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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.
Other things to consider when collecting a urine specimen for urinalysis: 1  Ensure the urine collection container is clean. 2  Verify that the manufacturer of the collection container has guaranteed that the container will not leach interfering substances into the specimen.