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Abstract

Effect of Salt Supplementation on the Rate of Inadequate Sweat Collection for Infants Less than 3 Months of Age Referred for the Sweat Test by Lokesh Guglani, Ibrahim Abdulhamid

Background: Sweat testing in young infants (≤ 3 months) with a positive newborn screen for Cystic Fibrosis (CF) can yield higher rates of inadequate sweat collection. The role of salt supplements in improving sweat collection has not been studied before.
Methods: All young infants referred to our CF center for sweat testing were randomized to either receive salt supplements {1/8th teaspoon salt (750 mg)} mixed in formula feeds 1 day prior to sweat testing (study group) or no salt supplement (controls).
Results: Of the 151 young infants that underwent sweat testing over 18 months, 75 received salt supplements, while 76 did not. A total of 9 (11.8%) infants in the salt supplement group had inadequate sweat collection, as compared to 4 (5.2%) infants in the control group (p = 0.16, Fisher’s Exact Test).
Conclusions: Oral salt supplementation for young infants prior to sweat testing does not help to reduce the rates of inadequate sweat collection.

DOI: 10.7754/Clin.Lab.2014.140801