Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals

The current cut-off value for thalassaemia screening is based on a mean corpuscular haemoglobin (MCH) level of less than 27 pg. Samples with MCH < 27 pg require additional confirmatory testing, while samples with MCH > 27 pg are considered normal. However, there is a possibility of missing som...

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Main Authors: Mohd. Yusoff, Mohd. Fauzi, Mohd Tohit, Eusni Rahayu, Hashim, Hafizah, Seman, Zainina
Format: Article
Language:English
Published: Universiti Putra Malaysia 2021
Online Access:http://psasir.upm.edu.my/id/eprint/97154/3/2021120708140602_MJMHS_0524.pdf
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author Mohd. Yusoff, Mohd. Fauzi
Mohd Tohit, Eusni Rahayu
Hashim, Hafizah
Seman, Zainina
author_facet Mohd. Yusoff, Mohd. Fauzi
Mohd Tohit, Eusni Rahayu
Hashim, Hafizah
Seman, Zainina
author_sort Mohd. Yusoff, Mohd. Fauzi
collection UPM
description The current cut-off value for thalassaemia screening is based on a mean corpuscular haemoglobin (MCH) level of less than 27 pg. Samples with MCH < 27 pg require additional confirmatory testing, while samples with MCH > 27 pg are considered normal. However, there is a possibility of missing some types of haemoglobinopathy such as haemoglobin (Hb) E trait, by using this cut-off value. This study aimed to evaluate the dichloroindophenol (DCIP) test for Hb E carriers within healthy individuals. Methods: In total, 200 leftover blood samples with normal full blood count (FBC) results and MCH ≥ 27 pg were collected from students who were involved in the thalassaemia screening program. Blood samples were screened for Hb E by the DCIP test and subjected to haemoglobin analysis using capillary electrophoresis (CE) and gel electrophoresis. Results: Of the 200 leftover blood samples with normal FBC indices, 10 were positive for the DCIP test of which 8 had Hb E trait and 2 had Hb Constant Spring. The DCIP test showed 100% sensitivity and 98.96% specificity with a 100% negative predictive value (NPV) and an 80.0 % positive predictive value (PPV). Conclusion: The DCIP test was an excellent screening tool that, when combined with FBC parameters can produce better results, particularly in areas with a high Hb E incidence.
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spelling upm.eprints-971542022-09-14T01:29:32Z http://psasir.upm.edu.my/id/eprint/97154/ Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals Mohd. Yusoff, Mohd. Fauzi Mohd Tohit, Eusni Rahayu Hashim, Hafizah Seman, Zainina The current cut-off value for thalassaemia screening is based on a mean corpuscular haemoglobin (MCH) level of less than 27 pg. Samples with MCH < 27 pg require additional confirmatory testing, while samples with MCH > 27 pg are considered normal. However, there is a possibility of missing some types of haemoglobinopathy such as haemoglobin (Hb) E trait, by using this cut-off value. This study aimed to evaluate the dichloroindophenol (DCIP) test for Hb E carriers within healthy individuals. Methods: In total, 200 leftover blood samples with normal full blood count (FBC) results and MCH ≥ 27 pg were collected from students who were involved in the thalassaemia screening program. Blood samples were screened for Hb E by the DCIP test and subjected to haemoglobin analysis using capillary electrophoresis (CE) and gel electrophoresis. Results: Of the 200 leftover blood samples with normal FBC indices, 10 were positive for the DCIP test of which 8 had Hb E trait and 2 had Hb Constant Spring. The DCIP test showed 100% sensitivity and 98.96% specificity with a 100% negative predictive value (NPV) and an 80.0 % positive predictive value (PPV). Conclusion: The DCIP test was an excellent screening tool that, when combined with FBC parameters can produce better results, particularly in areas with a high Hb E incidence. Universiti Putra Malaysia 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/97154/3/2021120708140602_MJMHS_0524.pdf Mohd. Yusoff, Mohd. Fauzi and Mohd Tohit, Eusni Rahayu and Hashim, Hafizah and Seman, Zainina (2021) Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals. Malaysian Journal of Medicine and Health Sciences, 17 (suppl.10). pp. 10-13. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2021120708140602_MJMHS_0524.pdf
spellingShingle Mohd. Yusoff, Mohd. Fauzi
Mohd Tohit, Eusni Rahayu
Hashim, Hafizah
Seman, Zainina
Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title_full Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title_fullStr Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title_full_unstemmed Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title_short Evaluation of Dichlorophenolindophenol (DCIP) test for Haemoglobin E (Hb E) in normal red cell indices individuals
title_sort evaluation of dichlorophenolindophenol dcip test for haemoglobin e hb e in normal red cell indices individuals
url http://psasir.upm.edu.my/id/eprint/97154/3/2021120708140602_MJMHS_0524.pdf
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