a prior pregnancy(Tocci & Ewing 2009). Females should be spayed because of estrogen influences on platelet number and function. Potential donors should be blood typed and vaccinated for distemper, hepatitis, leptospirosis, parainfluenza, and parvovirus. A complete blood count, serum chemistry profile, urinalysis, fecal examination, should be performed. CONCLUSION All in All, blood transfusion is now used in animals. It is important to know the donor and recipient blood types before transfusion to prevent conditions such as hemolytic anemia in the recipient. Blood must be properly collected to have a successful typing and transfusion. REFERENCES i. Abrams-Ogg A.( 2000). Practical Blood Transfusion. In: DAY MJ ET AL. (Eds), BSAVA manual of canine andfeline haematology and transfusion medicine, Gloucester, U.K.: British Small Animal Veterinary Association, p. 263–307. ii. Aiello. E.S and Moses.A.M (2016).The Merck Veterinary Manual. 11th Edition.Merk and Co,Inc. Kenilworth. iii. Kilos,M.B.,Graham,F and lee J. (2010).Comparison of two anesthetic protocols for feline blood donation.Veterinary Anasthesia and Analgesia.37,230-239. jjj. Tocci L.J, and Ewing P.J. (2009) Increasing patient safety in veterinary transfusion medicine: an overview of pre-transfusion testing. J Vet Emerg Crit Care 19,