Screening results and genetic features of glucose-6-phosphate dehydrogenase deficiency in 54 025 preterm infants in Chengdu, China.
- Author:
Zhou JIANG
1
;
Mei WANG
1
;
Li TANG
;
Xiao-Li LI
1
;
Chun-Rong LI
;
Xin-Ran CHENG
Author Information
1. Department of Neonatal Screening, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 611731, China.
- Publication Type:Journal Article
- MeSH:
China/epidemiology*;
Female;
Genetic Testing;
Glucosephosphate Dehydrogenase/genetics*;
Glucosephosphate Dehydrogenase Deficiency/genetics*;
Humans;
Infant;
Infant, Newborn;
Infant, Premature;
Mutation
- From:
Chinese Journal of Contemporary Pediatrics
2021;23(5):482-487
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the screening results of glucose-6-phosphate dehydrogenase (G6PD) deficiency and gene mutation distribution of G6PD deficiency in preterm infants in Chengdu, China, in order to provide a basis for the improvement of G6PD screening process in preterm infants.
METHODS:Fluorescent spot test for G6PD deficiency using dried blood spots was used for G6PD screening of 54 025 preterm infants born from January 1, 2015 to December 31, 2019 in Chengdu, and G6PD enzymology and gene detection were used for the diagnosis of 213 infants with positive screening results.
RESULTS:Among the 54 025 preterm infants, 192 were diagnosed with G6PD deficiency, with an incidence rate of 3.55‰. The incidence rate of G6PD deficiency in preterm infants was higher than that in full-term infants in the same period of time and tended to increase year by year. Birth in summer, gestational age <32 weeks, and birth weight <2 500 g were influencing factors for the increase in false positive rate of screening (
CONCLUSIONS:Screening for G6PD deficiency in preterm infants should be taken seriously. It is recommended to apply cold-chain transportation of samples in summer to reduce the false positive rate of primary screening for G6PD deficiency. Genetic tests should be promoted in girls with positive screening results to improve the detection rate of G6PD deficiency in preterm female infants. There are various types of gene mutations in preterm infants with G6PD deficiency in Chengdu, and infants with c.1024C>T mutation tend to have mild conditions.
