Direct and Indirect Coombs Test: Principle, Procedure, Uses, and Interpretation
Direct and Indirect Coombs Test: Principle, Procedure, Uses, and Interpretation The Coombs test , also known as the antiglobulin test (AGT) , is an important immunohematological laboratory test used to detect antibodies and complement proteins associated with red blood cells (RBCs). It is mainly used in the investigation of immune-mediated hemolysis, blood transfusion testing, and pregnancy-related blood group incompatibility. There are two major types of Coombs tests: Direct Coombs Test (DCT) and Indirect Coombs Test (ICT) . Although both tests use antihuman globulin, they detect antibodies in different locations. The Direct Coombs Test detects antibodies or complement already attached to red blood cells, while the Indirect Coombs Test detects antibodies present freely in the patient's serum or plasma. What Is the Coombs Test? The Coombs test is based on an antigen-antibody reaction involving red blood cells. Some antibodies, particularly IgG antibodies , can attac...