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Genetic Testing for Cystic Fibrosis

N6551 Summer 2023

Catherine Wagner, RN

What is Cystic Fibrosis?

Introduction & Background

  • Cystic Fibrosis (CF) is the most common inherited genetic disease of children & young adults
  • It is a disorder of mucus production and produces abnormally thick mucus
  • This leads to life threatening lung infctions, digestive problems, poor growth, infertility, and more
  • Genetic testing prior to pregnancy or in the 1st trimester is highly recommended

Genetic Testing for CF

Importance of Genetic Testing

  • Cystic Fibrosis is a genetic disease
  • People with CF have inherited 2 copies of the defective CF gene -- one copy from each parent
  • Both parents have at least one copy of the defective gene
  • People with only 1 copy of the gene are carriers, will not show symptoms, and may not know they are carriers
  • Each time 2 carriers have a child, the odds of the child having CF are:
  • 25 percent (1 in 4) the child will have CF
  • 50 percent (1 in 2) the child will be a carrier but will not have CF
  • 25 percent (1 in 4) the child will not be a carrier and will not have CF

Infographic

**CF foundation citation

Benefits of Genetic Testing

  • Genetic testing is important if you are pregnant or planning to be pregnant
  • The mother receives the genetic test, and if CF comes back positive, it is recommended for the father to also undergo genetic testing to see if he is also a carrier
  • If both parents are carriers, early testing for the newborn significantly improves patient outcomes if they have inherited the CF gene from both parents
  • You can further test the fetus in utero with chorionic villus sampling or an amniocentesis if both parents are carriers

Genetic Testing

Cystic Fibrosis is a genetic disease

People with CF have inherited 2 copies of the defective CF gene -- one copy from each parent

Both parents have at least one copy of the defective gene

People with only 1 copy of the gene are carriers, will not show symptoms, and may not know they are carriers

Each time 2 carriers have a child, the odds of the child having CF are:

25 percent (1 in 4) the child will have CF

50 percent (1 in 2) the child will be a carrier but will not have CF

25 percent (1 in 4) the child will not be a carrier and will not have CF

Considerations for the APRN

Synthesis of Evidence

References