Haematology Department information: Difference between revisions

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m (Malaria - clarified LAMP PCR, and removed thick film reference)
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A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required.  
A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required.  


D-Dimer, and Factor Assays require one full Blue top
D-Dimer, and Factor Assays require one full Blue top.


=== Investigation of coagulation disorders ===
=== Investigation of coagulation disorders ===
Unexplained abnormalities in coagulations screens will be investigated under the direction of the Head of Department. If a bleeding disorder is suspected, please phone the laboratory for advice on further testing.
Unexplained abnormalities in coagulation screens will be investigated under the direction of the Head of Department and/or Senior scientists. If a bleeding disorder is suspected, please phone the laboratory or a Clinical Haematologist for advice on further testing.


=== Factor VIII ===
=== Factor VIII ===
Routine Factor VIII assays are batched and performed weekly on Thursday. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology lab staff member will be called in to perform this assay. Laboratory staff may contact the requesting Doctor to confirm that the call back is required.
Routine Factor VIII assays are batched and performed weekly on '''Thursday'''. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology scientist will be called in to perform this assay. Laboratory staff may contact the requesting Doctor to confirm that the call back is required.


== Thrombophilia screen ==
== Thrombophilia screen ==
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'''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation.
'''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation.
It is advised to contact a Clinical Haematologist for advice on appropriate thrombophilia screen requests.


== Malaria ==
== Malaria ==
Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive.
Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive.


Malaria screen is performed by LAMP PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens, and thin film examination for species identification.   
Malaria screen is performed by NAAT LAMP (loop-mediated isothermal amplification) PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens, and thin film examination for species identification.   


The required sample type is EDTA whole blood and can be performed from the same tube as the CBC.   
The required sample type is EDTA whole blood and can be performed from the same tube as the CBC.   
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Last reviewed 07/11/2025 by Grace Lim
Last reviewed 10/09/2026 by Grace Lim
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