Human platelet antibody (HPA) screen - platelet refractoriness
Blood Transfusion
Notes
- Investigation of platelet refractoriness due to Human Platelet Antibodies (HPA)
- Requires Consultant Haematologist approval
- HPA testing is only required if the patient is refractory following transfusion of HLA selected platelets. This investigation will NOT be tested unless initial HLA antibody investigation has been carried out first
- Histocompatibility & Immunogenetics Diagnostic Laboratory Form 3D required to request this test (form available from Transfusion laboratory or here)
- This test is performed at NHSBT Filton, Bristol
- The following factors are known to significantly affect the performance of the examination or the interpretation of the results: lipaemia, sample clotted (if EDTA), haemolysed. Any sample displaying these factors cannot be processed and will be rejected
Sample Requirements

Required Information
NHSBT state that following points of identification MUST be on request form and sample tubes:
- Forename
- Surname
- Date of birth
- Hospital number and / or NHS number
The sample tube(s) must be signed and dated by the person taking the blood.
NHSBT may decline to test inadequately labelled samples.
Turnaround time
7 working days
Information:
Author: Stuart Lord, Lead Transfusion Practitioner
Reviewed date: 22/04/2025
Next review date: 22/04/2027