Document Detail

Recommended newborn screening policy change for the NICU infant.
MedLine Citation:
PMID:  18178928     Owner:  NLM     Status:  MEDLINE    
Newborn screening (NBS), the practice by which infants are tested for certain genetic and metabolic conditions by heel prick 3 to 5 days after birth, has been a beneficial and cost-effective public health strategy. Many of the screened conditions present in the first 2 weeks of life and are life threatening. Because of the risk of metabolic acidosis, seizures, coma, neurological devastation, or death, NBS is essential for prompt diagnosis and treatment, including dietary, hormonal, and other interventions. However, due to the fact that aminoglycosides, blood transfusions, nothing by mouth status, and the presence of heparinized solutions all potentially affect the screening results, NBS guidelines in neonatal intensive care units (NICUs) ought to be changed to obviate inaccurate results. These guidelines, originally initiated by nurses at the Johns Hopkins NICU due to the missed diagnosis and death of an infant, include screening the day of birth prior to any interventions, performing the screen at 1 and/or 2 weeks of life, and repeating screening as needed.
Katherine G Balk
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Policy, politics & nursing practice     Volume:  8     ISSN:  1527-1544     ISO Abbreviation:  Policy Polit Nurs Pract     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2008-01-07     Completed Date:  2008-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901316     Medline TA:  Policy Polit Nurs Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  210-9     Citation Subset:  IM; N    
Johns Hopkins University, USA.
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MeSH Terms
Age Factors
Cost-Benefit Analysis
Health Planning Guidelines*
Health Policy*
Infant, Newborn
Intensive Care Units, Neonatal
Intensive Care, Neonatal / organization & administration*
Neonatal Nursing / organization & administration
Neonatal Screening / nursing,  organization & administration*
Nurse's Role
Nurseries, Hospital
Organizational Innovation
Practice Guidelines as Topic*
State Health Plans / organization & administration
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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