Mungu, Yvette Neema-Ufoy and Juakali-Sihalikyolo, Jean Jeannot and Marini, Roland Djang’eing’a and Katenga-Bosunga, Gédéon and Avohou-Tonakpon, Hermane and Leduc, Stéphane and Boemer, François and Batina-Agasa, Salomon (2020) Performance of Sickle SCAN<sup>&reg;</sup> in the Screening of Sickle Cell Disease in Kisangani Pregnant Women and Attitude towards Results. Open Journal of Blood Diseases, 10 (02). pp. 23-36. ISSN 2164-3180
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Abstract
In the Democratic Republic of the Congo, the sickle cell trait carriage is estimated at 25%. Routine neonatal screening is not a common practice, leading to a very late diagnosis. In this study, the screening of pregnant women was assessed as well as their attitudes. This is an analytical cross-sectional study conducted in 245 pregnant women, sampled by convenience in four hospitals in Kisangani city (Democratic Republic of Congo) and screened using the sickle SCAN® test, from February 1 to July 31, 2019. The sensitivity and specificity of the latter were determined using liquid chromatography coupled with mass spectrometry as the gold standard. The attitudes of 240 pregnant women without previous screening history were assessed upon the announcement of the results. The sensitivity of screening for hemoglobin (Hb) AA and Hb AS was 96.69% and 98.39%, respectively; while the specificities were 99.43% and 96.32%, respectively. The Kappa coefficient (κ) was excellent. Concerning attitudes, Hb SS pregnant women and 55.17% of AS pregnant women worried when the results relating to their hemoglobin status were announced. The sickle SCAN® test was found reliable for sickle cell disease screening in Kisangani. The announcement of the results, mainly positive, raises worry among pregnant woman. Therefore, we recommend the involvement of a clinician psychologist for pre-screening counselling and for results announcement, as well as early newborns and unmarried teenage girls screening.
Item Type: | Article |
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Subjects: | Euro Archives > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 09 May 2023 04:13 |
Last Modified: | 13 Jan 2024 03:47 |
URI: | http://publish7promo.com/id/eprint/2250 |