How a baby with classic galactosemia was nearly missed: When the test succeeds but system fails

Autor: Sarah Viall, Amy Calhoun, Beth A Tarini, Nicholas Ah Mew
Rok vydání: 2020
Předmět:
Zdroj: American Journal of Medical Genetics Part A. 182:1750-1753
ISSN: 1552-4833
1552-4825
DOI: 10.1002/ajmg.a.61587
Popis: Newborn screening (NBS) is a well-established state-run public health program which has targeted the early identification of treatable diseases like classic galactosemia (CG) for over a decade. We describe the case of a symptomatic newborn with CG and an abnormal screen report, including positive DNA-based test, who still managed to fall through the cracks in a sub-optimally functioning NBS program, despite decades of screening experience. While much attention is paid to testing technology, this case illustrates basic minimum requirements a newborn screening program must fulfill to reliably identify and treat all affected individuals including minimum reporting requirements, case surveillance and a dedicated short-term follow-up program. In newborn screening, success is systematic.
Databáze: OpenAIRE