A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?

Background: This was a meta-analysis and systematic review to determine the global prevalence of the mitochondrially encoded 12S RNA (MT-RNR1) genetic mutation in order to assess the need for neonatal screening prior to aminoglycoside therapy. Materials and Methods: A comprehensive search of MEDLINE...

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Main Authors: Titus S Ibekwe, Sanjiv K Bhimrao, Brian D Westerberg, Frederick K Kozak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:African Journal of Paediatric Surgery
Subjects:
Online Access:http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=2;spage=105;epage=113;aulast=Ibekwe
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author Titus S Ibekwe
Sanjiv K Bhimrao
Brian D Westerberg
Frederick K Kozak
author_facet Titus S Ibekwe
Sanjiv K Bhimrao
Brian D Westerberg
Frederick K Kozak
author_sort Titus S Ibekwe
collection DOAJ
description Background: This was a meta-analysis and systematic review to determine the global prevalence of the mitochondrially encoded 12S RNA (MT-RNR1) genetic mutation in order to assess the need for neonatal screening prior to aminoglycoside therapy. Materials and Methods: A comprehensive search of MEDLINE, EMBASE, Ovid, Database of Abstracts of Reviews of Effect, Cochrane Library, Clinical Evidence and Cochrane Central Register of Trials was performed including cross-referencing independently by 2 assessors. Selections were restricted to human studies in English. Meta-analysis was done with MetaXL 2013. Results: Forty-five papers out of 295 met the criteria. Pooled prevalence in the general population for MT-RNR1 gene mutations (A1555G, C1494T, A7445G) was 2% (1-4%) at 99%. Conclusion: Routine screening for MT-RNR1 mutations in the general population prior to treatment with aminoglycosides appear desirable but poorly supported by the weak level of evidence available in the literature. Routine screening in high-risk (Chinese and Spanish) populations appear justified.
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spelling doaj.art-33648eee8a024081b56335ad096e58fd2022-12-21T23:09:52ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982015-01-0112210511310.4103/0189-6725.160342A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?Titus S IbekweSanjiv K BhimraoBrian D WesterbergFrederick K KozakBackground: This was a meta-analysis and systematic review to determine the global prevalence of the mitochondrially encoded 12S RNA (MT-RNR1) genetic mutation in order to assess the need for neonatal screening prior to aminoglycoside therapy. Materials and Methods: A comprehensive search of MEDLINE, EMBASE, Ovid, Database of Abstracts of Reviews of Effect, Cochrane Library, Clinical Evidence and Cochrane Central Register of Trials was performed including cross-referencing independently by 2 assessors. Selections were restricted to human studies in English. Meta-analysis was done with MetaXL 2013. Results: Forty-five papers out of 295 met the criteria. Pooled prevalence in the general population for MT-RNR1 gene mutations (A1555G, C1494T, A7445G) was 2% (1-4%) at 99%. Conclusion: Routine screening for MT-RNR1 mutations in the general population prior to treatment with aminoglycosides appear desirable but poorly supported by the weak level of evidence available in the literature. Routine screening in high-risk (Chinese and Spanish) populations appear justified.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=2;spage=105;epage=113;aulast=IbekweAminoglycosidemitochondrial geneticsmutationribosomal ribonucleic acidsensorineural hearing loss
spellingShingle Titus S Ibekwe
Sanjiv K Bhimrao
Brian D Westerberg
Frederick K Kozak
A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
African Journal of Paediatric Surgery
Aminoglycoside
mitochondrial genetics
mutation
ribosomal ribonucleic acid
sensorineural hearing loss
title A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
title_full A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
title_fullStr A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
title_full_unstemmed A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
title_short A meta-analysis and systematic review of the prevalence of mitochondrially encoded 12S RNA in the general population: Is there a role for screening neonates requiring aminoglycosides?
title_sort meta analysis and systematic review of the prevalence of mitochondrially encoded 12s rna in the general population is there a role for screening neonates requiring aminoglycosides
topic Aminoglycoside
mitochondrial genetics
mutation
ribosomal ribonucleic acid
sensorineural hearing loss
url http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=2;spage=105;epage=113;aulast=Ibekwe
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