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Prevalence of Glucose-6-Phosphate Dehydrogenase Deficiency in Sichuan, China
Insights
This study screened 20,644 newborns in China for glucose-6-phosphate dehydrogenase (G6PD) deficiency, finding a prevalence of 2.4%. Factors like season and temperature can affect screening test results.
Area of Science:
- Medical Genetics
- Neonatal Screening
- Public Health
Background:
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a common genetic disorder.
- Newborn screening is crucial for early detection and management of G6PD deficiency.
- Understanding regional prevalence and influencing factors is vital for effective public health strategies.
Purpose of the Study:
- To screen newborns in southwestern China for G6PD deficiency.
- To characterize the occurrence and prevalence of G6PD deficiency.
- To analyze factors influencing neonatal G6PD screening test results.
Main Methods:
- A universal newborn screening program evaluated 20,644 infants.
- Heel prick blood samples were collected approximately 72 hours after birth and dried on filter paper.
- The fluorescent spot test was used to detect G6PD deficiency.
Main Results:
- A total of 503 newborns tested positive for G6PD deficiency, yielding an overall prevalence of 2.4%.
- Prevalence was higher in males (2.7%) than females (2.1%).
- Factors such as season, temperature, and specimen storage time can impact test accuracy.
Conclusions:
- The study determined the prevalence of G6PD deficiency in Sichuan, China.
- Optimizing sample delivery and ensuring timely results are essential for effective screening and diagnosis.
- Improving quality control measures can mitigate external factors affecting G6PD testing.
Background:
Our goals were to screen newborns and characterize the occurrence of glucose-6-phosphate dehydrogenase (G6PD) deficiency in southwestern China. Meanwhile, we would like to analyze the factors that might affect the results of neonatal dried blood spots for glucose-6-phosphate dehydrogenase screening test, to improve the clinical quality control level, effectively reduce the external factors in the process of detection.
Methods:
This study involved an evaluation of G6PD data for 20,644 newborns from a universal newborn screening program. Heel prick blood specimens were collected around 72 hours after birth and were dried on filter papers. For G6PD deficiency the fluorescent spot test was employed. We studied the association between incidence of G6PD deficiency and influence factors.
Results:
This study involved an evaluation of G6PD data for 20,644 neonatal heel prick blood samples from 10,984 males and 9,660 females. There were 503 positive results for G6PD deficiency (299 males and 204 females), and the G6PD deficiency-positive rate was estimated to be around 2.4%. The gender-specific prevalence for males was 2.7%, and for females 2.1%. Multiple factors may influence the result of the G6PD test, such as season, temperature, and specimen of indwelling time.
Conclusions:
This study analyzed the prevalence of G6PD deficiency in Sichuan, China. Accelerating the speed of sample delivery and ensuring availability of screening results can aid the screening and diagnosis.
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