gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Newborn hearing screening (NHS) in Saxony-Anhalt (Germany) considering the introduction of a tracking system

Meeting Abstract

  • corresponding author presenting/speaker Marja Loderstedt - University Clinic for Otolaryngology, Magdeburg, Germany
  • Simone P÷tzsch - Malformation-Monitoring-Centre Saxony-Anhalt, Magdeburg, Germany
  • Wilma Vorwerk - University Clinic for Otolaryngology, Magdeburg, Germany
  • Christine Rasinski - University Clinic for Otolaryngology, Halle (Saale), Germany
  • Christoph Arens - University Clinic for Otolaryngology, Magdeburg, Germany
  • Ulrich Vorwerk - University Clinic for Otolaryngology, Magdeburg, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. DŘsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno084

DOI: 10.3205/10hno084, URN: urn:nbn:de:0183-10hno0849

Published: July 6, 2010

© 2010 Loderstedt et al.
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Outline

Text

Introduction: The prevalence of congenital auditory dysfunction is 1–2 per 1.000 newborns. Auditory function is an essntial component during development for infants and children. Until recently the diagnositc procedure was carried out too late after birth. Since the 1st of January 2009 a claim for infants to participate in the NHS has been established in the Guidelines for paediatrics. Further, the follow up (Tracking System) has a very high importance for early rehablilitation of auditory dysfunction. The tracking system is not controlled by the national health system but is a reponsibility for the States of Germany. In Saxony-Anhalt a Tracking-Centre was founded in cooperation between the Malformation-Monitoring-Centre and the Centre for Metabolic Disorders.

Methods: Analysis of the level of diagnostic investigation (NHS) prior to the introduction of the guideline required NHS in 2008 in Saxony-Anhalt.

Results: The NHS centre was able to follow 10.499 children in 2008, which equates to 59.8% of the birth population in Saxony-Anhalt. Twenty-three maternity-clinics participated over a one year period; nine for 12 months and 14 for less that 12 months within 2008. All clinics provided transitory evoked otoacustic emission (TEOAE) and a some automatic auditory brainstem response (AABR). Approximately 95% of the children received an NHS in the maternity clinic. The follow-up investigations were carried out in clinics, Ear-Nose-Throat (ENT) practices and centers for pediatric auditory care. The ENT practices mainly used TEOAE for follow up. During 2008 the NHS centre received 13.738 test results from 109 institutions.

Conclusions: The requirements dictated by the guidelines for paediatrics have been fulfilled in Saxony-Anhalt. Standartised diagnostic procedures for follow up care have to be establisched in the future. To include all newborns in the NHS a thourough interdisciplinary cooperation will be reqired.