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Overview of newborn hearing screening programs in Brazilian maternity hospitals

机译:巴西妇产医院新生儿听力筛查计划概述

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INTRODUCTION: Newborn hearing screening has as its main objective the early identification of hearing loss in newborns and infants. In order to guarantee good results, quality indicators for newborn hearing screening programs are used as benchmarks. OBJECTIVE: To observe and describe the reality of national newborn hearing screening programs in Brazil, and to evaluate if they can be referred to as having quality indicators. METHODS: Integrative literature review in databases such as MEDLINE, LILACS, SciELO, and Google. RESULTS: 22 articles were analyzed in relation to newborn hearing screening coverage, the place and period newborn hearing screening was performed, initial results, referral to diagnostic procedures, loss to follow-up, and occurrence of hearing loss. CONCLUSION: Transient otoacoustic emissions were the most often used screening methodology. Coverage varied widely, and only a few maternity wards achieved 95% of the cases screened. Referral to diagnostic procedures was under 4%, but lack of adherence can be considered a barrier to successful follow-up. The occurrence of hearing loss ranged from 0% to 1.09%. The involvement of government, physicians, and society is necessary, so that the goals of newborn hearing screening can be achieved.
机译:简介:新生儿听力筛查的主要目标是及早发现新生儿和婴儿的听力损失。为了保证良好的效果,将新生儿听力筛查程序的质量指标用作基准。目的:观察和描述巴西国家新生儿听力筛查计划的现实情况,并评估它们是否可以被称为具有质量指标。方法:在MEDLINE,LILACS,SciELO和Google等数据库中进行综合文献综述。结果:分析了22篇文章,涉及新生儿听力筛查的范围,进行新生儿听力筛查的地点和时间,初步结果,转诊诊断程序,失去随访以及发生听力损失。结论:瞬态耳声发射是最常用的筛选方法。覆盖率差异很大,只有少数产科病房实现了筛查病例的95%。转诊至诊断程序的比例低于4%,但缺乏依从性可被视为成功随访的障碍。听力损失的发生范围为0%至1.09%。政府,医师和社会的参与是必要的,以便可以实现新生儿听力筛查的目标。

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