0761/2007 - Triagem Neonatal - O Desafio de uma Cobertura Universal e Efetiva Neonatal Screening – The Challenge of an Universal and Effective Coverage
• Judy Botler - Botler, J. - RIO DE JANEIRO, RJ - Escola Nacional de Saúde Pública Sergio Arouca - FIOCRUZ - <jbotler@attglobal.net>
Área Temática:
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Resumo:
Programas de triagem neonatal (PTNs) visam detectar portadores de várias doenças congênitas em recém-natos assintomáticos para uma intervenção efetiva. A coleta do teste é a primeira etapa do processo, devendo ser universal e precoce. Foi feita revisão sobre cobertura e momento de coleta em PTNs de diversos países. Metodologia: A busca foi realizada em fontes diversas, de 1998 e 2008, com descritores “triagem neonatal” e “cobertura”. A falta de desenho de estudo típico impediu o rigor necessário a uma revisão sistemática. Os dados foram agrupados em macro-regiões. Resultados: O Canadá teve cobertura de 71% em 2006. A Europa teve cobertura de 69% em 2004, com dados de 38 países. Na Ásia e Pacífico, houve dados de 19 países. No Oriente Médio e Norte da África, houve dados de 4 países. Na América Latina, a cobertura foi de 49% em 2005, com dados de 14 países. No Brasil, a cobertura foi de 80% em 2005. Sobre o momento da coleta houve 12 relatos. Conclusão: A transição epidemiológica foi determinante para o êxito dos PTNs. Regiões mais desenvolvidas têm coberturas e momento de coleta mais adequados. No Brasil, a iniciativa do governo ampliou o acesso ao teste, mas coletas tardias indicam a necessidade de ações educativas e de organizações profissionais na definição de diretrizes específicas. Palavras-chave: Triagem Neonatal – Cobertura – Oportunidade - Programas de Saúde Pública.
Abstract:
Newborn screening programs (NSP) aim to detect carriers of several congenital diseases among asymptomatic infants in order to warrant effective intervention. Specimen collection is the first step of a process that should be done in a universal and timely manner. A review of coverage and time of collection was done in NSP of several countries. Methodology: Search was made in various sources, from 1998 to 2008, with “neonatal screening” and “coverage” as key-words. The lack of a typical study design did not lead to the rigor required for a systematic review. Data was grouped in macro-regions. Results: Canada had coverage of 71% in 2006. European coverage was of 69% in 2004, with data of 38 countries. In Asia and Pacific region, there was data of 19 countries. In Middle East and North Africa, there was data of 4 countries. In Latin America, coverage was 49% in 2005, with data of 14 countries. In Brazil, coverage was 80%. Twelve reports had information about timeliness. Conclusion: Epidemiological transition was determinant for NSP success. Developed regions had more universal and timelier collection. In Brazil, government initiative increased access to the NSP, but late collections lead to the need of educational actions and participation of professional organizations by specific guidelines definition. Key-words: Neonatal Screening – Coverage – Opportunity – Public Health Program
Neonatal Screening – The Challenge of an Universal and Effective Coverage
Resumo (abstract):
Newborn screening programs (NSP) aim to detect carriers of several congenital diseases among asymptomatic infants in order to warrant effective intervention. Specimen collection is the first step of a process that should be done in a universal and timely manner. A review of coverage and time of collection was done in NSP of several countries. Methodology: Search was made in various sources, from 1998 to 2008, with “neonatal screening” and “coverage” as key-words. The lack of a typical study design did not lead to the rigor required for a systematic review. Data was grouped in macro-regions. Results: Canada had coverage of 71% in 2006. European coverage was of 69% in 2004, with data of 38 countries. In Asia and Pacific region, there was data of 19 countries. In Middle East and North Africa, there was data of 4 countries. In Latin America, coverage was 49% in 2005, with data of 14 countries. In Brazil, coverage was 80%. Twelve reports had information about timeliness. Conclusion: Epidemiological transition was determinant for NSP success. Developed regions had more universal and timelier collection. In Brazil, government initiative increased access to the NSP, but late collections lead to the need of educational actions and participation of professional organizations by specific guidelines definition. Key-words: Neonatal Screening – Coverage – Opportunity – Public Health Program
Botler, J.. Triagem Neonatal - O Desafio de uma Cobertura Universal e Efetiva. Cien Saude Colet [periódico na internet] (2008/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/triagem-neonatal-o-desafio-de-uma-cobertura-universal-e-efetiva/2835?id=2835
