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Karunaratne P, Gunapala R, Weerasekara K, Jayatissa R. Practice of routine oral zinc supplementation during diarrheal illnesses in children. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Premawardhana AP, Mudiyanse R, De Silva ST, Jiffry N, Nelumdeniya U, de Silva U, Lamabadusuriya SP, Pushpakumara K, Dissanayaka R, Jansz M, Rifaya I, Navarathne U, Thirukumaran V, Arambepola M, Dayanada Bandara W, Vaidyanatha U, Mendis D, Weerasekara K, De Silva N, Shantha Kumara DK, Amarasena SD, Hemantha KK, Refai MACM, Silva I, Hameed N, Rajiyah F, Mettananda S, Allen A, Weatherall DJ, Oliveri NF. A nationwide survey of hospital-based thalassemia patients and standards of care and a preliminary assessment of the national prevention program in Sri Lanka. PLoS One 2019; 14:e0220852. [PMID: 31419232 PMCID: PMC6697367 DOI: 10.1371/journal.pone.0220852] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Accepted: 07/24/2019] [Indexed: 01/19/2023] Open
Abstract
Objectives Our aim was to describe the numbers and distribution of patients with different types of thalassemia and to assess the standards of care in all thalassemia treatment centers throughout Sri Lanka and the success of the ongoing prevention programme. Methods This cross-sectional island-wide survey was conducted by two trained medical graduates, who visited each thalassemia center to collect data from every patient, using a standardized form. Data was collected through review of patient registers and clinical records. Results We collected data on 1774 patients from 23 centers. 1219 patients (68.7%) had homozygous β-thalassemia, 360 patients (20.3%) had hemoglobin E β-thalassemia, and 50 patients (2%) had sickle β-thalassemia. There were unacceptably high serum ferritin levels in almost all centers. The annual number of births of patients with β-thalassaemia varied between 45–55, with little evidence of reduction over 19 years. Conclusions Central coordination of the treatment and ultimately prevention of thalassemia is urgently needed in Sri Lanka. Development of expert centers with designated staff with sufficient resources will improve the quality of care and is preferred to managing patients in multiple small units.
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Affiliation(s)
| | - Rasnayaka Mudiyanse
- Department of Pediatrics, Faculty of Medicine, University of Peradeniya, Sri Lanka
| | - Shamila T. De Silva
- Department of Medicine, Faculty of Medicine, University of Kelaniya, Sri Lanka
| | | | | | | | | | | | | | - M. Jansz
- General Hospital, Vavuniya, Sri Lanka
| | - I. Rifaya
- District General Hospital, Ampara, Sri Lanka
| | | | | | | | | | | | | | | | | | | | | | | | | | - Ishari Silva
- Hemal's Adolescent and Adult Thalassemia Care Centre, North Colombo Teaching Hospital, Ragama, Sri Lanka
| | - Nizri Hameed
- Hemal's Adolescent and Adult Thalassemia Care Centre, North Colombo Teaching Hospital, Ragama, Sri Lanka
| | - F. Rajiyah
- Department of Medicine, Faculty of Medicine, University of Kelaniya, Sri Lanka
| | - Sachith Mettananda
- Department of Pediatrics, Faculty of Medicine, University of Kelaniya, Sri Lanka
| | - Angela Allen
- Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom
| | - David J. Weatherall
- Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom
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