Programa de Triagem Neonatal do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil / Neonatal Screening Program at the University Hospital of the Ribeirao Preto School of Medicine, São Paulo University, Brazil
Cad. saúde pública
;
25(2): 445-454, fev. 2009. graf, tab
Article
in Portuguese
| LILACS
| ID: lil-505509
RESUMO
O Programa de Triagem Neonatal do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil, instituído em 1994 diagnosticou, até 2005, 76 crianças com hipotireoidismo congênito, 10 com fenilcetonúria e 25 com hemoglobinopatias, o que representou uma incidência de 12.595, 119.409, 14.120, respectivamente. Foram diagnosticadas 2.747 crianças com traço falciforme (137,5 nascidos vivos). A cobertura média do programa foi de 94,5 por cento. Houve uma considerável melhora nos parâmetros de avaliação da qualidade do programa no período, porém, sem atingir os índices ideais. Campanhas visando à maior divulgação da importância da triagem neonatal são necessárias para aumentar a cobertura e a instituição do 3º dia de vida do recém-nascido como sendo o Dia do Teste do Pezinho poderia contribuir para que idades mais precoces de tratamento fossem atingidas, melhorando o prognóstico das crianças acometidas.
ABSTRACT
The Neonatal Screening Program at the University Hospital of the Ribeirao Preto School of Medicine, São Paulo University, Brazil, was introduced in 1994. As of December 2005, congenital hypothyroidism had been diagnosed in 76 infants, phenylketonuria in 10, and hemoglobinopathies in 25, representing incidence rates of 12,595, 119,409, and 14,120, respectively. A total of 2,747 newborns had the sickle cell trait, i.e., were heterozygous for the sickle mutation (137.5 live births). The program's mean coverage during this period was 94.5 percent. There was major improvement in the parameters for evaluating the program's quality, although they were still far from ideal. Public-awareness campaigns on the importance of neonatal screening are needed to increase the program's coverage. Setting postnatal day 3 as the standard Day for the Heel Stick Test would help ensure treatment at earlier ages, thus improving prognosis for affected infants.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Phenylketonurias
/
Neonatal Screening
/
Congenital Hypothyroidism
/
Hemoglobinopathies
/
Hospitals, University
Type of study:
Diagnostic study
/
Evaluation studies
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
/
Infant, Newborn
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Cad. saúde pública
Journal subject:
Public Health
/
Toxicology
Year:
2009
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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