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A rapid paper-based blood typing method from droplet wicking.
Michael J Hertaeg1, Rico F Tabor, Heather McLiesh
1BioPRIA and Department of Chemical Engineering, Monash University, Clayton, VIC 3800, Australia. Gil.Garnier@monash.edu.
The Analyst
|December 16, 2020
Summary
This study introduces a novel paper-based blood typing test that yields results in under ten seconds. This rapid, scalable method offers potential for high-throughput, automated blood typing in clinical settings.
Area of Science:
- Biomedical Engineering
- Analytical Chemistry
- Point-of-Care Diagnostics
Background:
- Traditional gel column agglutination is standard in hospitals but lacks automation and speed.
- Current paper-based diagnostics are often single-use, time-consuming, and not easily automated for large-scale use.
Purpose of the Study:
- To develop a novel, rapid, and scalable paper-based blood typing method.
- To achieve blood typing results suitable for large-scale automation in under ten seconds.
Main Methods:
- A drop of antibody solution and a drop of blood are placed on paper, and blood stain area evolution over time is measured.
- Analysis of paper type, red blood cell concentration, antibody specificity (A, B, D), and antibody dilution effects on sensitivity and reproducibility.
Main Results:
- Positive reactions show significantly slower stain growth rates and smaller final stain sizes compared to negative reactions.
- Low-density, thin paper enhances sensitivity; optimal red blood cell concentration balances wicking, reaction strength, and contrast.
- A and B antibodies are more sensitive than D, but D antigen identification is still successful.
Conclusions:
- This paper-based method offers the fastest blood typing test suitable for large-scale automation.
- The technique has the potential to significantly reduce blood typing time and cost.
- Enables the design of new high-throughput, fully automatable blood typing systems.

