Penicillin Prophylaxis is indicated

  • FS Presumed sickle cell disease
  • FSC, FCS Presumed sickle-hemoglobin C disease
  • FSE Presumed sickle-hemoglobin E disease
  • FSA Presumed sickle-β+-thalassemia
  • Steps:
    • Contact parent/guardian to check on the health of the infant, and to explain these results.
    • Physicians please refer to attached newborn screening information sheet for interpretation of results.
    • Send whole blood for confirmatory electrophoresis at 2-3 months of age. Please fax a copy of the results to health department at 501-682-6686.
    • Penicillin prophylaxis should be started no later than 2 months of age.
    • It is recommended that primary care physicians refer infants to the Arkansas Children's Hospital Comprehensive Sickle Cell Clinic. Please call 364-1076 to set up an appointment.

    No Antibiotic Prophylaxis is indicated

  • FC Presumed hemoglobin C disease
  • FCA Presumed hemoglobin C-β+-thalassemia
  • FE Presumed hemoglobin E disease
  • F Fetal hemoglobin only - inconclusive
  • Steps:
    • Contact parent/guardian to check on the health of the infant, and to explain these results.
    • Refer to attached newborn screening information sheet for interpretation of results.
    • Send whole blood for confirmatory electrophoresis at 2-3 months of age. Please fax a copy of the results to health department at 501-682-6686.
    • It is recommended that primary care physicians refer infants to the Arkansas Children's Hospital Comprehensive Sickle Cell Clinic. Please call 364-1076 to set up an appointment.

    No Antibiotic Prophylaxis is indicated.

  • FAS Presumed sickle trait
  • AFS, ASF Presumed sickle trait; sickle disease not entirely excluded
  • FAC Presumed hemoglobin C trait
  • FAE Presumed hemoglobin E trait
  • FAG Presumed hemoglobin G trait
  • FAD Presumed hemoglobin D trait
  • FA+Barts Presumed alpha-thalassemia trait (may be seen in conjunction with other traits and disease states)
  • FA + unidentified Presumed trait for unidentified hemoglobin
  • FA + fast Presumed trait for unidentified fast hemoglobin
  • Steps:
    • The health department notifies the primary care provider by mail of the result, and encloses the interpretation sheet for hemoglobinopathy screening results.
    • The health department contacts the parent/guardian by mail to inform them of results and send a parent information sheet to them. For any questions, please contact the health department at 1-866-769-9043 OR call 501-364-4050 to speak with the Newborn Screening Coordinator.
    • For babies who received a blood transfusion prior to collection of their newborn screening, please refer to the health department letter for specific follow-up or contact the health department at 1-866-769-9034.
  • If found within 3-4 months of a transfusion, this result is inconclusive.
  • Otherwise, the result is presumed to be normal.

For any questions, please contact the health department at 1-866-769-9043 OR call 501-364-4050 to speak with the Newborn Screening Coordinator.

For more information, regarding Sickle Cell Trait, Alpha Thalassemia Trait or Trait for Unidentified Hemoglobin, please visit the ADH Website.