Table 2.
The National Newborn Screening Programme in Uruguay, blood spot dynamics
| Phases | Pre analytical | Analytical | Post analytical |
|---|---|---|---|
| Actions | •Blood collection in all maternity units in Uruguay •Timely submission of samples for analysis |
•Storage, processing and analysis of samples at: •Social Insurance Bank (BPS)a National Screening Laboratory •Laboratories that perform umbilical cord blood TSH measurements |
•Normal •Pathological: repeat test of the first sample. •If abnormal: a second sample is requested. •Continued abnormal result: confirmatory testing. •If positive for disease: RNDCERb is notified, and treatment and follow-up begins. •Make contact by telephone or actively search for patient in suspected or confirmed cases. |
| Responsible | •Public and private health providers •National Post Office (sample transportation) |
•National Screening Laboratory Social Insurance Bank (BPS) •22 laboratories from public and private providers |
•Social Insurance Bank (BPS) •Public and private providers •Customs Programmec •CHLAEPd |