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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.
1 The urine is then collected in a clean urine specimen cup while the patient is urinating. 2  It is best to avoid collecting the initial stream of urine. 3  After the initial part of urine is disposed of in the toilet, then the urine is collected in the urine container provided.