Triagem neonatal: o panorama atual no estado do Amapá

Lacerda, Grace Suzan Lopes; Costa, Flávia Silva; Dantas, Deyse de Souza; Costa, Érika Rodrigues Guimarães; Resque, Rafael Lima; Nascimento, Alessandra Azevedo do; Giacomet, Clóvis Luciano; Gomes, Madson Ralide Fonseca

doi:10.22239/2317-269x.00903

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…Esses resultados condizem com o estudo realizado no Centro Municipal de Saúde do Rio de Janeiro, em que 80% das mulheres entrevistadas não sabiam responder quais são as doenças triadas, 10% sabiam de pelo menos uma doença e as outras 10% referiram doenças erradas (Salles & Santos, 2009) revelando, a falta de conhecimento das mães em relação às doenças detectadas pelo TP. É evidente a importância de conhecerem previamente as doenças triadas, para que tenham consciência da sua gravidade e impacto econômico e social na família e na sociedade (Lacerda et al, 2017).…”

Section: Discussionunclassified

Teste do Pezinho: avaliação do conhecimento e importância para a saúde

Castro

Ferreira²,

Nunes³

et al. 2022

RSD

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O Teste do Pezinho é um exame laboratorial que permite identificar condições genéticas, congênitas e infecciosas antes da manifestação dos sintomas. O objetivo deste estudo foi investigar o conhecimento de gestantes, puérperas e profissionais da saúde sobre o Teste do Pezinho e as doenças por ele detectadas. A pesquisa observacional transversal foi desenvolvida nas Unidades Básicas de Saúde da cidade de Diamantina-MG com 127 pessoas. A maioria dos entrevistados possuía alguma informação sobre o Teste do Pezinho. Entretanto, observou-se que uma parcela significante das gestantes e das puérperas não conhecia sua importância e, em média, 52% delas não receberam informações sobre o teste no pré-natal. Somente 18% dos profissionais de saúde souberam descrever quais doenças são rastreadas pelo exame e nenhuma das gestantes e puérperas conseguiu citar todas as doenças. Mais de 95% dos participantes da pesquisa relataram a necessidade de orientações sobre o tema, com ênfase nos tipos de doenças triadas. Pode-se concluir que o conhecimento do público avaliado mostrou-se superficial e evidenciou a necessidade de capacitação e ações educativas, tanto para os profissionais quanto para as mães, para que tenham um conhecimento amplo do exame.

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Section: Discussionunclassified

Teste do Pezinho: avaliação do conhecimento e importância para a saúde

Castro

Ferreira²,

Nunes³

et al. 2022

RSD

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“…Despite the law having mandated their completion within the first 48 hours of a newborn’s life, we found less than 100% compliance in the maternity wards for completing, the pulse oximetry screening, red reflex examination, hearing screening, and tongue tests, which probably reflects the national reality [ 11 , 14 , 15 ]. The likely reasons for this are institutional deficiencies (e.g., inadequate training, resources, or instructions; failure to enforce the law, etc.…”

Section: Discussionmentioning

confidence: 99%

“…These tests need to be performed during the hospitalization, since so many patients live in rural areas without easy access to specialists, and an adverse result for these tests can signal imminent issues with feeding and boding. The lack of equipment, qualified human resources, and protocol options are known barriers to these two tests being performed early [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Universal NS is an essential part of the humanized and qualified care for newborns, and must be performed in a timely manner for early diagnosis and intervention, bringing greater benefits, social inclusion, and enhancing the quality of life for children affected by any of the identified pathologies [3]. Despite the law having mandated their completion within the first 48 hours of a newborn's life, we found less than 100% compliance in the maternity wards for completing, the pulse oximetry screening, red reflex examination, hearing screening, and tongue tests, which probably reflects the national reality [11,14,15]. The likely reasons for this are institutional deficiencies (e.g., inadequate training, resources, or instructions; failure to enforce the law, etc.…”

Section: Plos Onementioning

confidence: 92%

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Prevalence of the five newborn screening tests

et al. 2021

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Neonatal screening is essential for child health and has the following purposes: (1) pulse oximetry screening to evaluate congenital heart diseases; (2) red reflex examination to investigate eye diseases; (3) newborn hearing screening test to evaluate congenital hearing diseases; (4) tongue test to evaluate the lingual frenulum and identify communication and feeding problems; (5) the Guthrie test to screen for metabolic diseases. This study investigated the prevalence of the five neonatal screening tests and its associated institutional and socio-cultural factors using a cross-sectional study with 415 mother and baby binomials from public maternity hospitals in Natal, RN, Brazil in 2019. Pearson’s chi-squared, Mann-Whitney and Poisson regression tests were used, with a significance of p ≤ 0.05 and a 95% confidence interval. The sample loss was 71 mothers (17%). The prevalence in the first week and at the end of 28 days was 93% and 99.5% (pulse oximetry screening), 60% and 97.6% (red reflex examination), 71.9% and 93.6% (Guthrie test), 35.5% and 68.2% (hearing screening test), and 19% and 48.9% (tongue test). Only 152 newborns (36.6%) underwent all five tests. The performance of the tests was associated in the final model (p ≤ 0.05) with the residence of the mothers in the state capital (PR = 1.36; 95% CI = 1.18–1.56) and the provision of guidance for mothers about the five tests in maternity hospitals (PR = 1.30; 95% CI = 1.08–1.67). None of the tests met full coverage, and regional inequities were identified indicating the need to restructure the institutions, training and qualification procedures to improve of the work processes and longitudinal care.

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“…Another PNTN coverage study in the state of Amapá observed a rate of 31.2%. The deficiency in coverage of Amapá occurred because only 16 municipalities in the state are contracted to the Institute of Hematology and Hemotherapy responsible for the execution of screening throughout the state [12]. In contrast, the coverage rate was 100% of live births in the state of Paraná [13].…”

Section: Discussionmentioning

confidence: 99%

Sickle Cell Anaemia Prevalence among Newborns in the Brazilian Amazon-Savanna Transition Region

Souza¹,

Neto

Santos

et al. 2019

IJERPH

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Sickle cell anaemia is one of the most common hemoglobinopathies worldwide and an important public health problem in Brazil. This study evaluated the prevalence of sickle cell anaemia and its traits in newborns from the Amazon-Savanna Transition Region in the state of Maranhão, Brazil. A cross-sectional study was carried out, based on data from neonatal screening tests performed in 2013–2015 in Maranhão. The Hardy-Weinberg theorem was applied to analyse the frequency of expected homozygotes based on HbSS phenotype. A spatial-temporal distribution analysis was performed to delimit the regions with the greatest number of newborn cases with sickle cell anaemia. Of 283,003 newborns, 162 were found to have sickle cell anaemia, while 10,794 had a sickle cell trait, with a prevalence of 0.05% and 3.8%, respectively. The prevalence of expected homozygotes was higher in the North Region and in the state capital of Maranhão. This study may contribute to existing social and public health actions or the creation of new strategies for sickle cell disease in endemic areas in Brazil to improve the quality of life.

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Triagem neonatal: o panorama atual no estado do Amapá

Cited by 3 publications

References 10 publications

Teste do Pezinho: avaliação do conhecimento e importância para a saúde

Teste do Pezinho: avaliação do conhecimento e importância para a saúde

Prevalence of the five newborn screening tests

Sickle Cell Anaemia Prevalence among Newborns in the Brazilian Amazon-Savanna Transition Region

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