Yıl: 2022 Cilt: 53 Sayı: 2 Sayfa Aralığı: 75 - 79 Metin Dili: İngilizce DOI: 10.14744/zkmj.2021.88709 İndeks Tarihi: 08-07-2022

Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice

Öz:
Objective: The aim of the study was to determine the frequency of glucose-6-phosphate dehydrogenase (G6PD) enzyme deficiency in preterm and term newborns with prolonged jaundice. Material and Methods: A total of 670 preterm and term newborns who applied to Zeynep Kamil Training and Research Hospital Pediatric Health Polyclinic with neonatal jaundice between January 1, 2014, and April 1, 2018, were retrospectively screened and included in the study. Birth weight, sex, gestational week, postnatal age, gender, phototherapy, and need for exchange transfusion were recorded. Laboratory evaluations included blood group typing of mother and newborn, serum total and direct bilirubin levels, reticulocyte count, and erythrocyte G6PD level. SPSS 22.0 was used as an evaluation program. Results: G6PD enzyme level was detected in 374 (55.8%) of the cases. Enzyme deficiency was detected in 12 (3.2%) cases. There was no statistically significant difference between the G6PD-deficient group and the G6PD-normal group in terms of all parameters except the total biluribin level. There was no case in whom exchange transfusion was performed with high bilirubin values. However, phototherapy was applied in 231 cases due to high bilirubin levels. It was determined that there was no need for phototherapy in all cases with G6PD levels. Conclusion: G6PD enzyme deficiency should be investigated in patients with prolonged jaundice.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bülbül A, Okan F, Uslu S, İşçi E, Nuhoğlu A. Clinical characteristics of term newborns with hiperbilirubinemia and identification of the risk factors for hiperbilirubinemia. Turk Arch Pediatr 2005;40;204–10.
  • 2. Maisels MJ, Kring E. Length of stay, jaundice, and hospital readmission. Pediatrics 1998;101:995–8.
  • 3. Günay İ. Effect of G6PD deficiency on neonatal hyperbilirubinemia. J Dr. Behcet Uz Child Hospital 2011;1:115–20.
  • 4. Özlü F. Çukurova bölgesinde kordon kanı glukoz-6-fosfat dehidrogenaz aktivitesi, yapısı, moleküler özelliği ve yenidoğan hiperbilirubinemisi üzerine etkisi. Yan Dal Uzmanlık Tezi. Adana: Çukurova Üniversitesi Tıp Fakültesİ Neonatoloji Bilim Dalı; 2007.
  • 5. Tuncel P. Heksoz monofosfat yolu. In: Tokullugil A, Dirican M, Ulukaya E, editors. Biyokimya. 2nd ed. İstanbul: Nobel Tıp Kitabevi; 1997. p.111–7.
  • 6. Büyükokuroğlu ME, Süleyman H. Glukoz 6-fosfat dehidrogenaz eksikliği. Turk Klin J Med Sci 2001;21:415–9.
  • 7. Au SW, Gover S, Lam VM, Adams MJ. Human glucose-6-phosphate dehydrogenase: The crystal structure reveals a structural NADP(+) molecule and provides insights into enzyme deficiency. Structure 2000;8:293–303.
  • 8. Gutteridge JM. Lipid peroxidation and antioxidants as biomarkers of tissue damage. Clin Chem 1995;41:1819–28.
  • 9. Kayaalp O. Rasyonel tedavi yönünden tıbbi farmakoloji. 8th ed. Ankara: Hacettepe-Taş; 1998.
  • 10. Malbora B, Koca SB, Tanyıldız HG. Glucose-6-phosphate dehydrogenase deficiency cases with different clinical findings: Daughter with hemolytic anemia and asymptomatic father. Turk J Pediatric Dis 2015;9:211–3.
  • 11. Çoban A, Türkmen M, Gürsoy T. Turkish Neonatal Society guideline to the approach, follow-up, and treatment of neonatal jaundice. Turk Neonatal Soci 2014.
  • 12. Kwok CJ, Martin AC, Au SW, Lam VM. G6PDdb, an integrated database of glucose-6-phosphate dehydrogenase (G6PD) mutations. Hum Mutat 2002;19:217–24.
  • 13. Niazi GA, Adeyokunnu A, Westwood B, Beutler E. Neonatal jaundice in Saudi newborns with G6PD Aures. Ann Trop Paediatr 1996;16:33–7.
  • 14. Satar M, Atici A, Oktay R. The influence of clinical status on total bilirubin binding capacity in newborn infants. J Trop Pediatr 1996;42:43–5.
  • 15. González-Quiroga G, Ramírez del Río JL, Ortíz-Jalomo R, García-Contreras RF, Cerda-Flores RM, Mata-Cárdenas BD, et al. Relative frequency of glucose-6-phosphate dehydrogenase deficiency in jaundiced newborn infants in the metropolitan area of Monterrey, Nuevo León. Arch Invest Med (Mex) 1990;21:223–7. [Article in Spanish]
  • 16. Badens C, Leclaire M, Collomb J, Auquier P, Soyer P, Michel G, et al. Glucose-6-phosphate dehydrogenase et neonatal jaundice. Presse Med 2001;30:524–6. [Article in French]
  • 17. Joseph R, Ho LY, Gomez JM, Rajdurai VS, Sivasankaran S, Yip YY. Mass newborn screening for glucose-6-phosphate dehydrogenase deficiency in Singapore. Southeast Asian J Trop Med Public Health 1999;30:70–1.
  • 18. Mallouh AA, Imseeh G, Abu-Osba YK, Hamdan JA. Screening for glucose-6-phosphate dehydrogenase deficiency can prevent severe neonatal jaundice. Ann Trop Paediatr 1992;12:391–5.
  • 19. Ahmed H, Yukubu AM, Hendrickse RG. Neonatal jaundice in Zaria, Nigeria--a second prospective study. West Afr J Med 1995;14:15–23.
  • 20. Isa HM, Mohamed MS, Mohamed AM, Abdulla A, Abdulla F. Neonatal indirect hyperbilirubinemia and glucose-6-phosphate dehydrogenase deficiency. Korean J Pediatr 2017;60:106–11.
  • 21. Washington EC, Ector W, Abboud M, Ohning B, Holden K. Hemolytic jaundice due to G6PD deficiency causing kernicterus in a female newborn. South Med J 1995;88:776–9.
  • 22. Güldüren M. (2018). Uzamış Sarılık Nedeni ile İzlenen Yenidoğanların Etyolojik Değerlendirmesi. Sağlık Bilimleri Üniversitesi İzmir Dr. Behçet Uz Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Tıpta Uzmanlık Tezi, İzmir, 76s.
  • 23. Tütüncüler F, Altıay S, Küçükuğurluoğlu Y, Acunaş B. Uzamış sarılık nedeniyle izlediğimiz matür yenidoğan bebeklerin değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Dergisi 2002;45:307–11.
  • 24. Tekinalp G, Ergin H, Erdem G, Yurdakök M, Yiğit Ş. Yenidoğan döneminde uzamış sarılıklar: 82 vakanın değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Derg 1996;39: 441–8.
  • 25. Demir N, Peker E, Aslan O, Ceylan N, Tuncer O. Assessing of term newborns hospitalized in our neonatal unit with the diagnosis of indirect hyperbilirubinemia. Anatol J Clin Investig 2015;9:66–9.
  • 26. Hannam S, McDonnell M, Rennie JM. Investigation of prolonged neonatal jaundice. Acta Paediatr 2000;89:694–7.
  • 27. Çolak Ö. Hiperbilirubinemili Yenidoğan Erkek Bebeklerde Glukoz-6-Fosfat Dehidrogenaz Enzim Düzeyleri. Uzmanlık Tezi. İstanbul: İstanbul Sağlık Bakanlığı Süleymaniye Doğum ve Kadın Hastalıkları Eğitim ve Araştırma Hastanesi Dr Rengin Şiraneci Çocuk Sağlığı ve Hastalıkları Kliniği; 2007.
  • 28. Ünal S, Eker S. İndirekt hiperbilirubinemili yenidoğanların geriye dönük olarak değerlendirilmesi. J Pediatr 2008;17:223–9.
  • 29. Celik HT, Gunbey C, Gumruk F, Yurdakok M. PP-66. Glucose-6-phosphate dehydrogenase deficiency in neonatal hyperbilirubinemia: Hacettepe University experience. Early Human Development 2010;86:S44.
  • 30. Say A, İnan S, Acunaş B, Yıldız F. Yenidoğan sarılıklarında G6PD enzim düzeyi. Haseki Tıp Bülteni 1991;29:139–43.
  • 31. Yorulmaz A, Yücel M, Sert S, Özdem S, İstanbullu HA. Investigation of risk factors and clinical and laboratory characteristics of infants hospitalized in neonatal unit due to jaundice. J Contemp Med 2018;8:7–13.
  • 32. Atay E, Bozaykut A, Ipek IO. Glucose-6-phosphate dehydrogenase deficiency in neonatal indirect hyperbilirubinemia. J Trop Pediatr 2006;52:56–8.
  • 33. Satar M, Kılınç Y, Tanyeli A, Tok M, Etiz L. Yenidoğan bebeklerde hiperbilirubinemi ile glukoz-6 fosfat dehidrojenaz enzim eksikliği arasında ilişki. Cerrahpaşa Tıp Fakültesi Derg 1989;21:514.
  • 34. Sansone G, Perroni L, Yoshida A. Glucose-6-phosphate dehydrogenase variants from Italian subjects associated with severe neonatal jaundice. Br J Haematol 1975;31:159–65.
  • 35. Acipayam C. Kordon kanında glukoz-6-fosfat dehidrogenaz enzim eksikliği taraması ve neonatal hiperbilirubinemideki önemi. Tıpta Uzmanlık Tezi. Edirne: Trakya Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı; 2003.
APA taştanoğlu h, Sezer Yamanel R, bozaykut a (2022). Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. , 75 - 79. 10.14744/zkmj.2021.88709
Chicago taştanoğlu hüseyin,Sezer Yamanel Rabia Gönül,bozaykut abdulkadir Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. (2022): 75 - 79. 10.14744/zkmj.2021.88709
MLA taştanoğlu hüseyin,Sezer Yamanel Rabia Gönül,bozaykut abdulkadir Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. , 2022, ss.75 - 79. 10.14744/zkmj.2021.88709
AMA taştanoğlu h,Sezer Yamanel R,bozaykut a Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. . 2022; 75 - 79. 10.14744/zkmj.2021.88709
Vancouver taştanoğlu h,Sezer Yamanel R,bozaykut a Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. . 2022; 75 - 79. 10.14744/zkmj.2021.88709
IEEE taştanoğlu h,Sezer Yamanel R,bozaykut a "Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice." , ss.75 - 79, 2022. 10.14744/zkmj.2021.88709
ISNAD taştanoğlu, hüseyin vd. "Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice". (2022), 75-79. https://doi.org/10.14744/zkmj.2021.88709
APA taştanoğlu h, Sezer Yamanel R, bozaykut a (2022). Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. Zeynep Kamil medical journal (Online), 53(2), 75 - 79. 10.14744/zkmj.2021.88709
Chicago taştanoğlu hüseyin,Sezer Yamanel Rabia Gönül,bozaykut abdulkadir Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. Zeynep Kamil medical journal (Online) 53, no.2 (2022): 75 - 79. 10.14744/zkmj.2021.88709
MLA taştanoğlu hüseyin,Sezer Yamanel Rabia Gönül,bozaykut abdulkadir Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. Zeynep Kamil medical journal (Online), vol.53, no.2, 2022, ss.75 - 79. 10.14744/zkmj.2021.88709
AMA taştanoğlu h,Sezer Yamanel R,bozaykut a Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. Zeynep Kamil medical journal (Online). 2022; 53(2): 75 - 79. 10.14744/zkmj.2021.88709
Vancouver taştanoğlu h,Sezer Yamanel R,bozaykut a Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice. Zeynep Kamil medical journal (Online). 2022; 53(2): 75 - 79. 10.14744/zkmj.2021.88709
IEEE taştanoğlu h,Sezer Yamanel R,bozaykut a "Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice." Zeynep Kamil medical journal (Online), 53, ss.75 - 79, 2022. 10.14744/zkmj.2021.88709
ISNAD taştanoğlu, hüseyin vd. "Frequency of glucose-6-phosphate dehydrogenase enzyme deficiency in newborns with prolonged jaundice". Zeynep Kamil medical journal (Online) 53/2 (2022), 75-79. https://doi.org/10.14744/zkmj.2021.88709