培训初级卫生保健专业人员扩大新生儿筛查串联质谱:挑战社区遗传学在巴西。

IF 4 Q1 GENETICS & HEREDITY
Luzivan Costa Reis, Tassia Tonon, Marina Bernardes Acosta, Simone Martins de Castro, Vivian de Lima Spode Coutinho, Débora Gusmão Melo, Ida Vanessa Doederlein Schwartz
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引用次数: 0

摘要

在巴西,用于新生儿筛查的干血斑(DBSs)应在当地基本卫生单位(bhu)在出生后第3天至第5天收集。本研究报告了巴西南部bhu在串联质谱(MS/MS)纳入国家统计局计划的试点研究期间进行面对面培训的经验。该试点项目包括筛选22种先天性代谢错误(IEMs)。家庭服务单位的专业人员被指示进行以下工作:(a)向家长或监护人解释这项研究;(b)在不同的收集卡(研究卡)上收集额外的DBS样本;(c)向家庭交付成果。在所有137个保健单位进行了亲自访问。这些访问包括对试点项目的概述和分发教育材料,包括22个综合管理系统的名单和基于系统的国家统计局的信息单张。在参与调查的486名保健专业人员中,91.2%是女性。总体而言,97.1%的bhu对该项目表示满意。40.1%的bhu对iem提出了质疑,13.1%的bhu抱怨研究卡质地较轻,不易干燥。在巴西,培训IEMs中的初级卫生保健专业人员仍然是一个紧迫的优先事项,特别是在使用MS/MS扩大国家统计局的背景下,因为他们是国家统计局计划的一线专业人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Training Primary Healthcare Professionals for Expanded Newborn Screening with Tandem Mass Spectrometry: Challenges for Community Genetics in Brazil.

Training Primary Healthcare Professionals for Expanded Newborn Screening with Tandem Mass Spectrometry: Challenges for Community Genetics in Brazil.

Training Primary Healthcare Professionals for Expanded Newborn Screening with Tandem Mass Spectrometry: Challenges for Community Genetics in Brazil.

In Brazil, dried blood spots (DBSs) for newborn screening (NBS) should be collected between the 3rd and 5th days of life at local Basic Health Units (BHUs). This study reports the experience of face-to-face training at BHUs in southern Brazil during a pilot study for tandem mass spectrometry (MS/MS) inclusion in the NBS program. The pilot project involved screening for 22 inborn errors of metabolism (IEMs). The professionals at the BHUs were instructed to carry out the following: (a) explain the study to parents or guardians; (b) collect additional DBS samples on a different collection card (research card); and (c) deliver results to families. In-person visits were conducted at all 137 BHUs. These visits included an overview of the pilot project and distribution of educational materials, including a list of the 22 IEMs and informational leaflets on MS/MS-based NBS. Among the 486 healthcare professionals who participated, 91.2% were women. Overall, 97.1% of the BHUs reported being satisfied with the project. Questions regarding IEMs were raised in 40.1% of BHUs, and 13.1% reported complaints about the research card due to its lighter texture and drying difficulty. Training primary healthcare professionals in IEMs remains an urgent priority in Brazil, particularly in the context of expanded NBS using MS/MS, since they are the frontline professionals in the NBS program.

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来源期刊
International Journal of Neonatal Screening
International Journal of Neonatal Screening Medicine-Pediatrics, Perinatology and Child Health
CiteScore
6.70
自引率
20.00%
发文量
56
审稿时长
11 weeks
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