Ondokuz Mayıs Üniversitesi Yenidoğan İşitme Taraması (YEDİT) İlk Yıl Sonuçları

Year 2007, Volume: 24 Issue: 2, 43 - 51, 29.12.2009

F. Başar C. Aygün A.G. Güven

Abstract

The First year Results of Ondokuz Mayis University Newborn Hearing Screening Program


Newborn hearing screening is widely used method for early detection of congenital permanent childhood hearing impairment. The results of newborn hearing screening at Ondokuz Mayis University during the period between 28.12.2005 and 28.12.2006 were presented in this study. A total of 966 babies born at hospitals in the city and near vicinity as well as at our university clinics were screened during this time period. Based on the Newborn Hearing Screening Protocol prepared for this study, all babies were screened by using Transient Evoked Otoacoustic Emissions (TEOAE) screening device. Babies were accepted as having normal cochlear function if they passed the test on both ears. At the initial screening 768 babies (80%) out of 966 were passed TEOAE test on their both ears. The baby failed the test if s/he gets 'refer' result in one or both ears. A total of 874 (90%) out of 966 babies who passed the initial screening but have risk factors and who failed initial screening and followed up for further evaluation were completed all the necessary diagnostic procedures and received their final report at the end of the first year. The first year results revealed that 629 (99%) out of 638 babies from well baby clinic and 227 (96%) out of 236 babies from neonatal intensive care unit had a normal hearing in their both ears. On the other hand, 8 (1%) babies from well baby clinic, and 6 (3%) babies from neonatal intensive care unit were diagnosed as having various degrees of sensory neural hearing loss. A total of 92 (10%) babies did not receive test results at the end of the first year because of drop out from the study at the second or third screening and/or at the diagnostic test stages.
The first year descriptive results of the newborn hearing screening program are presented and discussed in this article.



Yenidoğan işitme taramaları konjenital işitme kayıplarının mümkün olan en erken dönemde tanılanması amacıyla tüm dünyada yaygın olarak kullanılmaktadır. Bu çalışmada 28.12.2005- 28.12.2006 tarihleri arasında üniversitemizde yapılan yenidoğan işitme taraması sonuçları sunulmuştur. Bu süreçte Üniversitemizde doğan, üniversitemiz yenidoğan yoğun bakımına sevk edilen, ya da şehir içi/dışı diğer hastanelerden üniversitemize gelen toplam 966 bebek işitme taramasından geçirilmiştir. Yenidoğan İşitme Taraması (YEDİT) protokolü çerçevesinde işitme taramaları yapılmış ve bu taramada geçme kriteri Transient Otoakustik Emisyon (TEOAE) tarama testinde bilateral "pass" (geçti) olarak kabul edilmiştir. İlk taramada 768 (%80) bebek bu kritere uyarak taramadan geçmiş ve bilateral normal kok-lear fonksiyon sonucu almıştır. Birinci yılın sonunda ilk taramada kalan bebekler ile ilk taramada geçen ancak risk faktörleri nedeniyle tekrar tarama yapılan bebeklerle, toplam 874 (%90) bebeğe sonuç verilmiştir. Bu sonuçlara göre Yenidoğan ünitesinden gelen 638 bebekten 629'u (%99) ve yenidoğan yoğun bakım ünitesinden gelen 236 bebekten 227'si (%96) tarama ve takip testlerinden geçerek bilateral normal koklear fonksiyon tanısı almıştır. Ancak Yenidoğan ünitesinden gelen 8 bebek (%1) ve yenidoğan yoğun bakım ünitesinden gelen 6 bebeğe (%3) farklı derecelerde sensöri-nöral tip işitme kaybı tanısı konulmuştur. İlk ya da ikinci taramada tek ya da iki kulaklarında "refer" (kaldı) sonucu alınan 92 (%10) bebeğe üçüncü tarama ve/veya tanısal testlere getirilmediği için sonuç verilememiştir. Bu makalede YEDİT programının birinci yılında elde edilen betimleyici sonuçlar sunularak literatür eşliğinde tartışılmıştır.

Keywords

-

References

• Grandori F, Lutman ME. European Consensus Statement on Neonatal Hearing Screening Finalized at the European Consensus Development Conference on Neonatal Hearing Screening. 15-16 May 1998, Milan Acta Paediatrica, 1999; 88: 107–107.
• Mencher GT, Davis AC, DeVoe SJ, et al. Universal Neonatal Hearing Screening: Past, Present, and Future. Am J of Audiol, 2001; 10: 3–12.
• Mehl AL, Thomson V. Newborn hearing screening: The great omission. Pediatrics, 1998; 101: 1–6.
• Yoshinaga-Itano C, Sedey AL, Coulter DK, et al. Language of early-and later-identified children with hearing loss. Pediatrics, 1998; 102: 1161–1171.
• National Institute of Health Consensus statement: Early identification of hearing impairment infants and young children in National Institute of Health Consensus Development Conference Proceedings. 1993. Bethesda, MD: National Institute of Health.
• Eilers RE, Berlin C. Advances in early detection of hearing loss in infants. Curr Probl Pediatr, 1995; 25: 60–66. 7. Hunter MF, Kimm L, Caferelli Dees D, et al. Feasibility of otoacoustic emission detection followed by ABR as a universal neonatal screening test for hearing impairment. British J Audiology, 1994; 28: 47–51.
• Serville MN, Demanez L, Demanez JP. Diagnosis of hearing impairment: Factors of delay. Acta Otorhinolaryngol, 2004; 58: 53–59.
• The European Consensus Development Conference on Neonatal Hearing Screening (Milan, May 15–16, 1998) Am J Audiol, 1999; 8: 19 – 20.
• Joint Committee on Infant Hearing, Year 2000 Position statement: principles and guidelines for early hearing detection and intervention programs. Am J Audiol, 2000, 9: 9–29.
• www.ozida.gov.tr
• Wrightson AS. Universal Newborn Hearing Screening. American Family Physian, 2007; 75: 1349–1352.
• Mason JA, Herrmann KR. Universal hearing s c r e e n i n g by automated auditory brainstem response measurement. Pediatrics, 1998;101: 221–227.
• Tatlı M, fierbetçioğlu B, Duman N, et al. Feasibility of neonatal hearing screening program with two-stage transient otoacoustic emissions in Turkey. Pediatr Int, 2007; 49: 161–166.
• Mukari SZ, Tan KY, Abdullah A. A pilot project on hospital-based universal newborn hearing screening: Lessons learned. Int J Pediatr Otorhinolaryngol, 2006; 70: 843–851.
• Hermann BS, Thornton R. Audiologic follow-up after failure of an infant screening. Curr Opin Otolaryngol Head Neck Surg, 1996; 4: 367–370.