Aim RT-PCR offers many advantages for HLA typing. Rapid turnaround time is the most appreciated for laboratories performing time-sensitive testing related to deceased donors. This technology reduces hands-on time, provides an alternative to gels, avoiding use of ethidium bromide and detects the presence of common null alleles. DNA concentration and 260/280 absorbance ratio are well-established parameters known to affect the quality of results. However, the impact of the 260/230 ratio has not been considered or properly studied. Here, we describe how 260/230 ratio can interfere with accuracy of typing obtained by RT-PCR. Methods RT-PCR typing was performed according to manufacturer instructions using LinkSeq SABR 1580 kits, K3476-AR and K3499-DR in the QuantStudio 6 Flex instrument. Samples were analyzed using Suretyper v.5.0.5 software. Results Troubleshooting samples exhibiting multiple dropout reactions, DNA quality was assessed by 260/280 and 260/230 ratios. Reagents used to isolate nucleic acids, including guanidinium thyocianate (GT), have absorbance near to 230 nm. GT is present in high concentrations in the cartridges used for DNA isolation. Downstream applications, including PCR, are known to be affected by RNA preparations exhibiting low 230/260 ratios. However, there is not much information about the impact of DNA preparations with low 230/260 ratios on typing results obtained by RT-PCR. 260/230 ratio was measured for 10 samples, where multiple reactions either failed or had weak amplifications. In all cases, ratios were less than 1. We compared with 260/230 ratios of samples with robust amplifications and all ratios were above 1.5 and above 1.7 in eight samples. The problematic DNA samples were washed with ethanol and retyped. The 260/230 ratios increased above 1.6 for all samples and the typing obtained had no amplification problems. Finally, we study the effect of the proportion between blood and elution buffer volumes loaded in the DNA isolation cartridges. We found that it could also affect the typing and established a safe range where results are not impacted. Conclusions DNA preparations containing chemical contaminants and the proportion between blood and elution buffer volumes can affect the accuracy of HLA typing results obtained by RT-PCR.