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Revista de salud publica del Paraguay

versão On-line ISSN 2307-3349

Resumo

ASCURRA, Marta; VALENZUELA, Adriana  e  ORTIZ PARANZA, Lourdes. Strategies implemented in Paraguay for the neonatal detection, diagnosis and treatment of people with cystic fibrosis. Rev. salud publica Parag. [online]. 2019, vol.9, n.1, pp.81-86. ISSN 2307-3349.  https://doi.org/10.18004/rspp.2019.junio.81-86.

Introduction:

Cystic fibrosis (CF) is an autosomal recessive pathology, capable of being detected in the neonatal period, caused by mutations in the CF transmembrane conductance regulator gene (CFTR), the pathology is multisystemic and Early treatment affects the expectation and quality of life of those affected.

Objective:

Present the main strategies and the results achieved for the detection, diagnosis and treatment of people with CF, in the National Neonatal Screening Program.

Methodology:

A review of the annual operating plan, reports, publications and documents issued from 2004 to 2018 was made.

Result:

In 16 years, 16 strategies were implemented that allowed the detection, diagnosis and treatment of individuals affected by CF. Among those that stand out the development of a pilot project for the screening of CF in RN, by means of immunoreactive trypsin (TIR), delivery of a basic basket of medicines, supplies and equipment for the treatment of the individuals with CF detected by the program as well as those previously diagnosed, implementation of the sweat test, elaboration of a multidisciplinary Clinical Guide, automation of the TIR dose, which allowed the universalization of the screening, and finally the identification of the mutations present in the affected individuals . In 2015, it was possible to reach 100% coverage of the RNs assisted in the services of the Ministry of Public Health and Social Welfare. From January 2004 to December 2018, 179 individuals received their treatment in the program, 144 of which were detected in the neonatal period.

Conclusion:

The strategies implemented have had very auspicious results that allowed us to universalize neonatal detection and treatment, which leads to a better quality and life expectancy of the individuals affected by CF. At present, it would only be necessary to implement a Multidisciplinary Care Center for people with Cystic Fibrosis.

Palavras-chave : Program; Neonatal screening; Cystic fibrosis.

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