2019 Volume 10 Issue 2 Special Issue
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Role of Parents' Information and Screening Test Sensitivity in Acute ‎Attack of G6PD Deficiency ‎ ‎


Mozhgan Zahmatkeshan*, Khadijeh Sadat Najib, Neda Bagherian, Fatemeh Ganji, Ali Mohammadi, Seyed ‎Hossein Owji
Abstract

Background: The current study aimed at surveying the screening test accuracy for G6PD (glucose-6-phosphate ‎dehydrogenase) deficiency and the patients' parents information about the disease progression and ‎persistence as determinant factors in hospital admissions of these patients in Shiraz, Southern part of Iran. ‎Methodology: ‎This study was conducted on 239 subjects with the final diagnosis of G6PD deficiency disease from April 2013 to July 2014. The data ‎were obtained through their old chart review and also call interview with their parents. ‎Patients' first hemoglobin level documented in the hospital was considered as the severity marker of the disease. Moreover, the numbers of packed cell RBC ‎transfusions as the probable marker of illness complications and severity were recorded. ‎Results: In the current research, 59.8% of parents were aware of their children`s disease diagnosis ‎before hospital admission. The sensitivity of disease screening test (Fluorescent Spot Test) has been about 59.8% in the selected ‎population. Most of the patients (41.84%) have been admitted with hemoglobin concentration ‎between 5&7 mg/dl, whereas 50.2%, 23.43%, and 7.1% of them have had one, two and more than two times blood transfusion, respectively. ‎Conclusions: ‎The results of this study showed that parents’ information ‎about the disease transient etiology and its improvement with aging were the main reasons for neglecting the ‎condition. Due to complications of disease acute attacks, improvement of illness screening test sensitivity ‎for earlier detection of the patients and screening centers of staff recommendations to take caregivers ‎teachings about the persistent disease etiology and triggering factors should be considered more seriously‎‎‎‎.


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