第二届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化，提高新生儿听力筛查工作中筛查质量，达到早期发现、早期诊断、早期干预和有效康复的目的。上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心、卫生部新生儿听力筛查专家组将于2011年9月18～24日在上海举办“第二届全国听力筛查、诊断及干预培训班”。     

第二届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查工作中筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心、卫生部新生儿听力筛查专家组、     

第2届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查工作中筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。     

第二届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查工作中筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心、卫生部新生儿听力筛查专家组将于2011年9月18-24日在上海举办“第二届全国听力筛查、诊断及干预培训班”。     

第二届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查工作中筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心、卫生部新生儿听力筛查专家组、将于2011年9月18日-24日在上海举办"第二届全国听力筛查、诊断及干预培训班"。     

第二届全国听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查工作中筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心、     

珠海市基层医院新生儿听力筛查工作调查

目的 调查珠海市基层医院新生儿听力筛查工作开展现状及信息化管理模式运行情况,探讨进一步提升新生儿听力筛查质量及信息化管理水平的新模式.方法 采用现场填写质控评分表、面向各医院听力筛查负责人发放调查问卷等方式,对珠海市24家助产医疗保健机构新生儿听力筛查工作进行质控,调查筛查工作普及状况、筛查率、转诊率及信息化管理现状.结果 ①2014年全市新生儿分娩量30 808人,听力初筛25 295人,筛查率82.11%(25 295/30 808).其中14家已开展听力筛查医院中有10家医院初筛率达95%以上,另外4家医院的初筛率分别为93.02%、66.79%、55.29%、48.37%;10家未全面开展听力筛查医院转诊率低于40%,各医院新生儿听力筛查工作开展情况差距较大. ②全市2014年新生儿听力初筛阳性率9.34%(2 363/25 295),复筛阳性率7.98%(145/1 816),接受听力学诊断193人(64.14%,93/145);最后确诊双耳听力异常30人,新生儿听力损失检出率0.12%(30/25 295);需进行耳聋干预8人,其中6人已接受医学干预,干预率为75%(6/8).③珠海市听力筛查信息化工作已推行近十年,但听力筛查系统使用情况不佳,没有充分发挥信息化管理的优势. 结论 基层医院新生儿听力筛查工作不仅要重视筛查率,更要提高筛查未通过者的复筛率、诊断率、干预率和回访率等,利用信息化管理的优势加强对听力损失高危儿及听力障碍者的长期跟踪随访,以提高听力筛查整体质量.     

听力筛查未通过婴儿的诊断结果分析

目的 分析成都市新生儿听力筛查未通过婴儿的诊断结果,了解其可能病因.方法 回顾性分析成都市98 385名新生儿听力筛查中未通过而转诊的1 113例新生儿的临床资料,对确诊为先天性听力损失婴儿的诊断结果进行分析.结果　1 113例未通过新生儿听力筛查的婴儿中,初诊为先天性听力损失者243例,检出率2.47‰(243/98 385);其中伴有先天畸形或特殊体征的综合征型听力损失12例,占全部先天性听力损失的4.94%(12/243).结论 通过新生儿听力筛查和出生缺陷的监测,可以发现部分综合征型先天性听力损失.     

第二届卫生部听力筛查、诊断及干预培训班通知

为进一步推动我国新生儿听力筛查工作的规范化、科学化,提高新生儿听力筛查质量,达到早期发现、早期诊断、早期干预和有效康复的目的。卫生部妇社司、卫生部新生儿听力筛查专家组、上海交通大学医学院耳科学研究所、上海交通大学医学院附属新华医院听力中心将于2011年9月18~24日在上海举办"第二届卫生部听力筛查、诊断及干预培训班"。培训班由     

对新生儿听力筛查假阳性与假阴性的再认识

新生儿听力筛查的目的是为了早期发现先天性听力损失,及时进行干预和治疗.随着新生儿听力筛查工作在全国各地的广泛开展,诸多实际问题表现出来,尤其是听力筛查的假阳性与假阴性现象,值得认真探讨.     

Voluntary progress toward universal newborn hearing screening

OBJECTIVES: This study assessed the prevalence of newborn hearing screening in Wisconsin between 1997 and 2001, and examined factors leading to establishment of programs and influencing the outcomes of universal newborn hearing screening (UNHS). The primary goal was to identify characteristics that might be important for states, provinces or countries that have not yet implemented UNHS programs and to examine some unique components of the Wisconsin UNHS program, that may provide direction to areas both with and without programs. METHODS: The study consisted of two cross-sectional surveys administered at two separate time points (2000 and 2001). Additional data was provided by the Wisconsin Sound Beginnings Early Detection and Hearing Intervention database. RESULTS: Between 1997 and 2001, the number of Wisconsin birthing hospitals with UNHS programs increased from two to 92 of a total of 103 and the percent of all Wisconsin newborns screened for hearing loss before 1-month of age increased from 10 to 90%. In 2001, 2.6% of screened newborns had an abnormal test requiring further audiologic evaluation, with a higher rate of referral in programs relying only on otoacoustic emission testing versus automatic auditory brainstem testing. As programs were being established, hospitals with greater number of deliveries more readily developed UNHS programs and hospitals with more deliveries were also significantly more likely to screen a greater percentage of delivered children once their programs were established. The Wisconsin Sound Beginnings program established a screening program for home birth infants in 2002 with a current screen rate of 79% for those midwives participating in this program. CONCLUSIONS: A vast majority of Wisconsin hospitals have voluntarily implemented UNHS programs. By 2001, greater than 90% of all Wisconsin newborns were screened through a UNHS program. With education, financial support and a statewide network dedicated to UNHS it is possible to establish programs even for infants born in a setting that should be considered high-risk to miss hearing screening, such as home births and hospitals that perform relatively few numbers of deliveries per year. UNHS programs need to develop coordinated systems for linking these programs to audiologic diagnostic services and early intervention programs.     

Universelles Neugeborenen-Hörscreening

Background

Since 2009, all newborns in Germany have been entitled to universal neonatal hearing screening (UNHS). UNHS with tracking of test results leads to earlier detection of hearing disorders. The Association of German Hearing Screening Centers (Verband Deutscher Hörscreening-Zentralen, VDHZ) was founded to promote nationwide tracking, validity and quality control of UNHS results.

Objectives

A comparable data structure in the different screening centers, with uniform definitions of primary parameters is essential for the nationwide evaluation of UNHS results. To address the question of whether a data structure with comparable definitions already exists or still has to be created, the existing structures and primary parameter definitions in the hearing screening centers should be investigated and compared.

Methods

A survey was conducted in all hearing screening centers to assess how data on the primary UNHS parameters defined in pediatric guidelines was gathered. In the case of discrepancies, uniform definitions were created. Finally, the practicability of these definitions was evaluated.

Results

Due to differing definitions of primary parameters, some of the data were not comparable between the individual centers. Therefore, uniform definitions were created in a consensus process. In the centers, the screening method, the two-step first screening and the result of the first screening now correspond to these uniform definitions. Other parameters, e.g. the total number of newborns, still vary widely, rendering the comparison of screening rates almost impossible.

Conclusion

Valid evaluation of UNHS not only requires nationwide establishment of hearing screening centers, but also unified data structures and parameter definitions.     

北京市8200例和西宁市1940例新生儿听力筛查结果对比分析

目的对比分析8 200例北京市新生儿和1 940例西宁市新生儿的听力筛查结果。方法回顾性分析2009年1月～2011年10月北京大学第三医院8 200例、青海大学附属医院1 940例活产新生儿听力筛查的结果,均采用瞬态诱发耳声发射(TEOAE)进行初筛、复筛,其中,北京大学第三医院对具有听力损害高危因素儿采用了TEOAE联合自动听性脑干反应(AABR)进行复筛。结果北京大学第三医院活产新生儿初筛率为100%,复筛率为83.39%,最终确诊为先天性听力损失者正常儿中25例,高危儿中35例。青海大学附属医院活产新生儿初筛率为85.98%,复筛率为68.21%,最终诊断为听力损失者正常儿中1例,高危儿中6例。北京大学第三医院初筛率和复筛率均较青海大学附属医院高,差异有统计学意义(P<0.05)。结论 2009～2011年北京大学第三医院活产新生儿听力筛查结果达到推荐筛查标准,而青海大学附属医院尚未达到筛查标准,应进一步加强宣教和随访。     

Universal neonatal hearing screening program in Shanghai,China: An inter-regional and international comparison

ObjectiveBy comparing the Universal Neonatal Hearing Screening (UNHS) program as implemented in Shanghai and other regions in China and countries around the world, this study makes an assessment of the Shanghai model and summarizes the experiences implementing the UNHS program, so as to provide a valuable reference for other countries or regions to carry out UNHS more effectively. Since Shanghai is one of the most developed regions in China, we also examined the relationship between economic development and the UNHS starting year and coverage rate.MethodsThe study conducted a systematic review of published studies in Chinese and English on the program status of neonatal hearing screening to compare and analyze the implementation of the UNHS program in 20 cities or provinces in China and 24 regions or countries around the world. The literature search in Chinese was conducted in the three most authoritative publication databases, CNKI (China National Knowledge Infrastructure), WANFANGDATA, and CQVIP (http://www.cqvip.com/). We searched all publications in those databases with the keywords “neonatal hearing screening” (in Chinese) between 2005 and 2014. English literature was searched using the same keywords (in English). The publication database included Medline and Web of Science, and the search time period was 2000–2014.ResultsShanghai was one of the first regions in China to implement UNHS, and its coverage rate was among the top regions by international comparison. The starting time of the UNHS program had no relationship with the Gross Domestic Product (GDP) per capita in the same year. Economic level serves as a threshold for carrying out UNHS but is not a linear contributor to the exact starting time of such a program. The screening coverage rate generally showed a rising trend with the increasing GDP per capita in China, but it had no relationship with the area's GDP per capita in selected regions and countries around the world. The system design of UNHS is the key factor influencing screening coverage. Policy makers, program administrators, and cost-sharing structures are important factors that influence the coverage rates of UNHS.ConclusionWhen to carry out a UNHS program is determined by the willingness and preference of the local government, which is influenced by the area's social, political and cultural conditions. Mandatory hearing screening and minimal-cost to no-cost intervention are two pillars for a good coverage rate of UNHS. In terms of system design, decision-making, implementation, funding and the concrete implementation plan are all important factors affecting the implementation of the UNHS.     

Universal newborn hearing screening programs in Italy: survey of year 2006

Conclusion.Our results suggest a rapid diffusion of newborn hearing screening programs in Italy and indicate that three conditions seem to play a crucial role in the implementation of Universal Newborn Hearing Screening (UNHS) programs: the size (>800 births/year) and location (metropolitan urban areas) of the hospital, and the presence of an audiologist in the UNHS coordinating team Objectives. The aim of this paper is to provide data on the degree of implementation and coverage of UNHS programs in Italy Materials and methods. Data were collected through a Screening Survey Questionnaire that was sent to all birthing hospitals active in Italy in 2006 and was filled in by the chief of the hospital or by the UNHS program coordinator Results. In Italy UNHS coverage had undergone a steep increase from 29.3% in 2003 (156 048 newborns screened) to 48.4% in 2006 (262 103 screened). The majority of UNHS programs were implemented in the two most economically developed areas, i.e. in the north-west area (79.5%, 108 200 of 136 109 births), and in the north-east area (57.2%, 52 727 of 92 133 births), while a limited diffusion still remains in some areas, typically in the islands (11.3%, 7158 of 63 460 births).     

Improvement in early detection of congenital hearing impairment due to universal newborn hearing screening

OBJECTIVE: The aim of this study was to determine whether universal newborn hearing screening (UNHS) is effective in increasing the number of children whose hearing impairment is detected early, i.e. within the first 6 months of life. It also investigated whether UNHS contributes most to the early detection of moderately and severely hearing-impaired newborns, as suggested by a recently published report. METHODS: The study consisted of a retrospective analysis of the data of all children born in Tyrol between 1980 and 1999 and having an at least moderate permanent hearing loss in the better ear. RESULTS: The findings are that since UNHS was introduced in some newborn nurseries in 1995, a substantially higher number of hearing-impaired children has been detected early. For the whole sample, the increase of the early detection rate is 39.9%, with a 95% confidence interval of 33.2-46.8% (P<0.0001). For moderate hearing loss the increase is 49.2 with a 95% confidence intervall of 39.6-58.8% (P=0.000). CONCLUSIONS: On the whole, our findings lend support to the view that UNHS is effective in early detection of congenital hearing impairment. We conclude that UNHS provides the greatest benefit for moderately hearing-impaired children who, otherwise, would have been detected last.     

Erwartungen werdender Mütter an das Neugeborenen-H?rscreening

Background

To implement universal newborn hearing screening (UNHS) for maximum effectiveness, it is necessary – in addition to implementing a reliable screening procedure when testing the child – to consider psycho-social factors relevant in this context. In this respect parental estimations and expectancies play an important role.

Method

In a questionnaire survey 187 expectant mothers were asked about their knowledge and attitudes concerning UNHS, and their expectations concerning the availability of concrete support if their child were to have positive test results at the primary postnatal screening. A self-developed scale was conducted asking the mothers to make statements regarding their attitude about UNHS, possible risks (parent-child relationship, stress experiences) as well as concrete expectations concerning support (counseling, contacts with other persons concerned, informative literature).

Results

The results show that the expectant mothers in this study expressed high approval for conducting UNHS. This is comparable with results from former studies. In addition, as many as a quarter of the expectant mothers expressed worries relating to the effects on the parent-child relationship and higher parental stress levels. In nearly all areas investigated, at least half of the expectant mothers said that providing targeted support if necessary is important to help them cope sufficiently with the challenges associated with the consequences of UNHS.

Conclusion

The results of this study demonstrate the importance of a reliable tracking system as required by the guidelines for using UNHS to detect children’s hearing loss at an early stage. The data suggest that in order to use UNHS responsible, consultations should be offered immediately to affected families. This would allow parents to have psycho-social support available as the need arises to cope with the primary screening results; further, this support should help parents learn about other family-centered support services such as case management.     

The universal newborn hearing screening program at the University Hospital of Ferrara: focus on costs and software solutions

In the present paper, the authors report the results of the Universal Newborn Hearing Screening (UNHS) project at the University Hospital of Ferrara. A total of 6759 full-term newborns and a total of 1016 NICU babies were tested at the University Hospital of Ferrara, from January 2000 to December 2006. The paper presents information from clinically acceptable screening procedures developed and tested during the 6 years of the program and addresses two questions pertinent to hearing screening: (i) the cost-estimate of a UNHS program based on European economical and administration premises and (ii) the development of a database-structure for the evaluation of the UNHS/NHS performance and the individual patient tracking.     

Comparison of universal newborn hearing screening programs in Illinois hospitals

SUMMARY/OBJECTIVES: In accordance with the Joint Committee on Infant Hearing's (JCIH, 2000) position statement regarding Universal Newborn Hearing Screenings (UNHS), the state of Illinois enacted legislation requiring all birthing hospitals to conduct UNHS by 31 December 2002. Currently 100% of birthing facilities in the state of Illinois perform newborn infant hearing screenings using otoacoustic emissions (OAEs) and/or automated auditory brainstem response (AABR) measures. This study is an attempt to document current practices in hospital-based UNHS programs, as reported by program personnel, in the state of Illinois. The goal is to compare these reported practices to the recommended standards and identify factors that could lead to further refinement of the process. METHODS: A modified version of the Newborn Hearing Screening Survey from the Marion Downs National Center for Infant Hearing was used to gather practice- and protocol-related data for the 2004 calendar year via the World Wide Web. Data presented here are extracted from the online survey as reported by hospital staff presumably associated with the UNHS program. RESULTS: Fifty-nine of the 140 hospitals with UNHS programs responded to the Web-based survey. Nursing staff, followed by technicians, were most commonly reported to perform initial hearing screenings in both the well-baby nursery (WBN) and the neonatal intensive care unit (NICU). Audiologists appeared to participate in re-screenings at a greater number of the facilities. Automated ABR was the most common screening tool (80%) followed by Distortion Product OAEs (32%) and Transient Evoked OAEs (5%). Eighty-six percent reported referral rates that were less than 5%, with 32% reporting a referral rate less than 1%. CONCLUSIONS: At the beginning of 2004, 99% of all infants born in Illinois were being screened for hearing loss. Personnel involvement and screening measures employed were comparable to the few reports available from other states. The audiologist's role was found to be fairly limited in screening, re-screening, or managing UNHS programs. Referral rates were consistent with national standards ( approximately 1%). Management of UNHS programs in small, rural facilities, tracking/monitoring high-risk infants, and other services provided to families emerged as areas with room for improvement.     

Newborn hearing screening: selected experience in the United States.

Universal newborn hearing screening (UNHS) is rapidly becoming 'standard of care' in the United States. More than two dozen states now require, through legislative mandate, that the state establishes a system for early hearing detection and intervention (EDHI), beginning with mandated UNHS. In states with long-standing EDHI programs, the average age of identification and intervention has decreased significantly. In those states, infants are identified and intervention initiated typically before age 6 months, meeting the Joint Committee on Infant Hearing's (JCIH) recommendation for newborn hearing screening, diagnosis and intervention. Language outcome data suggest that earlier intervention results in better language outcomes for deaf and hard-of-hearing children. This article reviews the current status of UNHS in the United States, summarizes the Colorado statewide program and describes the JCIH Year 2000 position statement for developing comprehensive EDHI programs.