Bubbico L, Tognola G, Greco A, Grandori F
Department of Otolaryngology, Italian Institute of Social Medicine, Rome, Italy.
Acta Otolaryngol. 2008;128(12):1329-36. doi: 10.1080/00016480802008165.
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.
The aim of this paper is to provide data on the degree of implementation and coverage of UNHS programs in Italy.
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.
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).
我们的研究结果表明新生儿听力筛查项目在意大利迅速普及，并且显示出三个条件似乎在普遍新生儿听力筛查（UNHS）项目的实施中起着关键作用：医院的规模（每年出生人数>800）、位置（大都市市区）以及UNHS协调团队中是否有听力学家。
本文旨在提供意大利UNHS项目的实施程度和覆盖范围的数据。
通过一份筛查调查问卷收集数据，该问卷于2006年发送给意大利所有活跃的分娩医院，由医院院长或UNHS项目协调员填写。
在意大利，UNHS的覆盖率从2003年的29.3%（筛查了156,048名新生儿）急剧上升至2006年的48.4%（筛查了262,103名）。大多数UNHS项目在两个经济最发达的地区实施，即西北部地区（79.5%，136,109例出生中的108,200例）和东北部地区（57.2%，92,133例出生中的52,727例），而在一些地区，尤其是岛屿地区，普及程度仍然有限（11.3%，63,460例出生中的7158例）。
