600.00

SAMPLE TYPE: Blood  GENDER: Both  AGE GROUP: All ages

Test Name: Indirect Coombs Test (ICT)
(Also called: Indirect Antiglobulin Test – IAT)

About:
The Indirect Coombs Test detects antibodies present in the blood that may react against red blood cells (RBCs). It is especially used in pregnancy and before blood transfusions to identify unexpected antibodies that can cause complications.

Test Overview:
ICT helps identify free antibodies in the bloodstream that are capable of attacking donor or fetal red blood cells. It plays a crucial role in ensuring safe blood transfusions and managing pregnancy-related blood group issues.

Reports Delivery:
Usually available within 1 day.

Is Fasting Required:
No

Category:

Description

Number of Tests Included:
Single blood test detecting unexpected antibodies against RBCs.

What is an Indirect Coombs Test?
A laboratory test that looks for antibodies circulating in the blood serum which may target foreign RBCs. These antibodies can cause transfusion reactions or affect the fetus during pregnancy.

Purpose of the Test:

  • Screen for antibodies before blood transfusion

  • Detect Rh incompatibility during pregnancy

  • Evaluate hemolytic disease of the newborn (HDN) risk

  • Identify autoimmune or drug-related hemolytic anemia

  • Monitor antibody levels in Rh-negative pregnant women

Who Should Get This Test?

  • Pregnant women, especially if Rh-negative

  • Individuals requiring blood transfusion

  • Patients with suspected antibody-mediated anemia

  • People with previous transfusion reactions

  • Individuals with autoimmune disorders affecting RBCs

Components of the Test:

  • Detection of unexpected RBC antibodies in serum

  • May include screening and identification panel

Understanding the Test Report:

  • Negative ICT → No harmful antibodies detected; safe for transfusion or pregnancy

  • Positive ICT → Antibodies present; may require:

    • Antibody identification

    • Special cross-matching for transfusion

    • Monitoring during pregnancy

In Pregnancy:

  • Positive ICT in an Rh-negative mother may mean risk of HDN—close monitoring is required.

Preparation and Procedure:

  • Routine blood draw

  • No special preparation required

How is the Test Done?
The patient’s serum is mixed with donor or test RBCs in a controlled environment. Anti-human globulin is added to detect agglutination caused by antibodies.

Best Time for Test:

  • Before any blood transfusion

  • During pregnancy (typically first visit and again at 28 weeks)

Booking and Checking Reports:
You can book the Indirect Coombs Test via SDL, arrange home blood sample collection, and view your report digitally.