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.