Triagem neonatal: o que os pediatras deveriam saber

Leão, Letícia Lima; Aguiar, Marcos José Burle de

doi:10.1590/s0021-75572008000500012

Cited by 38 publications

(34 citation statements)

References 51 publications

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“…This examination enables the early diagnosis and treatment of the patients with these diseases, in order to avoid damage to the child, such as intellectual disabilities 1 2 , 3 For the Guthrie test a few drops of blood are taken from the heel of the newborn (NB), and collected on filter paper. The correct period for the sample collection should not be less than 48 hours of protein feeding and should not exceed 30 days from birth; however, the ideal period would be between the third and seventh day of birth in newborns 2 …”

Section: Introductionmentioning

confidence: 99%

Conhecimento Das Puérperas Sobre O Teste Do Pezinho

Arduini

Balarin

Silva-Grecco

et al. 2017

Rev. paul. pediatr.

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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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Section: Introductionmentioning

confidence: 99%

Conhecimento Das Puérperas Sobre O Teste Do Pezinho

Arduini

Balarin

Silva-Grecco

et al. 2017

Rev. paul. pediatr.

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“…A triagem neonatal permite rastrear indivíduos com probabilidade de apresentar determinadas patologias metabólicas, hematológicas, infecciosas e genéticas, e, com isso, realizar o diagnóstico em estágio precoce, na fase assintomática do período neonatal, instituindo o tratamento específico para minimizar ou eliminar as sequelas decorrentes (1) . A Organização Mundial de Saúde (OMS), na década de 1960, preconizava a adoção de programas para a triagem neonatal (TN) nos países em desenvolvimento.…”

Section: Introductionunclassified

“…O momento para a coleta, de preferência, não deve ser inferior a 48 horas de alimentação protéica (amamentação) e nunca superior a 30 dias, sendo o ideal entre o 3º e o 7º dia de vida (2) . A detecção precoce, ainda no período neonatal, permite intervir no curso natural da doença, promovendo em possíveis casos o tratamento ou evitando sequelas mais graves (1) . O PNTN foi instituído para a prevenção de doenças incuráveis, porém, que apresentam um bom prognóstico se diagnosticadas e tratadas desde o período neonatal.…”

Section: Introductionunclassified

O Conhecimento De Puérperas Sobre a Triagem Neonatal

et al. 2011

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RESUMO:A triagem neonatal, popularmente conhecida como "teste do pezinho", permite rastrear indivíduos com probabilidade de apresentar determinadas patologias, realizando o diagnóstico em estágio precoce e instituindo tratamento específico, de modo a evitar sequelas graves e aumentar a sobrevida dos acometidos. Trata-se de um estudo descritivo, de abordagem quantitativa, realizado com 55 puérperas multíparas, cujos dados foram coletados por meio de questionário semiestruturado e teve como objetivo analisar o conhecimento das puérperas em relação à importância da triagem neonatal. Os resultados apontam baixa compreensão das puérperas a respeito da importância da triagem, apesar de a maioria ter conhecimento da realização do exame nos filhos; elas desconheciam a idade ideal para realizar a triagem e receberam informação de enfermeiros sobre o teste no momento da alta hospitalar. Diante o exposto, faz-se necessário incluir o tema nas consultas pré-natal e repensar sobre os métodos de orientações empregados às mães. PALAVRAS-CHAVE: WHAT MOTHERS KNOW ABOUT NEONATAL TRIAGEABSTRACT: Neonatal triage, commonly known as the 'heel prick test', permits the tracing of individuals with probability of presenting certain determined pathologies, and the making of a diagnosis at an early stage and instituting specific treatments, in order to avoid serious consequences and increase the survival time of the ill. This was a descriptive study, with a quantitative approach, carried out with 55 new mothers with prior births, whose data were collected via semistructured questionnaires and had as objective to analyse the mothers' knowledge in relation to neonatal triage. The results indicate that they have little knowledge in respect to neonatal triage, although the majority were familiar with the exam being carried out on their children; they did not know the ideal age for the triage to be made, and received information from the nurses about the test at the moment of discharge from hospital. This being so, it becomes necessary to include the subject in the pre-natal consultancies and to re-think the advisory methods used with the mothers. KEYWORDS: Neonatal triage; New-born; Health education; Nursing. EL CONOCIMIENTO DE PUÉRPERAS ACERCA DE LA TRIADA NEONATALRESUMEN: Es "test del piecito" permite disgnosticar individuos con probabilidad de presentar determinadas patologías, realizando el diagnóstico en estagio precoz y instituyendo tratamiento específico, de modo a evitar secuelas graves y aumentar la sobrevida de los pacientes. Se trata de un estudio descriptivo, de abordaje cuantitativo, realizado con 55 puérperas multíparas, cuyos datos fueron recogidos por medio de cuestionario semiestructurado y tuvo como objetivo analizar el conocimiento de las puérperas acerca de la importancia de la triada neonatal. Los resultados apuntan baja comprensión de las puérperas sobre la importancia de la triada, a pesar de la mayoría conocer el examen de los hijos; ellas desconocían la edad ideal para realizar la triada y fueron informadas por los enf...

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“…Essas doenças não possuem cura, mas exibem um bom prognóstico se tratadas desde o período neonatal. Vale destacar que a TN é o maior programa de saúde pública ligada à genética no Brasil e constitui uma estratégia de prevenção, principalmente, da deficiência intelectual (LEÃO; AGUIAR, 2008).…”

Section: Introductionunclassified