Article (Scientific journals)
Neonatal haemoglobinpopathy screening in Belgium
Gulbis, B; Cotton, F; Ferster, A et al.
2009In American Journal of Clinical Pathology, 62, p. 49-52
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Abstract :
[en] BACKGROUND: A neonatal haemoglobinopathy screening programme was implemented in Brussels more than a decade ago and in Liège 5 years ago; the programme was adapted to the local situation. METHODS: Neonatal screening for haemoglobinopathies was universal, performed using liquid cord blood and an isoelectric focusing technique. All samples with abnormalities underwent confirmatory testing. Major and minor haemoglobinopathies were reported. Affected children were referred to a specialist centre. A central database in which all screening results were stored was available and accessible to local care workers. A central clinical database to monitor follow-up is under construction. RESULTS: A total of 191,783 newborns were screened. One hundred and twenty-three (1:1559) newborns were diagnosed with sickle cell disease, seven (1:27,398) with beta thalassaemia major, five (1:38,357) with haemoglobin H disease, and seven (1:27,398) with haemoglobin C disease. All major haemoglobinopathies were confirmed, and follow-up of the infants was undertaken except for three infants who did not attend the first medical consultation despite all efforts. CONCLUSIONS: The universal neonatal screening programme was effective because no case of major haemoglobinopathy was identified after the neonatal period. The affected children received dedicated medical care from birth. The screening programme, and specifically the reporting of minor haemoglobinopathies, has been an excellent health education tool in Belgium for more than 12 years.
Disciplines :
Hematology
Pediatrics
Author, co-author :
Gulbis, B
Cotton, F
Ferster, A
Ketelslegers, O
DRESSE, Marie-Françoise ;  Centre Hospitalier Universitaire de Liège - CHU > Service de pédiatrie (CHR)
Rongé-Collard, E
Minon, JM
P Q, Lé
Vertongen, F
Language :
English
Title :
Neonatal haemoglobinpopathy screening in Belgium
Publication date :
2009
Journal title :
American Journal of Clinical Pathology
ISSN :
0002-9173
Publisher :
American Society of Clinical Pathologists, Chicago, United States - Illinois
Volume :
62
Pages :
49-52
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 31 May 2016

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