This section processes approximately 2,800 samples daily. They are distributed in lines according to sample type, with clear differentiation between routine analysis and special tests. Our state-of-the-art analysers and haematologists specialising in the analysis and interpretation of the different tests carried out in haematology, haemostasis, immunohaematology, the study of haemoglobinopathies, special coagulation, etc. ensure accurate and efficient results.

If any oncohaematological pathology is suspected, we work with the cytometry and genetics departments to make a correct and early integrated diagnosis.The Haematology department also supports the hospital laboratories and offers a 24-hour on-call service, so that all of Catlab works with the same continuous criteria.

Hematology (EDTA)

The automation and organisation of the area is key to optimising the sample quantity and guaranteeing traceability. This allows us to obtain multiple results with a single tube of whole blood in EDTA. The equipment available for the different techniques is as follows:
  • Hemogram, Differential Block Count, Reticulocytes and cell morphology
  • Sysmex chain XN-9100 series composed of :
    • 3 Sysmex XN 10 analyzers
    • 2 Sysmex XN 20 analyzers
    • 1 Sample Distributor TS 10
    • 1 Slide preparation system SP 50
    • 1 Cellavision DI-60 analyzer connected to the Sysmex chain with 3 validation points
    • 3 optical microscopes Olympus
  • Erythrocyte Sedimentation Rate with 2 VES Matic Cube 30 Touch analysers from Menarini
  • Immunohaematology (Blood grouping, Direct and Indirect Coombs' Test, Identification and Titration of Irregular Antibodies) with 1 IH-500 analyser from BioRad
  • HbA1c Analysis (HPLC) with 2 Horiba Tosoh G-11 analysers
  • Study of haemoglobinopathies (HbA2, Hb Fetal Hb, HbS and other variant haemoglobins) by capillary electrophoresis with 1 Capillarys 3 OCTA analyser from Sebia
  • Alkaline electrophoresis of Haemoglobins with 1 Sebia Hydrasys analyser
  • When studying anaemias, we use a sequential algorithm to add reticulocytes and biochemistry tests. This takes into account the MCV, the reticulocyte value and the patient's history. A haematology physician then assesses the results, allowing the most likely cause of the anaemia to be reported.
  • When studying haemoglobinopathies, a sequential study is performed using HPLC, capillary electrophoresis and alkaline electrophoresis, depending on the results of the haemogram, morphology and diagnostic suspicion. Additionally, the molecular study of alpha thalassaemia can be expanded in the genetics department or the sequencing of haemoglobin chains can be sent to an external reference centre.

Hemostasis(Citrate)

Two ACLTOP 750 analysers are available.
Routine techniques are performed daily on fresh plasma and some less frequent special techniques for the study of hypercoagulability or thrombophilia (Protein C, Protein S and Lupus anticoagulant). In addition, once a week coagulation factors are analysed for the study of coagulopathies (Factors II, V, VII, VIII, VIII, IX, X, XI, XII and Von Willebrand) and other low-frequency techniques.

Manual Techniques

  • Study of Eosinophils in nasal secretions in allergies
  • Kleihauer Test to discount fetal-maternal hemorrhage
  • Analysis of crystals in joint fluids.
  • Staining of Hemosiderine in urine

Hematology Images