25 Years of Newborn Screening in Uruguay

Abstract In the 1960s Guthrie conceived the idea of preventing congenital disease using dried blood spot samples on filter paper to detect them through biochemical tests and then be able to treat environmental factors in time to avoid the devastating effect of the diseases. Uruguay started in 1994 w...

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Main Authors: Cecilia Queijo, A. Lemes, G. Queiruga
Format: Article
Language:English
Published: SciELO 2021-06-01
Series:Journal of Inborn Errors of Metabolism and Screening
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942021000100315&tlng=en
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author Cecilia Queijo
A. Lemes
G. Queiruga
author_facet Cecilia Queijo
A. Lemes
G. Queiruga
author_sort Cecilia Queijo
collection DOAJ
description Abstract In the 1960s Guthrie conceived the idea of preventing congenital disease using dried blood spot samples on filter paper to detect them through biochemical tests and then be able to treat environmental factors in time to avoid the devastating effect of the diseases. Uruguay started in 1994 with the detection of congenital hypothyroidism in umbilical cord blood. In 2007 it was extended to Phenylketonuria and Congenital Adrenal Hyperplasia, starting with dried blood spot sample. In 2008, with the incorporation of Mass Spectrometry, a pilot program was started for the detection of aminoacidopathies, beta-oxidation defects and organic acidemias disorders. In the following years, the program expanded to more diseases, reaching a total of 25 disorders that could be detected, 5 of them are investigated on a mandatory basis and others in pilot program. During the 25-year of experience, 974277 umbilical cord blood samples were analyzed and since 2007: 532684 dried blood spot samples. 613 true positive congenital disorders were identified. The coverage has been greater than 98% and the repetition rate for insufficient samples less than 1.9%.
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spelling doaj.art-846089a075454605be9b692061d28b652022-12-21T19:45:54ZengSciELOJournal of Inborn Errors of Metabolism and Screening2326-45942021-06-01910.1590/2326-4594-jiems-2021-000825 Years of Newborn Screening in UruguayCecilia Queijohttps://orcid.org/0000-0002-1624-5948A. LemesG. QueirugaAbstract In the 1960s Guthrie conceived the idea of preventing congenital disease using dried blood spot samples on filter paper to detect them through biochemical tests and then be able to treat environmental factors in time to avoid the devastating effect of the diseases. Uruguay started in 1994 with the detection of congenital hypothyroidism in umbilical cord blood. In 2007 it was extended to Phenylketonuria and Congenital Adrenal Hyperplasia, starting with dried blood spot sample. In 2008, with the incorporation of Mass Spectrometry, a pilot program was started for the detection of aminoacidopathies, beta-oxidation defects and organic acidemias disorders. In the following years, the program expanded to more diseases, reaching a total of 25 disorders that could be detected, 5 of them are investigated on a mandatory basis and others in pilot program. During the 25-year of experience, 974277 umbilical cord blood samples were analyzed and since 2007: 532684 dried blood spot samples. 613 true positive congenital disorders were identified. The coverage has been greater than 98% and the repetition rate for insufficient samples less than 1.9%.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942021000100315&tlng=enNewborn screeningCongenital hypothyroidismCystic fibrosisCongenital adrenal hyperplasiaHaemoglobinopathiesMCADPhenylketonuria
spellingShingle Cecilia Queijo
A. Lemes
G. Queiruga
25 Years of Newborn Screening in Uruguay
Journal of Inborn Errors of Metabolism and Screening
Newborn screening
Congenital hypothyroidism
Cystic fibrosis
Congenital adrenal hyperplasia
Haemoglobinopathies
MCAD
Phenylketonuria
title 25 Years of Newborn Screening in Uruguay
title_full 25 Years of Newborn Screening in Uruguay
title_fullStr 25 Years of Newborn Screening in Uruguay
title_full_unstemmed 25 Years of Newborn Screening in Uruguay
title_short 25 Years of Newborn Screening in Uruguay
title_sort 25 years of newborn screening in uruguay
topic Newborn screening
Congenital hypothyroidism
Cystic fibrosis
Congenital adrenal hyperplasia
Haemoglobinopathies
MCAD
Phenylketonuria
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942021000100315&tlng=en
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