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[Implementation of the neonatal cystic fibrosis screening program in Switzerland: beginning January 2011]
Anne Mornand1, Jürg Barben, Gaudenz Hafen
1Unité de pneumologie pédiatrique, Hôpital des enfants, Rue Willy Donzé 6, 1211 Geneve 14. anne.mornand@hcuge.ch
Insights
Newborn screening for cystic fibrosis (CF) in Switzerland began in 2011. This program aims to reduce diagnostic delays and enable early intervention for respiratory and nutritional issues, improving patient outcomes.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Context:
- Delayed diagnosis of cystic fibrosis (CF) due to nonspecific early symptoms.
- Advocacy for newborn screening to facilitate early intervention.
- Implementation of a nationwide CF newborn screening program in Switzerland since January 2011.
Purpose:
- To reduce diagnostic delays for cystic fibrosis.
- To enable timely preventive care for respiratory and nutritional complications.
- To align with international consensus and established screening practices.
Summary:
- The Swiss Nationwide Cystic Fibrosis Newborn Screening Program utilizes a two-step approach.
- The screening process involves an immunoreactive trypsinogen assay.
- DNA mutation analysis is performed on dried blood samples (Guthrie cards) collected on day 4.
Impact:
- Potential for earlier detection and management of CF in newborns.
- Facilitation of early respiratory and nutritional support.
- Contribution to improved long-term health outcomes for individuals with CF.
Abstract:
The diagnosis of cystic fibrosis (CF) is often delayed because of the nonspecificity of a wide variety of clinical symptoms at disease onset. Newborn screening for CF has been advocated to reduce delays in diagnosis, facilitating preventive care for early respiratory and nutritional involvement. According to American and European consensus and experience of existing programs, a Swiss Nationwide Cystic Fibrosis Newborn Screening Program started in January 2011. Screening strategy combines two steps: an immunoreactive trypsinogen assay and DNA mutation analysis in dried blood samples at day 4 (Guthrie cards).
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