Determination of the prevalence of hemoglobin S, C, D, and G in neonates from Buenaventura, Colombia

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Autore principale: Matilde de Bernal
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Lingua:en
Pubblicazione: Universidad del Valle 2010
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author Matilde de Bernal
author_facet Matilde de Bernal
contents Determination of the prevalence of hemoglobin S, C, D, and G in neonates from Buenaventura, Colombia Matilde de Bernal Andrés Collazos Rubén Darío Bonilla Edna Patricia Tascón Medicina Anemia Newborn Colombia Prevalence Sickle cell Introduction: Inherited hemoglobinopathies are common among African Blacks. In Buenaventura, a city on Colombia’s Pacific coast, where 92% of the population is Afro-Colombian, there are few published attempts to identify these disorders. Affected individuals require more health care due to higher morbidity and mortality. Early identification of these newborns followed by comprehensive care is important to reduce co-morbidities. Objective: To study newborns and establish the numbers at risk with a bloodspot screening method. This information will demonstrate to Public Health Authorities the need to provide care for this population. Methods: A cross-sectional descriptive study of a sample of 399 newborns (95% CI) where there is an expected prevalence of 10% of abnormal hemoglobins. Mothers in at least the 36th week of gestation, living in the urban area of Buenaventura, were used. Umbilical cord blood was drawn and specimens fixed on filter paper and stored at 4°C. Isoelectric focusing electrophoresis assays were used to separate the hemoglobins. The results were reported according to the identified hemoglobin as F, A, S, C, D, and G. Results: We processed 399 samples, 353 (88.5%) were normal (hemoglobin FA), 23 (5.8%) were heterozygous for hemoglobin C (FAC), 19 (4.8%) were heterozygous for hemoglobin S (FAS), 2 (0.5%) were heterozygous for hemoglobin G (FAG), 1 was heterozygous for hemoglobin D (FAD) and 1 was heterozygous combined S and C (FSC). Conclusion: Hemoglobins S, C, D, and G are common among infants born in Buenaventura. Hemoglobin C occurred more frequently than in other reported studies. This study suggests that both detection and a follow-up program are required in areas with a high density of Afro-Colombian population 2010 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28316817005 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.41
format Artículo científico
id redalyc_28316817005
institution Redalyc
language en
publishDate 2010
publisher Universidad del Valle
spellingShingle Determination of the prevalence of hemoglobin S, C, D, and G in neonates from Buenaventura, Colombia
Matilde de Bernal
Medicina
Anemia
Newborn
Colombia
Prevalence
Sickle cell
Determination of the prevalence of hemoglobin S, C, D, and G in neonates from Buenaventura, Colombia Matilde de Bernal Andrés Collazos Rubén Darío Bonilla Edna Patricia Tascón Medicina Anemia Newborn Colombia Prevalence Sickle cell Introduction: Inherited hemoglobinopathies are common among African Blacks. In Buenaventura, a city on Colombia’s Pacific coast, where 92% of the population is Afro-Colombian, there are few published attempts to identify these disorders. Affected individuals require more health care due to higher morbidity and mortality. Early identification of these newborns followed by comprehensive care is important to reduce co-morbidities. Objective: To study newborns and establish the numbers at risk with a bloodspot screening method. This information will demonstrate to Public Health Authorities the need to provide care for this population. Methods: A cross-sectional descriptive study of a sample of 399 newborns (95% CI) where there is an expected prevalence of 10% of abnormal hemoglobins. Mothers in at least the 36th week of gestation, living in the urban area of Buenaventura, were used. Umbilical cord blood was drawn and specimens fixed on filter paper and stored at 4°C. Isoelectric focusing electrophoresis assays were used to separate the hemoglobins. The results were reported according to the identified hemoglobin as F, A, S, C, D, and G. Results: We processed 399 samples, 353 (88.5%) were normal (hemoglobin FA), 23 (5.8%) were heterozygous for hemoglobin C (FAC), 19 (4.8%) were heterozygous for hemoglobin S (FAS), 2 (0.5%) were heterozygous for hemoglobin G (FAG), 1 was heterozygous for hemoglobin D (FAD) and 1 was heterozygous combined S and C (FSC). Conclusion: Hemoglobins S, C, D, and G are common among infants born in Buenaventura. Hemoglobin C occurred more frequently than in other reported studies. This study suggests that both detection and a follow-up program are required in areas with a high density of Afro-Colombian population 2010 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28316817005 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.41
title Determination of the prevalence of hemoglobin S, C, D, and G in neonates from Buenaventura, Colombia
topic Medicina
Anemia
Newborn
Colombia
Prevalence
Sickle cell
url https://www.redalyc.org/articulo.oa?id=28316817005