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Evolução do programa de triagem neonatal no estado do Tocantins / Evolution of the neonatal screening program in the state of Tocantins
Mendes, Lucas Corrêa; Santos, Taides Tavares dos; Bringel, Fabiana de Andrade.
  • Mendes, Lucas Corrêa; s.af
  • Santos, Taides Tavares dos; s.af
  • Bringel, Fabiana de Andrade; s.af
Arq. bras. endocrinol. metab ; 57(2): 112-119, Mar. 2013. ilus, tab
Article in Portuguese | LILACS | ID: lil-668747
RESUMO

OBJETIVO:

Avaliar o Programa de Triagem Neonatal do Estado do Tocantins de 1995 a 2011.

MATERIAIS E MÉTODOS:

A coleta de dados foi realizada por meio de entrevista com os responsáveis pelo serviço, por análise de prontuários de pacientes com diagnóstico de fenilcetonúria (PKU) ou hipotireoidismo congênito (HC) atendidos pelo programa e por entrevista com pais e/ou responsáveis por pacientes em acompanhamento.

RESULTADOS:

A cobertura de triagem neonatal aumentou de 32,3% para 76,6% depois da implantação do Programa Nacional de Triagem Neo­natal (PNTN). A prevalência de PKU e de HC no período analisado foi de 128.309 e de 14.632 nascidos vivos, respectivamente. A idade média das crianças na coleta da primeira amostra de sangue (PKU 9,6 ± 6,3 dias; HC 13,3 ± 10,3 dias) e no início do tratamento (PKU 57,0 ± 17,6 dias; HC 95,6 ± 57,6 dias) foi superior às preconizadas pelo Ministério da Saúde. A avaliação dos pais sobre a qualidade do acompanhamento realizado foi classificada como satisfatória por 100% dos entrevistados.

CONCLUSÃO:

Embora tenha havido grande evolução do programa de triagem neonatal deste Estado, há necessidade de maior incentivo governamental para que o programa seja otimizado e possa avançar para as fases seguintes do PNTN.
ABSTRACT

OBJECTIVE:

To evaluate the Neonatal Screening Program in the State of Tocantins from 1995 to 2011. MATERIALS AND

METHODS:

Data collection was conducted by means of interviews with those responsible for the service, by the analysis of medical records of patients diagnosed with phenylketonuria (PKU) and congenital hypothyroidism (CH) that were enrolled in the program, and by interviews with parents and/or guardians of the patients monitored.

RESULTS:

Program coverage increased from 32.3% to 76.6% after the implementation of the National Newborn Screening Program (PNTN). The prevalence of PKU and CH was 128,309 and 14,632 live births, respectively. The mean ages at the collection of the first blood sample (PKU 9.6 ± 6.3 days; CH 13.3 ± 10.3 days) and at the beginning of the treatment (PKU 57.0 ± 17.6 days; CH 95,6 ± 57.6 days) were greater than recommended by the Ministry of Health. The quality of monitoring was considered satisfactory by 100% of the parents.

CONCLUSION:

Although there have been great developments in neonatal screening program in this state, there is need for greater government incentives to optimize the program and to make the PNTN advance to its next phases.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Phenylketonurias / Neonatal Screening / Congenital Hypothyroidism Type of study: Diagnostic study / Evaluation studies / Observational study / Prevalence study / Risk factors / Screening study Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Brazil Language: Portuguese Journal: Arq. bras. endocrinol. metab Journal subject: Endocrinology / Metabolism Year: 2013 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Phenylketonurias / Neonatal Screening / Congenital Hypothyroidism Type of study: Diagnostic study / Evaluation studies / Observational study / Prevalence study / Risk factors / Screening study Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Brazil Language: Portuguese Journal: Arq. bras. endocrinol. metab Journal subject: Endocrinology / Metabolism Year: 2013 Type: Article