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Serum phenylalanine screening How the Test is Performed: Infant: The area is cleansed with antiseptic and punctured with a sharp needle or a lancet. Three drops of blood are placed in three separate test circles on a piece of paper. Cotton or a bandage may be applied to the puncture site if there is any continued bleeding . The test paper is taken to the laboratory where it is mixed with a type of bacteria that needs phenylalanine to grow, and another substance that inhibits phenylalanine from reacting with anything else. How to Prepare: Infants and children: For the physical and psychological preparation you can provide for your child, see the following topic: How it Feels: When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing . Risks: Risks associated with venipuncture are slight: - excessive bleeding
- fainting or feeling lightheaded
- hematoma (blood accumulating under the skin)
- infection (a slight risk any time the skin is broken)
- multiple punctures to locate veins
Why this Test is Performed: This test is performed on infants to screen for PKU . If the defect is detected early, the severe side effects may be avoided through diet modification. Normal Values: A normal test results in no bacteria growth. This indicates that there was enough phenylalanine inhibitor to prevent the bacteria from using the phenylalanine and growing. Abnormal Results: Bacteria growth indicates that there was not enough phenylalanine inhibitor to prevent the bacteria from using the phenylalanine and growing. PKU is a possibility and further testing will be performed. Cost: Information not available. Special Considerations: Not applicable.
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