<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032025000300168</article-id>
<article-id pub-id-type="doi">10.31698/ped.52032025004b</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tamizaje de cardiopatías congénitas críticas en el recién nacido: conocimiento y aplicación por los profesionales en salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Screening for critical congenital heart disease in newborns: knowledge and application by healthcare professionals]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rengifo-Mosquera]]></surname>
<given-names><![CDATA[María P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echeverry-Morillo]]></surname>
<given-names><![CDATA[Viviana L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madrid-Pinilla]]></surname>
<given-names><![CDATA[Antonio J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valencia-Salazar]]></surname>
<given-names><![CDATA[Angelo I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo-Mondragón]]></surname>
<given-names><![CDATA[Ernesto L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Libre Seccional Cali Programa de Especialización en Pediatría]]></institution>
<addr-line><![CDATA[Cali Valle del Cauca]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo de Investigación en Pediatría (GRINPED)  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Valle Programa de Especialización en Pediatría ]]></institution>
<addr-line><![CDATA[Cali Valle del Cauca]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Valle Programa de Especialización en Pediatría ]]></institution>
<addr-line><![CDATA[Cali Valle del Cauca]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>52</volume>
<numero>3</numero>
<fpage>168</fpage>
<lpage>178</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032025000300168&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032025000300168&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032025000300168&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las cardiopatías congénitas críticas (CCC) son malformaciones graves que requieren detección temprana para reducir morbimortalidad. La oximetría de pulso es efectiva como tamizaje y en 2024 se actualizaron recomendaciones para su aplicación.  Objetivo: Evaluar el conocimiento y aplicación del tamizaje actual de CCC por profesionales de salud en instituciones de Cali.  Materiales y métodos: Estudio observacional transversal en profesionales relacionados con neonatos en Cali-Colombia en 2025. Se realizaron encuestas estructuradas sobre conocimientos y aplicación del tamizaje de CCC. Se utilizaron estadísticas descriptivas y pruebas estadísticas para comparaciones entre grupos.  Resultados: Se encuestaron 100 profesionales de la salud. El 80% reportó realizar el tamizaje neonatal para detección de CCC, pero solo el 78% tenía conocimiento actualizado sobre la prueba y el 38% había recibido capacitación. El 98% reconoció la importancia del tamizaje en asintomáticos, el 70% identificó correctamente el momento adecuado de la prueba y el 58% conocía el sitio anatómico correcto para su realización. La interpretación adecuada de los valores de saturación de oxígeno fue identificada por el 56% y el criterio de diferencia entre extremidades por el 62%. El 79% conoce la indicación de repetir la prueba y el 82% de ecocardiograma. El puntaje promedio de conocimiento fue de 5.3/9, con una mediana de 6/9.  Conclusión: Aunque se evidencian avances en la implementación del tamizaje neonatal para CCC, aún existen brechas en la capacitación y conocimiento. Dado que la oximetría de pulso es una herramienta eficaz y costo-efectiva, su adecuada implementación podría contribuir a reducir la mortalidad infantil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Critical congenital heart disease (CCHD) consists of serious malformations that require early detection to reduce morbidity and mortality. Pulse oximetry is an effective screening tool, and recommendations for its application were updated in 2024.  Objective: To evaluate the knowledge and application of current CCHD screening by healthcare professionals in institutions in Cali, Colombia.  Materials and methods:  We conducted a cross-sectional and observational study among professionals working with newborns in Cali, Colombia, in 2025. Structured surveys were administered regarding knowledge and application of CCHD screening. Descriptive statistics and statistical tests were used for comparisons between groups.  Results:  One hundred healthcare professionals were surveyed. Eighty percent reported performing newborn screening for CCHD, but only 78% had up-to-date knowledge of the test, and 38% had received training. Ninety-eight percent recognized the importance of screening in asymptomatic infants, 70% correctly identified the appropriate time for the test, and 58% knew the correct anatomical site for its performance. The correct interpretation of oxygen saturation values was identified by 56%, and the criterion for limb differences by 62%. Seventy-nine percent knew the indication for repeating the test, and 82% knew the indication for echocardiography. The average knowledge score was 5.3/9, with a median of 6/9.  Conclusion:  Although progress has been made in the implementation of neonatal screening for congenital heart disease, gaps in training and knowledge still exist. Given that pulse oximetry is an effective and cost-efficient tool, its proper implementation could contribute to reducing infant mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiopatía congénita]]></kwd>
<kwd lng="es"><![CDATA[cardiopatía crítica]]></kwd>
<kwd lng="es"><![CDATA[tamizaje]]></kwd>
<kwd lng="es"><![CDATA[saturación de oxímetro]]></kwd>
<kwd lng="es"><![CDATA[pulso-oximetría]]></kwd>
<kwd lng="es"><![CDATA[ecocardiograma]]></kwd>
<kwd lng="en"><![CDATA[Congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[critical heart disease]]></kwd>
<kwd lng="en"><![CDATA[screening]]></kwd>
<kwd lng="en"><![CDATA[pulse oximeter saturation]]></kwd>
<kwd lng="en"><![CDATA[pulse oximetry]]></kwd>
<kwd lng="en"><![CDATA[echocardiogram]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Cassell]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost-effectiveness of routine screening for critical congenital heart disease in US newborns]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2013</year>
<volume>132</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>e595-603</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
