Glucose-6-phosphate dehydrogenase deficiency in internationally adopted children

Rachel Spring1, Hanna Schlaack1, Marilyn Rice1

  • 1International Adoption Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Pediatric Blood & Cancer
|January 26, 2018
PubMed

Insights

Screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in internationally adopted children is recommended. Prevalence varies by origin, with higher rates in males, impacting malaria treatment and preventing G6PD-related health issues.

Area of Science:

  • Genetics
  • Pediatrics
  • Public Health

Background:

  • Conflicting guidelines exist regarding screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in internationally adopted children.
  • G6PD deficiency is a common genetic disorder with implications for various medical treatments and health outcomes.

Purpose of the Study:

  • To determine the prevalence of G6PD deficiency in a large cohort of internationally adopted children.
  • To analyze variations in G6PD deficiency prevalence based on country or region of origin.
  • To inform clinical practice and public health recommendations for screening.

Main Methods:

  • Retrospective analysis of G6PD deficiency screening results.
  • Inclusion of 2,169 multi-ethnic, internationally adopted children.
  • Stratification of prevalence data by sex and geographic origin.

Main Results:

  • Overall prevalence of G6PD deficiency was 1.6% in the study population.
  • Prevalence was higher in males (2.2%) compared to females (1%).
  • Significant variation in prevalence was observed based on country/region of origin, ranging from 0% to 13% overall and 0% to 22% in males.

Conclusions:

  • G6PD deficiency screening should be strongly considered for internationally adopted children due to varying prevalence.
  • Diagnosis aids in malaria treatment and prevents morbidity/mortality associated with G6PD deficiency.
  • Origin-specific prevalence data can guide targeted screening strategies.

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