Cross-sectional evaluation of health indicators of the national neonatal screening program in a city of Vale do Paranhana
DOI:
https://doi.org/10.15448/1980-6108.2023.1.44831Keywords:
child health, neonatal screening, nursing care.Abstract
Objective: to evaluate neonatal screening national program (PNTN) and health indicators in the Rolante city, RS, Brazil.
Method: cross-sectional study, using electronic medical records registered between January 2017 and July 2020. The calculation of the PNTN indicators from 2017 to 2019 was carried out. And analysis of other health variables such as: period and place of collection, weight and age at birth, maternal age, prenatal care, consultation, test results and collection.
Result: coverage ranged from 201 out of 256 (78.5%) to 229 out of 272 (84.2%). Of the 734 collections, 544 (74.1%) were performed within the period of 3 to 5 days of life, recommended by the Ministry of Health. The median age of the NB at the first consultation was greater than 15 days in all screened diseases, except for phenylketonuria and biotinidase deficiency, in the period evaluated.
Conclusion: from the results it was possible to observe that the coverage of the municipality corresponded to the national and state data in the period. And even though the percentage of collections carried out on the ideal date was high, the recommended age at the first consultation was not met in most pathologies.
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Brasil. Secretaria de Atenção à Saúde. Departamento de Atenção Especializada e Temática. Triagem neonatal biológica: manual técnico [Internet]. Brasília, DF: Ministério da Saúde; 2016 [cited 2023 May 10]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/triagem_neonatal_biologica_manual_tecnico.pdf
Brasil. Secretaria de Atenção à Saúde. Departamento deAtenção Básica. Saúde da Criança: crescimento e desenvolvimento [Internet]. Brasília, DF: Ministério da Saúde; 2012 [cited 2023 May 10]. (Cadernos de Atenção Básica, n. 33). Available from: https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_crescimento_desenvolvimento.pdf
Brasil. Ministério da Saúde reforça a importância do Teste do Pezinho entre o 3º e 5º dia de vida [Internet]. Brasília, DF: Ministério da Saúde; 2019 [cited 2023 May 10]. Available from: https://www.saude.gov.br/noticias/agencia-saude/45503-ministerio-da-saude-reforca-a-importancia-do-teste-do-pezinho-entre-o-3-e-5-dia-de-vida
Brasil. Portaria n° 822, de 06 de junho de 2001. Institui, no âmbito do Sistema Único de Saúde, o Programa Nacional de Triagem Neonatal – PNTN. Brasília, DF: Ministério da Saúde; 2001.
Kopacek C, Castro S, Chapper M, Amorim LB, Ludtke C, Vargas P. Evolução e funcionamento do programa nacional de triagem neonatal no Rio Grande do Sul de 2001 a 2015. Bol Cient Pediatr. 2015;3:70-4.
Botler J, Camacho LA, da Cruz MM, George P. Neonatal screening: the challenge of an universal and effective coverage. Ciênc saúde coletiva. 2010;15(2): 493-503. http://doi.org/10.1590/S1413-81232010000200026 DOI: https://doi.org/10.1590/S1413-81232010000200026
Brasil. Resolução nº 510, de 7 de abril de 2016: Ética na pesquisa na área de ciências humanas e sociais - Imprensa Nacional. Brasília, DF: Diário Oficial da União; 2016.
Brasil. Indicadores básicos para a saúde no Brasil: conceitos e aplicações. Rede interagencial de informação para a saúde. 2 ed. Brasília, DF: Organização Pan-Americana da Saúde: Ripsa; 2008.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007;370(9596):1453-7. http://doi.org/10.1136/bmj.39335.541782.AD DOI: https://doi.org/10.1016/S0140-6736(07)61602-X
Tonon T, Sisti E, Nalin T, Schwartz IVD. Assessment of newborn screening in the public health system of a municipality in northern Rio Grande do Sul. Clin Biomed Res 2018;38(2):123-7. http://doi.org/10.4322/2357-9730.74929 DOI: https://doi.org/10.4322/2357-9730.74929
Therrell BL, Padilla CD, Loeber JG, Kneisser I, Saadallah A, Borrajo GJ, et al. Current status of newborn screening worldwide: 2015. Semin Perinatol. 2015;39(3):171-87. http://doi.org/10.1053/j.semperi.2015.03.002 DOI: https://doi.org/10.1053/j.semperi.2015.03.002
Brasil. Portaria n° 822, de 06 de junho de 2001. Institui, no âmbito do Sistema Único de Saúde, o Programa Nacional de Triagem Neonatal – PNTN. Brasília, DF: Ministério da Saúde; 2001.
Rajabi F. Updates in Newborn Screening. Pediatr Ann. 2018;47(5):e187-e90. http://doi.org/10.3928/19382359-20180426-01 DOI: https://doi.org/10.3928/19382359-20180426-01
Blau N, Shen N, Carducci C. Molecular genetics and diagnosis of phenylketonuria: state of the art. Expert Rev Mol Diagn. 2014;14(6):655-71. http://doi.org/10.1586/14737159.2014.923760 DOI: https://doi.org/10.1586/14737159.2014.923760
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Universidade Federal de Minas Gerais. Faculdade de Medicina da Universidade Federal de Minas Gerais. Núcleo de Ações e Pesquisa em Apoio Diagnóstico. Diagnóstico situacional do Programa Nacional de Triagem Neonatal nos estados brasileiros: relatório técnico. Belo Horizonte: NUPAD; 2013. 34 p.
Silva MM, Zagonel IS, Lacerda MR. Cuidados de enfermagem e o teste do pezinho. Cogitare Enferm. 2002;7(1):43-7. http://doi.org/10.5380/ce.v7i1.32555 DOI: https://doi.org/10.5380/ce.v7i1.32555
Reis ES, Partelli AN. Teste do pezinho: conhecimento e atitude dos profissionais de enfermagem. Rev Bras Pesq Saúde. 2014;16(1). DOI: https://doi.org/10.21722/rbps.v16i1.8489
Garcia MG, Ferreira EP, de Oliveira FP. Análise da compreensão de pais acerca do teste do pezinho. J HumGrowth Dev. 2007;17(1):1-12. DOI: https://doi.org/10.7322/jhgd.19810
Arduini GO, Balarin MA, da Silva-Grecco RL, de Marqui AB. Conhecimento das puérperas sobre o teste do pezinho. Rev paul pediatr. 2017;35(1):151-7. http://doi.org/10.1590/1984-0462/;2017;35;2;00010 DOI: https://doi.org/10.1590/1984-0462/;2017;35;2;00010
Marton da Silva MG, Lacerda MR. “Teste do pezinho”: por que coletar na alta hospitalar. Rev Eletr Enferm. 2003;5(2):60-4 http://doi.org/10.5216/ree.v5i2.781 DOI: https://doi.org/10.5216/ree.v5i2.781
Brasil. DATASUS – Sistema de Informações sobre Nascidos Vivos (SINASC) [Internet]. [place unknown]: Ministério da Saúde; 2021. Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvrs.def
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