Forecasting Hemoglobinopathy Burden Through Neonatal Screening in Omani Neonates

被引:43
作者
Alkindi, Salam [2 ]
Al Zadjali, Shoaib [2 ]
Al Madhani, Ali [3 ]
Daar, Shahina [2 ]
Al Haddabi, Hamood [2 ]
Al Abri, Qamariya [2 ]
Gravell, David [2 ]
Berbar, Tsouria [1 ]
Pravin, Sahaya [1 ]
Pathare, Anil [2 ]
Krishnamoorthy, Rajagopal [1 ]
机构
[1] Hop Robert Debre, INSERM, U763, F-75019 Paris, France
[2] Sultan Qaboos Univ Hosp, Muscat, Oman
[3] Sohar Hosp, Sohar, Oman
关键词
GENETIC ABNORMALITIES; ALPHA-THALASSEMIA; BETA-THALASSEMIA; DISEASE;
D O I
10.3109/03630261003677213
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
To evaluate the incidence of hemoglobinopathies in Omani subjects and to forecast its future burden on health resources, we initiated a prospective neonatal screening program in two major cities of the Sultanate of Oman. Consecutive cord blood samples from a total of 7,837 neonates were analyzed for complete blood counts and for hemoglobin (Hb) profile by high performance liquid chromatography (HPLC). No case with Hb H (beta 4) was detected. We observed that the overall incidence of alpha-thalassemia (alpha-thal) was 48.5% [based on the presence of Hb Bart's (gamma 4)] and the beta-globin-related abnormalities accounted for 9.5% of the samples (4.8% sickle cell trait, 2.6% beta-thal trait, 0.9% Hb E trait, 0.8% Hb D trait, 0.08% Hb C trait, 0.3% sickle cell disease and 0.08% homozygous beta-thal). This is also the first large study to establish reference ranges of cord red blood cell (RBC) indices for Omani neonates.</.
引用
收藏
页码:135 / 144
页数:10
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