Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2013, Vol. 09 ›› Issue (05): 696 -700. doi: 10.3877/cma.j.issn.1673-5250.2013.05.032

Special Issue:

Review

Current Status of Neonatal Screening of Glucose-6-Phosphate Dehydrogenase Deficiency

Hui-ying SHU1, Jie YU2, Xiao-Jing LI1()   

  1. 1. Department of Hematology, Chengdu Women's and Children's Central Hospital, Chengdu 610091, Sichuan Province, China
  • Received:2013-05-10 Revised:2013-09-13 Published:2013-10-01
  • Corresponding author: Xiao-Jing LI
  • About author:
    (Corresponding author: LI Xiao-Jing: )

Glucose-6-phosphate dehydrogenase (G6PD) deficiency, a hereditary predisposition to hemolysis, is one of the most common human enzyme defect disease. It is estimated to affect approximately 400 million people worldwide. The most frequent clinical manifestations of neonatal G6PD deficiency are neonatal jaundice, and acute haemolytic anaemia, which are usually triggered by an exogenous agent. Kernicterus is a serious contributor to newborn mortality and morbidity in G6PD deficient babies. It has proved that neonatal G6PD deficiency cloud be well controlled by the newborn screening and comprehensive prevention at home and abroad for decades. At present, several countries have successfully established screening programmes for neonatal G6PD deficiency, but some of the high incidence areas of this disease have not been carried out. This paper reviews the current status, necessity, feasibility, problems and solution paths of neonatal screening for G6PD deficiency.

表1 新生儿疾病筛查的纳入标准
Table 1 Criteria for newborn screening
表2 G6PD缺乏症患者慎用药物
Table 2 Drugs and chemicals to be avoided by persons with G6PD deficiency
表3 G6PD缺乏症患者需在安全剂量内使用的药物
Table 3 Drugs that probably can be safely given in normal therapeutic doses to G6PD-deficient patients without nonspherocytic hemolytic anemia
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