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Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan

Objective. Sweat collected for testing should have quantity not sufficient (QNS) rate of ≤10% in babies ≤3 months of age. Michigan (MI) cystic fibrosis (CF) centers’ QNS rates were 12% to 25% in 2009. This project was initiated to reduce sweat QNS rates in MI. Methods/Steps. (a) Each center’s sweat...

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Autores principales: Abdulhamid, Ibrahim, Kleyn, Mary, Langbo, Carrie, Gregoire-Bottex, Myrtha, Schuen, John, Shanmugasundaram, Krithika, Nasr, Samya Z
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804676/
https://www.ncbi.nlm.nih.gov/pubmed/27335913
http://dx.doi.org/10.1177/2333794X14553625
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author Abdulhamid, Ibrahim
Kleyn, Mary
Langbo, Carrie
Gregoire-Bottex, Myrtha
Schuen, John
Shanmugasundaram, Krithika
Nasr, Samya Z
author_facet Abdulhamid, Ibrahim
Kleyn, Mary
Langbo, Carrie
Gregoire-Bottex, Myrtha
Schuen, John
Shanmugasundaram, Krithika
Nasr, Samya Z
author_sort Abdulhamid, Ibrahim
collection PubMed
description Objective. Sweat collected for testing should have quantity not sufficient (QNS) rate of ≤10% in babies ≤3 months of age. Michigan (MI) cystic fibrosis (CF) centers’ QNS rates were 12% to 25% in 2009. This project was initiated to reduce sweat QNS rates in MI. Methods/Steps. (a) Each center’s sweat testing procedures were reviewed by a consultant. (b) Each center received a report with recommendations to improve QNS rates. (c) Technicians visited other participating centers to observe their procedures. Results. A total of 778 infants were identified as positive via CF newborn screening over a 2-year period. The mean age at time of sweat test was 23.2 days (SD ± 13.0 days). The overall QNS percent decreased from 14.4% to 9.5% (P = .04) during the study. Conclusion. This project and teamwork approach led to a decrease of sweat test QNS rates, opportunities to solve a common problem, and improved quality of care.
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spelling pubmed-48046762016-06-22 Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan Abdulhamid, Ibrahim Kleyn, Mary Langbo, Carrie Gregoire-Bottex, Myrtha Schuen, John Shanmugasundaram, Krithika Nasr, Samya Z Glob Pediatr Health Original Article Objective. Sweat collected for testing should have quantity not sufficient (QNS) rate of ≤10% in babies ≤3 months of age. Michigan (MI) cystic fibrosis (CF) centers’ QNS rates were 12% to 25% in 2009. This project was initiated to reduce sweat QNS rates in MI. Methods/Steps. (a) Each center’s sweat testing procedures were reviewed by a consultant. (b) Each center received a report with recommendations to improve QNS rates. (c) Technicians visited other participating centers to observe their procedures. Results. A total of 778 infants were identified as positive via CF newborn screening over a 2-year period. The mean age at time of sweat test was 23.2 days (SD ± 13.0 days). The overall QNS percent decreased from 14.4% to 9.5% (P = .04) during the study. Conclusion. This project and teamwork approach led to a decrease of sweat test QNS rates, opportunities to solve a common problem, and improved quality of care. SAGE Publications 2014-10-09 /pmc/articles/PMC4804676/ /pubmed/27335913 http://dx.doi.org/10.1177/2333794X14553625 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Original Article
Abdulhamid, Ibrahim
Kleyn, Mary
Langbo, Carrie
Gregoire-Bottex, Myrtha
Schuen, John
Shanmugasundaram, Krithika
Nasr, Samya Z
Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title_full Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title_fullStr Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title_full_unstemmed Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title_short Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan
title_sort improving the rate of sufficient sweat collected in infants referred for sweat testing in michigan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804676/
https://www.ncbi.nlm.nih.gov/pubmed/27335913
http://dx.doi.org/10.1177/2333794X14553625
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