Preferred Label : Infant factors that affect newborn screening interpretation:Find:Pt: Patient:Nom:;
LOINC status : ACTIVE;
LOINC long common name : Infant factors that affect newborn screening interpretation;
LOINC short name : Inf factors affecting NBS imp;
LOINC description : Use this term to record various infant factors (also known as events), including treatments
or conditions, that occur prior to collection of the newborn screening (NBS) specimen,
and can affect the interpretation of NBS results. Select any answers that apply; you
can select more than one answer. If you select other, use the additional narrative
LOINC code for Other infant factors that affect newborn screening interpretation to
give additional details. Select the answer Infant in ICU at time of specimen collection
if the infant was in an intensive care unit, neonatal intensive care unit (NICU) or
special care baby unit (SCBU). ECMO (extra corporeal membrane oxygenation, aka heart-lung
bypass) can affect NBS results for hemoglobinopathies and GALT. Dopamine can affect
NBS results for TSH. Steroid treatment can affect NBS results for TSH and 17-OHP.
Iodine can affect NBS results for TSH and T4. Antibiotics can affect NBS results for
C5. Some anti-seizure medications can affect NBS results for fatty acids. In screening
for cystic fibrosis (CF), those babies presenting with meconium ileus or other bowel
obstruction often have falsely low IRT's, so some states when they have that information,
skip the IRT and go directly to DNA for their screen. SOURCES: Newborn Screening Guidelines
for Preterm, Low Birth Weight, and Sick Newborns; Approved Guideline. CLSI document
I/LA31-A. Wayne, PA: Clinical and Laboratory Standards Institute; (2009). LABORATORY
MEDICINE PRACTICE GUIDELINES: FOLLOW-UP TESTING FOR METABOLIC DISEASES IDENTIFIED
BY EXPANDED NEWBORN SCREENING USING TANDEM MASS SPECTROMETRY, The National Academy
of Clinical Biochemistry, 2009 http://www.aacc.org/members/nacb/lmpg/onlineguide/publishedguidelines/newborn/pages/default.aspx.
Utah Department of Health's Newborn Screening For Sick or Preterm Newborns Available
at: http://health.utah.gov/newbornscreening/PDF/SupportProcScreeningSickPreterm.pdf.;
Origin ID : 57713-0;
UMLS CUI : C2736112;
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