Pediatric Provider Insight Into Newborn Screening for Glucose-6-Phosphate Dehydrogenase Deficiency.
OBJECTIVE
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a major contributor to neonatal hyperbilirubinemia, yet newborn screening for this disorder in the United States is not standard practice. We surveyed pediatric providers regarding a novel newborn G6PD screening program successfully implemented in 2007 at a US urban women's hospital newborn nursery.


METHODS
An electronic survey was distributed to 472 pediatric providers addressing extent to which they were influenced by the screening program.


RESULTS
Ninety-two (20%) providers responded, of whom 74 (80%) had taken care of G6PD-deficient patients diagnosed by the screening program. A majority found the diagnosis helpful for patient management and influential in their management. Most common changes in management included more counseling on jaundice and follow-up and avoidance of hemolytic crisis triggers.


CONCLUSIONS
General pediatric providers support newborn G6PD screening and appreciate the current program. Knowing the G6PD deficiency status of newborns informed and influenced pediatric providers' care.
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA jpb111@case.edu.
Janine
J
Bernardo
Division of Neonatology, Department of Pediatrics, Rainbow Babies and Children's Hospitals, University Hospitals Case Medical Center, Cleveland, OH, USA.
Mary
M
Nock
D000553:Ambulatory Care; D005955:Glucosephosphate Dehydrogenase Deficiency / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D051556:Hyperbilirubinemia, Neonatal / Q000209:etiology; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D010372:Pediatrics; D011795:Surveys and Questionnaires; D014481:United States
glucose-6-phosphate dehydrogenase deficiency; hyperbilirubinemia; management; neonatal; screening