[检测代谢的先天性错误:墨西哥和其他国家的指导方针]
Sarahi Guerrero-Barrios1, Mariana Chiquillo-Domínguez1, Jorge Ayón-Aguilar2
1Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, División de Investigación en Salud. Puebla, Puebla, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 21, 2024
概括
代谢天生的错误 (IEM) 查在全球范围内有所不同,没有普遍的标准. 本综述确定了IEM检测的指导方针,突出了诸如先天性甲状腺功能低下症和基尿症等常见疾病.
科学领域:
- 医学遗传学 医学遗传学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 代谢的先天性错误 (IEM) 或遗传代谢障碍是与重大疾病和死亡有关的罕见遗传疾病.
- 全球IEM的发病率各不相同,从569例中的1例到2500例活产.
研究的目的:
- 通过官方国际来源进行叙事审查,确定用于检测IEM的指导方针.
- 分析全球IEM检测协议的变化.
主要方法:
- 进行了叙事审查.
- 确定和分析了13份与IEM检测相关的文件 (协议,书籍,手册,程序) 和4个官方网站.
主要成果:
- 查的IEM数量存在显著的变化,从4到61不等.
- 先天性甲状腺功能低下症和基尿症最常被纳入查计划中.
- 脊柱肌肉缩和严重的综合免疫缺陷较少被检测到.
- 先天性甲状腺功能低下是最常见的IEM,发病率因国家和地区而异.
- 对IEM的选择标准受到国家政策,疾病发病率和经济资源的影响.
结论:
- 没有普遍的IEM检测标准,但所有计划的目标是早期检测,诊断和治疗.
- 针对IEM检测的指导方针是国家具体的,取决于内部政策,发病率数据和可用的经济资源.
- 这一审查提供了对当前实践的见解,并促进了全球IEM频率的更精确估计.
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