Thalassemia carrier detection among pregnant women

Autor: Edhyana Sahiratmadja, Merry M.V. Seu, Ita M. Nainggolan, Johanes C. Mose, Ramdan Panigoro
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Mediterranean Journal of Hematology and Infectious Diseases, Vol 13, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2035-3006
DOI: 10.4084/mjhid.2021.003
Popis: Thalassemia major becomes the fifth catastrophic disease in Indonesia, however, national wide screening program is not mandatory. This study aimed to re-assess the validity of the various erythrocyte indices in determining ?-thalalssemia carrier among pregnant women in a low resource setting area. An analytic study was performed, comparing conventional cut-off various erythrocyte indices with new modified cut-offs by Kumar et al. The concordance analysis was calculated with Mentzer Index (MI) as reference. The validity of erythrocyte indices against hemoglobin (Hb) A2 were analysed, confirmed by molecular examination for ?- and common ?-Globin South East Asia population. Of 102 pregnant women, 34% was still anemic after completion of 90 iron pills. The concordance of conventional cut-off Shine & Lal index (
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