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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.
The urinalysis test involves the collection of urine sample in a specimen cup. The proper collection of a sample is very important in order to avoid contamination of urine. The collection technique is different for men and women. Alcohol wipes should be avoided as these may irritate the area.