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2012, Number 6

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Acta Pediatr Mex 2012; 33 (6)

Chilean model for long-term follow-up of phenylketonuria (PKU)

Cornejo V, Castro G, Fernández E, Cabello JF, Raimann E, De la Parra APS, Katherine B, Arias C, Peredo P, Valiente A, Colombo M
Full text How to cite this article

Language: Spanish
References: 13
Page: 301-307
PDF size: 92.34 Kb.


Key words:

Phenylketonuria, congenital hypothyroidism, neonatal screening, national reference center.

ABSTRACT

Chilean newborn screening program began in 1984 through of a covenant between the National Ministry of Health and the Chilean University through its Institute of Nutrition and Food Technology (INTA) with the aim of implementing a pilot study for neonatal detection of phenylketonuria (PKU) in Santiago’s central area. In 1989 a program for neonatal diagnosis of PKU and congenital hypothyroidism (HC) was initiated by INTA along with Santiago´s occidental health ministry rural area, which covered 20% of newborn population. PKU and HC had an incidence of 1:14,640 and 1:2000 living newborns respectively. These findings allowed the establishment of a favorable cost/benefit ratio which validated the implementation of a program with National character. In 1992 the Chilean Ministry of Health ruled the initiation of PKU and HC newborn screening program and by 1998 the coverage across the country was achieved.
INTA is the National Reference Center for confirmation and long term treatment for PKU and HC patients. A follow-up program consists of medical, nutritional, neurological and psychological outcome evaluations as well as periodic biochemical testing in order to guarantee normal patient growth and development.
To date 184 children have been diagnosed with classic or moderate PKU, all of them follow a strict monitoring program.


REFERENCES

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  2. Cornejo V, Raimann E, Moraga M, Colombo M. Programa de rastreo neonatal de fenilquetonuria. Rev Chil Ped 1990;61:309- 12.

  3. Cornejo V. Normas para el óptimo desarrollo de programas de búsqueda masiva de Fenilquetonuria (PKU), e Hipotiroidismo Congénito (HC) y otros errores congénitos del metabolismo. Editorial Ministerio de Salud, División de Prevención y Control de Enfermedades. República de Chile: Norma general técnica nº 93; 2007. p. 1-59.

  4. Cornejo V, Raimann E, Cabello JF, Valiente A, Becerra C, Opazo M, Colombo M. Past, present and future of newborn screening in Chile. J Inherit Metab. Dis 2010, DOI 10.1007/ s10545-010-9165-8.

  5. Cornejo V, Raimann E, Colombo M. Implementación y desarrollo de los programas de detección neonatal. In: Colombo M, Cornejo, E, Raimann E (eds). Errores innatos en el metabolismo del niño. Chile: Universitaria; 2010. p. 365-76.

  6. van Spronsen FJ, Burgard P. The truth of treating patients with phenylketonuria after childhood: The need for a new guideline. J Inherit Metab Dis 2008;31(6):673-9.

  7. Cornejo V, Raimann E. Errores innatos del metabolismo de los aminoácidos. En: Errores innatos en el metabolismo del niño. Eds. Colombo M, Cornejo V, Raimann E. 3ra Ed. Santiago de Chile: Editorial Universitaria; 2010. p.65-72.

  8. Cornejo V, Manríquez V, Colombo M, Mabe P, Jiménez M, De la Parra A, Valiente A, Raimann E. Fenilquetonuria de diagnóstico neonatal y lactancia materna. Rev Med Ch 2003; 131:1280-7. (IF: 0.271).

  9. Nutrition support protocols. 4ta edition. protocol 1. Phenylketonuria (PKU). 2001. p. 1-32.

  10. Castro G. Tesis de posgrado en enfermedades crónicas no trasmisibles de origen nutricional Confección de un instrumento nutricional para el tratamiento de la Fenilquetonuria. Tesis para optar al título de Especialista en enfermedades crónicas no transmisibles de origen nutricional, INTA, Universidad de Chile, Santiago, 2005.

  11. Guía de alimentación del niño(a) menor de 2 años hasta la adolescencia, Gobierno de Chile, Ministerio de Salud, Departamento de nutrición y ciclo vital, División de prevención y control de enfermedades. 2005. p. 25-7.

  12. Beblo S, Reinhardt H, Demmelmair H, Muntau AC, Koletzko B. Effect of fish oil supplementation on fatty acid status, coordination, and fine motor skills in children with phenylketonuria. J Pediatr 2007;150(5):479-84.

  13. Peredo P, Raimann E, Cataldo X, Gallardo G, Cornejo V. Síndrome de Fenilquetonuria Materna: un nuevo desafío para Chile. Rev Chil Nutr 2010;37(1):111-7.




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Acta Pediatr Mex. 2012;33