The newborn screen tests for elevated IRT (immunoreactive trypsinogen) levels in the infants blood. If the original IRT screen is abnormal, they are given another one after 7 days and prior to 6 weeks after the original screen--the levels tend to decrease and become normal by 6 weeks even in an infant with CF. If the second test is still abnormal, a sweat test or genetic testing is usually ordered. The newborn IRT screening is a sensitive test and can produce irregular results for even healthy babies, and CF is not the only condition that causes high IRT levels. However there is also the chance that an infant with CF will NOT have abnormal IRT levels. Is this making any sense? <img src="i/expressions/face-icon-small-wink.gif" border="0">
Basically, many infants ARE diagnosed through the newborn screening, but it is still possible that the IRT levels in a CF infant are completely normal, in which case another form of testing would be necessary.
I'm just exploring all this right now as I'm looking into more testing for my daughter. Hope that helps a little (if it wasn't too confusing).