Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran

Background: Glucose 6- phosphate dehydrogenase (G6PD) deficiency is a genetic disorder and assessment of newborns with or without this deficiency is counted as one of the effective components in public health evaluation in different countries. So, this study was aimed to assess prevalence of G6PD de...

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Main Authors: Ali Kazemi, Hossein Norouzi, Mahmood Tohidi Moghaddam, Alireza Naderloo
Format: Article
Language:English
Published: Bushehr University of Medical Sciences 2013-04-01
Series:Iranian South Medical Journal
Subjects:
Online Access:http://ismj.bpums.ac.ir/browse.php?a_code=A-10-3-313&slc_lang=en&sid=1
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author Ali Kazemi
Hossein Norouzi
Mahmood Tohidi Moghaddam
Alireza Naderloo
author_facet Ali Kazemi
Hossein Norouzi
Mahmood Tohidi Moghaddam
Alireza Naderloo
author_sort Ali Kazemi
collection DOAJ
description Background: Glucose 6- phosphate dehydrogenase (G6PD) deficiency is a genetic disorder and assessment of newborns with or without this deficiency is counted as one of the effective components in public health evaluation in different countries. So, this study was aimed to assess prevalence of G6PD deficiency in newborns in Tehran. Material and Methods: This cross- sectional study was done on 1226 newborns (585 male, 641 female) in Rasol Akram and Ali Asghar hospitals in 2009. G6PD screening was done by fluorescent spot test method and G6PD activity was determined by Beutler method. Indices of weight, age, bilirubin level, blood group, and coomb&rsquo;s test and reticulocyte count were recorded for all neonates. Obtained results were assessed using SPSS program (version 16) and T student and Chi square tests and (P<0.05) was considered significant. Results: Of 1226 newborns, 27 newborns (2/2 %) (12 male, 15 female) were G6PD deficient which of 27 neonates, 19 neonates had hyperbilirubinaemia. G6PD activity was 11/4&plusmn;1.1 (U/gHb) in normal newborns but in G6PD deficient newborns was 2.2&plusmn;0.63 (U/gHb) which difference between them was significant. (P=0.027) The mean value of bilirubin was 7.7&plusmn;0.11 (mg/dL) in normal neonates but in deficient was 13.1&plusmn;1.1 (mg/dL) which was statistically higher than normal newborns (P =0.047). Of total newborns transfusion exchange was done for 22 newborns which 8 neonates (36.3 %) of them were G6PD deficient. Conclusion: With regard to prevalence of 2.2 % of G6PD deficiency, necessity of cord blood samples&rsquo; assessment and training the high risk mothers for prevention of hyperbilirubinaemia induced neurologic damage (kernicterus) are recommended.
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spelling doaj.art-cb8620349f7347c48d2fa3469644696f2022-12-22T01:19:47ZengBushehr University of Medical SciencesIranian South Medical Journal1735-43741735-69542013-04-011616168Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of TehranAli Kazemi0Hossein Norouzi1Mahmood Tohidi Moghaddam2Alireza Naderloo3 Department of Pharmacology, School of Specialized Sciences, Science and Research branch, Islamic Azad University, Tehran, IRAN Department of Laboratory Sciences, School of Allied medicine, Tehran University of Medical Sciences, Tehran, IRAN Department of Nutrition, School of Medicine, Tehran University of Medical Sciences, Tehran, IRAN Department of Computer Sciences, School of Allied medicine, Tehran University of Medical Sciences, Tehran, IRAN Background: Glucose 6- phosphate dehydrogenase (G6PD) deficiency is a genetic disorder and assessment of newborns with or without this deficiency is counted as one of the effective components in public health evaluation in different countries. So, this study was aimed to assess prevalence of G6PD deficiency in newborns in Tehran. Material and Methods: This cross- sectional study was done on 1226 newborns (585 male, 641 female) in Rasol Akram and Ali Asghar hospitals in 2009. G6PD screening was done by fluorescent spot test method and G6PD activity was determined by Beutler method. Indices of weight, age, bilirubin level, blood group, and coomb&rsquo;s test and reticulocyte count were recorded for all neonates. Obtained results were assessed using SPSS program (version 16) and T student and Chi square tests and (P<0.05) was considered significant. Results: Of 1226 newborns, 27 newborns (2/2 %) (12 male, 15 female) were G6PD deficient which of 27 neonates, 19 neonates had hyperbilirubinaemia. G6PD activity was 11/4&plusmn;1.1 (U/gHb) in normal newborns but in G6PD deficient newborns was 2.2&plusmn;0.63 (U/gHb) which difference between them was significant. (P=0.027) The mean value of bilirubin was 7.7&plusmn;0.11 (mg/dL) in normal neonates but in deficient was 13.1&plusmn;1.1 (mg/dL) which was statistically higher than normal newborns (P =0.047). Of total newborns transfusion exchange was done for 22 newborns which 8 neonates (36.3 %) of them were G6PD deficient. Conclusion: With regard to prevalence of 2.2 % of G6PD deficiency, necessity of cord blood samples&rsquo; assessment and training the high risk mothers for prevention of hyperbilirubinaemia induced neurologic damage (kernicterus) are recommended.http://ismj.bpums.ac.ir/browse.php?a_code=A-10-3-313&slc_lang=en&sid=1Glucose -6 – phosphate dehydrogenase Hyperbilirubinemia newborns Iran
spellingShingle Ali Kazemi
Hossein Norouzi
Mahmood Tohidi Moghaddam
Alireza Naderloo
Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
Iranian South Medical Journal
Glucose -6 – phosphate dehydrogenase
Hyperbilirubinemia
newborns
Iran
title Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
title_full Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
title_fullStr Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
title_full_unstemmed Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
title_short Prevalence of Glucose-6-phosphate dehydrogenase (G6PD) deficiency of newborns in Rasol Akram and Ali Asghar hospitals of Tehran
title_sort prevalence of glucose 6 phosphate dehydrogenase g6pd deficiency of newborns in rasol akram and ali asghar hospitals of tehran
topic Glucose -6 – phosphate dehydrogenase
Hyperbilirubinemia
newborns
Iran
url http://ismj.bpums.ac.ir/browse.php?a_code=A-10-3-313&slc_lang=en&sid=1
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AT mahmoodtohidimoghaddam prevalenceofglucose6phosphatedehydrogenaseg6pddeficiencyofnewbornsinrasolakramandaliasgharhospitalsoftehran
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