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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
Urine specimens. Urine specimens are collected by either a clean-catch method or from a catheter to obtain diagnostic information and to assess patientsâ status. point-of-care tests, with a routine urinalysis performed in a laboratory as indicated.