title: Improving the Rate of Sufficient Sweat Collected in Infants Referred for Sweat Testing in Michigan.
abstract: 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.
authors.affiliation: Children's Hospital of Michigan Cystic Fibrosis Center, Detroit, MI, USA.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abdulhamid
authors.affiliation: Michigan Department of Community Health, Lansing, MI, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Kleyn
authors.affiliation: Michigan Department of Community Health, Lansing, MI, USA.
authors.forename: Carrie
authors.initials: C
authors.lastname: Langbo
authors.affiliation: Michigan State University Cystic Fibrosis Center, East Lansing, MI, USA.
authors.forename: Myrtha
authors.initials: M
authors.lastname: Gregoire-Bottex
authors.affiliation: Helen DeVos Children's Hospital Cystic Fibrosis Center, Grand Rapids, MI, USA.
authors.forename: John
authors.initials: J
authors.lastname: Schuen
authors.affiliation: University of Michigan Cystic Fibrosis Center, Ann Arbor, MI, USA.
authors.forename: Krithika
authors.initials: K
authors.lastname: Shanmugasundaram
authors.affiliation: University of Michigan Cystic Fibrosis Center, Ann Arbor, MI, USA.
authors.forename: Samya Z
authors.initials: SZ
authors.lastname: Nasr
keywords: general pediatrics; genetics; infectious diseases; neonatology; pulmonology