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Arduini GAO, Balarin MAS, da Silva-Grecco RL, de Marqui ABT. KNOWLEDGE OF PUERPERAL MOTHERS ABOUT THE GUTHRIE TEST. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2017; 35:151-157. [PMID: 28977324 PMCID: PMC5496718 DOI: 10.1590/1984-0462/;2017;35;2;00010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 10/28/2016] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study aimed to assess the knowledge of puerperal mothers about the Guthrie test. METHODS A total of 75 mothers who sought primary care between October 2014 and February 2015 were investigated. The form was applied by the main researcher and the data was analyzed, using descriptive statistics with Microsoft Office Excel, and Statistical Package for Social Sciences (SPSS) programs. Association tests and statistical power were applied. RESULTS Among the 75 mothers, 47 (62.7%) would have liked to receive more information about the newborn screening, especially regarding the correct sample collection period, followed by the screened morbidities. Most participants (n=55; 85.9%) took their children to be tested between the third and the seventh day of birth, as recommended by the Brazilian Health Ministry. Fifty-four women (72%) were unable to name the morbidities screened by the test in Minas Gerais, and they were also unaware that most have genetic etiology. The health professional who informed the mother about the Guthrie test was mainly the physician. This information was given prenatally to 57% of the cases, and to 43 % at the time of discharge from the hospital. The association test showed that mothers with higher education have more knowledge about the purpose and importance of the Guthrie test. The statistical power was 83.5%. CONCLUSIONS Maternal knowledge about the Guthrie test is superficial and may reflect the health team's usual practice.
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Vieira TA, Nalin T, Krug BC, Bittar CM, Netto CBO, Schwartz IVD. Adherence to Treatment of Phenylketonuria. JOURNAL OF INBORN ERRORS OF METABOLISM AND SCREENING 2015. [DOI: 10.1177/2326409815579861] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Tatiane Alves Vieira
- Post Graduate Program in Medicine, Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, Porto Alegre, Brazil
| | - Tatiéle Nalin
- Post Graduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, Porto Alegre, Brazil
| | | | - Camila Matzenbacher Bittar
- Medical Genetics Service, Hospital de Clinicas de Porto Alegre, Rua Ramiro Barcelos, Porto Alegre, Brazil
| | | | - Ida Vanessa Doederlein Schwartz
- Post Graduate Program in Medicine, Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, Porto Alegre, Brazil
- Post Graduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, Porto Alegre, Brazil
- Medical Genetics Service, Hospital de Clinicas de Porto Alegre, Rua Ramiro Barcelos, Porto Alegre, Brazil
- Department of Genetics, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, Porto Alegre, Brazil
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Anastácio-Pessan FDL, CusinLamônica DA. Hipotireoidismo congênito: influência para as habilidades linguísticas e comportamentais: estudo de revisão. REVISTA CEFAC 2014. [DOI: 10.1590/1982-0216201412213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Mendes LC, Santos TTD, Bringel FDA. [Evolution of the neonatal screening program in the state of Tocantins]. ACTA ACUST UNITED AC 2014; 57:112-9. [PMID: 23525288 DOI: 10.1590/s0004-27302013000200003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Accepted: 10/01/2012] [Indexed: 11/21/2022]
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 1:28,309 and 1:4,632 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.
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Affiliation(s)
- Lucas Corrêa Mendes
- Faculdade de Ciências Humanas, Econômicas e da Saúde de Araguaína, Instituto Tocantinense Presidente Antônio Carlos (FAHESA/ITPAC), Araguaína, TO, Brasil
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Nunes AKC, Wachholz RG, Rover MRM, Souza LC. Prevalência de patologias detectadas pela triagem neonatal em Santa Catarina. ACTA ACUST UNITED AC 2013; 57:360-7. [DOI: 10.1590/s0004-27302013000500005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Accepted: 02/20/2013] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Avaliar a prevalência das patologias fenilcetonúria (FNC), hipotireoidismo congênito (HC), fibrose cística (FC), hemoglobinopatias (HB) e hiperplasia adrenal congênita (HAC), no Estado de Santa Catarina, a fim de delinear o perfil da população catarinense em relação a essas patologias. MATERIAIS E MÉTODOS: Foi realizado um levantamento de dados do Programa de Triagem Neonatal da Secretaria de Estado da Saúde de Santa Catarina, no período de 2004 a 2008. RESULTADOS: No período de estudo, foram obtidas as seguintes prevalências: FCN 1:28.862, HC 1:2.876, FC 1:5.121, HB S 1:14.446 e para HAC 1:11.655 crianças triadas. CONCLUSÕES: A prevalência média da FNC mostrou-se inferior à prevalência nacional, ao passo que a da HAC foi superior; por sua vez, a do HC mostrou-se semelhante às prevalências mundial e nacional. Além disso, o predomínio da população caucasiana no Estado resultou em uma prevalência reduzida da HB e uma prevalência aumentada da FC em relação ao restante do país.
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Guedes C. [Reproductive decisions and newborn screening: the perspective of female caregivers of children with sickle cell disease]. CIENCIA & SAUDE COLETIVA 2012; 17:2367-76. [PMID: 22996887 DOI: 10.1590/s1413-81232012000900017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2011] [Accepted: 04/06/2012] [Indexed: 11/22/2022] Open
Abstract
One of the goals of the Brazilian Newborn Screening Program created in 2001 was to inform couples with the possibility of having children with sickle cell diseases regarding reproductive decision-making. This article presents the reproductive choices and analyzes the notion of biomedical reproductive risk of female caregivers of children with sickle cell disease participating in a newborn screening program. Qualitative data collected between 2006 and 2008 was based on interviews with 50 female caregivers of children with sickle cell disease participating on the Federal District Newborn Screening Program. The research revealed the following perceptions underlying reproductive decisions: women who want to have other children even with the risk of recurrence of the disease; women who do not want to have any more children; and women whose reproductive plans are still being considered on the basis of the information provided by the newborn screening program. The study revealed that women's reproductive choices are based on the experience of child care and self care. The notion of reproductive risk is built in order to strengthen women's decisions together with their family and other social groups to which they belong.
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Affiliation(s)
- Cristiano Guedes
- Universidade de Brasília, Caixa Postal 8011, Setor Sudoeste, 70673-970 Brasilia DF.
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Botelho Barra C, Novato Silva I, Leite Pezzuti I, Nélio Januário J. Neonatal screening for congenital adrenal hyperplasia. Rev Assoc Med Bras (1992) 2012. [DOI: 10.1016/s0104-4230(12)70229-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Barra CB, Silva IN, Pezzuti IL, Januário JN. Triagem neonatal para hiperplasia adrenal congênita. Rev Assoc Med Bras (1992) 2012. [DOI: 10.1590/s0104-42302012000400017] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Diniz D, Guedes C, Barbosa L, Tauil PL, Magalhães I. [Prevalence of sickle cell trait and sickle cell anemia among newborns in the Federal District, Brazil, 2004 to 2006]. CAD SAUDE PUBLICA 2009; 25:188-94. [PMID: 19180301 DOI: 10.1590/s0102-311x2009000100020] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2008] [Accepted: 07/01/2008] [Indexed: 11/22/2022] Open
Abstract
To determine the prevalence of sickle cell trait and sickle cell anemia among newborns in the Federal District, Brazil, a cross-sectional prevalence study covering the years 2004 to 2006 was conducted. Test results reported from the Neonatal Screening Program in the Federal District Health Department from 2004 to 2006 were analyzed, and prevalence rates were calculated. Neonatal blood samples were tested by isoelectric focalization. From January 2004 to December 2006, 116,271 newborns were tested for hemoglobinopathies, corresponding to 85% of all live births from mothers residing in the Federal District. The study identified 3,760 newborns with sickle cell trait (Hb AS) and 109 with sickle cell anemia (Hb SS). The prevalence rates were 323 (Hb AS) and 9 (Hb SS) per 10,000 live births. The high prevalence of sickle cell trait highlights the importance of neonatal screening in the Federal District to support work by health managers and professionals for planning educational measures and reducing the morbidity associated with sickle cell disease.
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Affiliation(s)
- Debora Diniz
- ANIS: Instituto de Bioética, Direitos Humanos e Gênero, Brasília, Brasil.
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Carvalho MDDB, Pelloso SM, Higarashi IH, Luz GDS. Neonatal Screening Program coverage in Maringá (PR), 2001 to 2006. ACTA PAUL ENFERM 2008. [DOI: 10.1590/s0103-21002008000100014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE: To evaluate the National Newborn Screening Program (NNSP) coverage in the city of Maringá, from 2001 to 2006. METHODS: This is a cross-sectional research design, which verified the number of live newborns as well as the number of screened children. The study considered the children born in Maringá as well as those born in other cities but living in Maringá. RESULTS: The NNSP did not reach the expected coverage of 100% in Maringá during the first five years of evaluation. There is a need to consider certain particularities when performing data analysis, such as the period and the place of material collection. CONCLUSION: Changes should be made so as to improve NNSP coverage. Furthermore, the period when the blood sample was drawn should be reconsidered and decentralized with a view to improve health care delivery.
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Almeida ADM, Godinho TM, Teles MS, Rehem APP, Jalil HM, Fukuda TG, Araújo ÊP, Matos EC, Muritiba Júnior DC, Dias CPF, Pimentel HM, Fontes MIMM, Acosta AX. Avaliação do Programa de Triagem Neonatal na Bahia no ano de 2003. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2006. [DOI: 10.1590/s1519-38292006000100010] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJETIVOS: descrever e avaliar o perfil do Programa de Triagem Neonatal baiano em 2003. MÉTODOS: estudo descritivo baseado no banco de dados do Serviço de Referência de Triagem Neonatal baiano com todos os recém-nascidos que realizaram a triagem na rede de coleta do Estado em 2003. RESULTADOS: observou-se implantação do programa em 94,5% dos municípios. A média mensal de testados foi de 13.991 (72,51% dos recém-nascidos registrados). Na coleta, 63,9% das crianças estavam com idade entre oito dias e um mês, 14,5% com até sete dias e 21,6% com mais de um mês. A incidência observada foi de 1:22.000 para fenilcetonúria, 1:4.000 para o hipotireoidismo congênito e 1:650 para as hemoglobinopatias. CONCLUSÕES: o Programa de Triagem Neonatal baiano mostrou, em 2003, dificuldades quanto a cobertura preconizada em 100%; a faixa etária ideal para realização da coleta; ao tempo entre a coleta e a chegada das amostras ao Serviço de Referência em Triagem Neonatal; ao tempo de entrega dos resultados à família; e ao tempo de reconvocação dos casos positivos. Assim, são necessárias algumas melhorias para agilizar esses processos.
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Marques-de-Faria AP, Ferraz VEF, Acosta AX, Brunoni D. Clinical Genetics in Developing Countries: The Case of Brazil. Public Health Genomics 2004; 7:95-105. [PMID: 15539823 DOI: 10.1159/000080777] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
There are many impediments to the progress of clinical and medical genetics in developing countries. Higher priorities concerning basic health care usually take precedence over genetic diseases and birth defects among medical professionals and public health officials. This is so in spite of the fact that the global prevalence of these conditions seems higher than in the developed world and that limited resources enhance the burden on individuals, families and populations. Furthermore, as a consequence of recent advances in medical genetics, demand for genetic services has increased, reinforcing the need for programs for the management and prevention of genetic diseases and birth defects, especially at primary health care level. An overview of these issues in Brazil is presented here, with information on the health system, the evolution of medical and clinical genetics in the country, and the situation of medical and clinical genetic services. We discuss proposals for implementing appropriate, ethically acceptable and equitable clinical genetic services for the Brazilian population.
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Brandalize SDRC, Czeresnia D. Avaliação do programa de prevenção e promoção da saúde de fenilcetonúricos. Rev Saude Publica 2004; 38:300-6. [PMID: 15122388 DOI: 10.1590/s0034-89102004000200021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJETIVO: Avaliar os resultados de ações preventivas e de promoção à saúde institucionalizadas para crianças fenilcetonúricas. MÉTODOS: Foram avaliados os resultados alcançados pelo Programa de Triagem Neonatal, do Estado do Paraná, entre os fenilcetonúricos, no período de 1996 a 2001. Foram investigados dados socioeconômicos e aplicado instrumento de medição da função motora grossa para determinar as habilidades motoras de 32 crianças fenilcetonúricas com diagnóstico e tratamento precoces. Optou-se pela utilização do coeficiente de correlação de Pearson para verificar a relação entre a variável de interesse (escore motor) e as demais variáveis quantitativas (nível médio de fenilalanina pós-tratamento, escolaridade do pai e da mãe, idade da criança no início do tratamento e renda familiar). RESULTADOS: Dentre as crianças avaliadas, 93,7% apresentaram desenvolvimento de acordo com os parâmetros de normalidade referenciados na literatura. O tratamento foi iniciado no primeiro mês em 71,9% dos casos de fenilcetonúria. A pesquisa socioeconômica registrou 39,5% de pais com instrução até o quarto ano escolar. Foi encontrada correlação significativa entre o escore motor da criança e a escolaridade dos pais (N=32), e entre o escore motor e a precocidade do tratamento (N=27). CONCLUSÕES: Os resultados evidenciaram a alta efetividade do programa avaliado. A baixa escolaridade dos pais e sua relação com o escore motor ressaltam a importância do apoio aos pais na dietoterapia. A relação encontrada entre o escore motor e o início do tratamento confirma a necessidade da adesão imediata ao programa. A inexistência na literatura de outros estudos de avaliação dificulta a generalização dos resultados.
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