Anti-A and anti-B haemolysins are lytic antibodies
that cause haemolysis of red blood cells of recipients when
‘O’ group blood or plasma is transfused to non ‘O’ group
patients. They are known to cross the placenta and cause
haemolytic disease of the newborn. These antibodies are
large fractions of A and B antibodies that belong to IgG and
IgM class of antibodies. Most blood group O individuals that
are over the age of 6 months possessed anti-A and/or anti-B
in their serum if they lack the corresponding A or B antigens
on their red cells. These antibodies may become clinically
significant high titre immune antibodies. The occurrences of
anti-A (alpha haemolysin) and anti-B (beta haemolysin) in
group O donors have been reported to be high in African
population. The prevalence of haemolysins among group O
donors in Federal Teaching Hospital, Abakaliki was
determined using haemolysin assay and antibody titration.
Data obtained were analyzed statistically using descriptive
statistics and inferential statistics of Chi-Square. One hundred
and fifty seven samples from group O donors comprising 126
(80.25%) males and 31 (19.75%) females were enrolled for
this study. Among the overall population studied, a total of
83 (52.87%) had alpha and/or beta haemolysin. Alpha
haemolysin was found in 33 (39.76%), 26 (31.33%) had beta
haemolysin while 24 (28.91%) had both alpha and beta
haemolysin. Among the 83 samples positive for haemolysins, 52 (62.65%) had significant titre (visual titre of 8 and
above) while a total of 53 (63.85%) had visual titre. This
study advocates the need to routinely screen for
haemolysin whenever a group O donor blood is to be
transfused to a non-group O recipient.
Keywords: Haemolysin; Donors; Blood group O; Titre;
Heamolysin assay