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Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
[Cystic fibrosis newborn screening: management issues]
1Association Française pour le Dépistage et la Prévention des handicaps de l'Enfant (AFDPHE), 38 rue Cauchy, 75015 Paris, France. anne.munck@rdb.aphp.fr
Insights
Newborn screening for cystic fibrosis (CF) aids early detection but requires improved follow-up care to prevent complications. Research is crucial for refining diagnostic and treatment strategies for infants with CF and atypical CF diagnoses.
Area of Science:
- Pediatrics
- Genetics
- Pulmonology
Context:
- Newborn screening (NBS) identifies pre-symptomatic cystic fibrosis (CF) cases.
- Challenges include managing nutritional and pulmonary complications in infants.
- Atypical CF diagnoses present diagnostic and prognostic dilemmas for clinicians and families.
Purpose:
- To review current recommendations for follow-up care and treatment of infants identified through NBS.
- To highlight the need for harmonized practices among CF care specialists.
- To emphasize the importance of clinical trials for young CF patients.
Summary:
- NBS facilitates early detection of CF, but effective follow-up is critical to prevent complications.
- Expert consensus provides guidance on managing infants with confirmed or atypical CF diagnoses.
- Clinical trials are essential for developing accurate outcome measures for pulmonary function in infants.
Impact:
- Aims to improve care coordination and outcomes for newborns with CF.
- Supports the development of evidence-based guidelines for CF management.
- Encourages clinical research to address knowledge gaps in pediatric CF care.
Abstract:
Newborn screening (NBS) enables detection of pre-symptomatic cystic fibrosis (CF) patients. A major issue confronting the multidisciplinary team is that of implementing adequate follow-up care, thereby preventing nutritional and pulmonary complications. NBS may also identify newborns who do not fulfil the CF diagnosis criteria; the clinician and family are faced with the diagnostic and prognostic dilemma of atypical CF. Published recommendations are mainly a consensus of expert opinions on follow-up modalities and treatment to help families and primary care physicians, thus harmonizing current practices among CF care specialists. Well-designed clinical trials for these young children focusing on nutritional and pulmonary function are of crucial importance. Indeed, evaluation of pulmonary function is hampered by the absence of accurate, sensitive, reproducible outcome parameters. The European Cystic Fibrosis Society Clinical Trials Network is actively stimulating clinical research on these very young patients.
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