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Sola A, Rodríguez S, Young A, Lemus Varela L, Villamayor RM, Cardetti M, Pleitez Navarrete J, Favareto MV, Lima V, Baquero H, Velandia Forero L, Venegas ME, Davila C, Dominguez Dieppa F, Germosén TM, Oviedo Barrantes AN, Alvarez Castañeda AL, Morgues M, Avila A, Fariña D, Oliva JL, Sosa E, Golombek S. CCHD Screening Implementation Efforts in Latin American Countries by the Ibero American Society of Neonatology (SIBEN). Int J Neonatal Screen 2020; 6:21. [PMID: 33073018 PMCID: PMC7422978 DOI: 10.3390/ijns6010021] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Accepted: 03/11/2020] [Indexed: 11/18/2022] Open
Abstract
Congenital heart disease (CHD) is among the four most common causes of infant mortality in Latin America. Pulse oximetry screening (POS) is useful for early diagnosis and improved outcomes of critical CHD. Here, we describe POS implementation efforts in Latin American countries guided and/or coordinated by the Ibero American Society of Neonatology (SIBEN), as well as the unique challenges that are faced for universal implementation. SIBEN collaborates to improve the neonatal quality of care and outcomes. A few years ago, a Clinical Consensus on POS was finalized. Since then, we have participated in 12 Latin American countries to educate neonatal nurses and neonatologists on POS and to help with its implementation. The findings reveal that despite wide disparities in care that exist between and within countries, and the difficulties and challenges in implementing POS, significant progress has been made. We conclude that universal POS is not easy to implement in Latin America but, when executed, has not only been of significant value for babies with CHD, but also for many with other hypoxemic conditions. The successful and universal implementation of POS in the future is essential for reducing the mortality associated with CHD and other hypoxemic conditions and will ultimately lead to the survival of many more Latin American babies. POS saves newborns' lives in Latin America.
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Affiliation(s)
- Augusto Sola
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Susana Rodríguez
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Alejandro Young
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Lourdes Lemus Varela
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Ramón Mir Villamayor
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Marcelo Cardetti
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Jorge Pleitez Navarrete
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - María Verónica Favareto
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Victoria Lima
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Hernando Baquero
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
- Dean School of Medicine, Universidad del Norte, Km. 5 Vía Puerto Colombia, Barranquilla 081007, Colombia
- Neonatology, Medicina Alta Complejidad S.A. (MACSA), Hospital Niño Jesús Carrera 75 N° 79B-50, Barranquilla 080001, Colombia;
| | - Lorena Velandia Forero
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
- Neonatology, Medicina Alta Complejidad S.A. (MACSA), Hospital Niño Jesús Carrera 75 N° 79B-50, Barranquilla 080001, Colombia;
| | - María Elena Venegas
- Neonatology, Medicina Alta Complejidad S.A. (MACSA), Hospital Niño Jesús Carrera 75 N° 79B-50, Barranquilla 080001, Colombia;
| | - Carmen Davila
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Fernando Dominguez Dieppa
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Taína Malena Germosén
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Ada Nidia Oviedo Barrantes
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Ana Lorena Alvarez Castañeda
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Mónica Morgues
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Aldana Avila
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Diana Fariña
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Jose Luis Oliva
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
| | - Erika Sosa
- Pediatric Cardiology, Children's Hospital, Hermosillo 83100, Mexico;
| | - Sergio Golombek
- Neonatology, Ibero-American Society of Neonatology (SIBEN), Wellington, FL 33414, USA; (S.R.); (A.Y.); (L.L.V.); (R.M.V.); (M.C.); (J.P.N.); (M.V.F.); (V.L.); (H.B.); (L.V.F.); (C.D.); (F.D.D.); (T.M.G.); (A.N.O.B.); (A.L.A.C.); (M.M.); (A.A.); (D.F.); (J.L.O.); (S.G.)
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