Newborn Screening in Wisconsin - PowerPoint PPT Presentation

1 / 16
About This Presentation
Title:

Newborn Screening in Wisconsin

Description:

Newborn screening is the process of testing a population of newborns to identify ... screened for, newborn screening is sometimes mistakenly called the 'PKU test' ... – PowerPoint PPT presentation

Number of Views:286
Avg rating:3.0/5.0
Slides: 17
Provided by: citymilwau
Category:

less

Transcript and Presenter's Notes

Title: Newborn Screening in Wisconsin


1
Newborn Screening in Wisconsin
2
What Is Newborn Screening?
  • Newborn screening is the process of testing a
    population of newborns to identify those affected
    with certain treatable disorders early on,
    preventing potentially serious medical
    complications

3
What Is Newborn Screening?
  • Newborn screening programs include
  • Testing - Treatment
  • Follow-up - Education for parents/providers
  • Confimatory Diagnosis

4
Newborn Screening
  • Every state in the US has a newborn screening
    program
  • No federal guidelines for newborn screening

5
  • Newborns in WI are screened for 48 different
    disorders, including hearing
  • Screening decreases morbidity and mortality, and
    increases quality of life for babies with these
    disorders
  • Testing and parental notification are required by
    state law

6
Wisconsin Statute 253.13
  • The attending physician or nurse certified under
    441.5 shall cause every infant born in each
    hospital or maternity home, prior to its
    discharge therefrom, to be subjected to blood
    tests for congenital or metabolic disorders

7
Wisconsin Statute 253.13
  • Requires that parents be informed of testing
  • No tests may be performedunless the parents or
    legal guardian are fully informed of the purposes
    of testingand have been given reasonable
    opportunity to object
  • Parents may refuse based on religion
  • This section shall not apply if the parents
    object...on the grounds that the test conflicts
    with their religious tenets and practices

8
Why Is Newborn Screening Done?
  • Early identification and treatment of newborns
    affected with certain congenital disorders can
    prevent serious medical complications
  • Cannot test for every congenital disorder
    Criteria for testing must be met

9
Newborn Screening Criteria
  • Occurs in at least 1/100,000 births
  • Detection in the neonatal period leads to a
    demonstrable reduction in morbidity and mortality
  • Potential for effective therapy
  • Reasonable cost
  • Laboratory feasibility

10
Newborn Screening
  • Because PKU was the first disorder screened for,
    newborn screening is sometimes mistakenly called
    the PKU test
  • PKU TEST

11
How Are Samples Taken?
  • Heel prick
  • Fill all circles and allow card to dry completely
  • Send cards to State Laboratory of Hygiene within
    24 hours of collection

12
Results Reporting
  • Samples are run the day they are received
  • Specimens with all normal results available
    within 48 hours
  • Color scheme used for reports
  • White paper normal results
  • Gold paper definite abnormal
  • Blue paper possible abnormal

13
Results Reporting
  • Physician is contacted immediately whenever a
    result is abnormal
  • Physician contacts the parents and arranges any
    follow-up testing necessary
  • Immediate notification important for treatment in
    some disorders

14
Results Reporting
  • Follow-up
  • Specialists throughout state aid in follow-up of
    abnormal results
  • Refer to appropriate care center
  • Many additional services required by children
    identified through NBS are supported by the
    surcharge fee

15
Universal Newborn Hearing Screening
  • Cooperative arrangement between the NBS lab and
    the Sounds Beginning Program at DPH
  • NBS Blood collection card revised for recording
    hearing results began 5/02
  • Follow-up and reporting will assist hospitals and
    assure appropriate care for affected babies

16
Contact Information
City of Milwaukee-Health Dept Updated 8/02 HDG /
KHC
  • Web Site http//www.slh.wisc.edu/newborn
  • For parent brochures, call Wisconsin Division of
    Public Health (608) 266-8904
  • For technical questions (collection, results,
    etc.) call WSLH Newborn Screening Laboratory
    (608) 262-6547
Write a Comment
User Comments (0)
About PowerShow.com