title: [Ultrasound screening program for neonates and infants in Hungary].
abstract: BACKGROUND
  A children's hospital in Budapest (The Madarász Street Children's Hospital) and two children's department of two county hospitals (Toldy Ferenc Hospital, Cegléd and Zala County Hospital, Zalaegerszeg) started a common ultrasound screening programme for children in 1990.
  
  
  OBJECTIVE
  This three screening centres agreed which illnesses, pathological states and developmental disorders will be screened. In neonatological departments this screening was carried out usually in the first week of life. In the children's hospital, the majority of measurements was performed between 2 weeks and 3 months of the infants life time. The ratio between this two age group was 43.6 and 56.4%. The authors compared and analysed the results of screenings in neonates and those in infants. Another important objective of the programme was to compare the results of prae- and postnatal screening.
  
  
  METHODS
  Examinations were carried out by up-to-date instruments corresponding to the given period. Data for neonates were compared with those for infants and with clinical findings, analysed, stored in computers and yearly evaluated. Screenings were performed by neonatologists, pediatric radiologists or pediatricians with appropriate practice.
  
  
  RESULTS
  The three centres examined altogether 51,688 children during their 10-years activity, and found 4758 pathological cases. The majority of pathological cases (3447) was renal and urinary tract disorders, in 1224 cases intracranial occurrences were diagnosed, whereas the remaining cases were mainly tumours or cysts in the liver, spleen or ovarium.
  
  
  CONCLUSIONS
  Numerous pathological changes can be detected by ultrasound screening postnatally, which have great therapeutic significance and are very important for differential diagnostics. By comparing the results for neonates and infants, it can be established that screening in infancy is usually important if no screening was carried out in the neonate age, but control examinations should be performed as well, when it is justified by some physiological or pathological reason. In case of slight deviations, when the first examination cannot provide unambiguous diagnosis, later, repeated examinations can support an accurate diagnosis. Documentation of the results from neonate age and infancy facilitates the correct judgment in later pathological states.
authors.affiliation: Madarász utcai Gyermekkórház és Rendelóintézet, Budapest.
authors.forename: György
authors.initials: G
authors.lastname: Harmat
authors.forename: György
authors.initials: G
authors.lastname: Jójárt
authors.forename: István
authors.initials: I
authors.lastname: Rubecz
authors.forename: Fayez
authors.initials: F
authors.lastname: Dabous
authors.forename: Mária
authors.initials: M
authors.lastname: Buzogány
authors.forename: Tünde
authors.initials: T
authors.lastname: Kahotek
authors.forename: Marianne
authors.initials: M
authors.lastname: Ujváry
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Kovács
authors.forename: Gábor
authors.initials: G
authors.lastname: Nagy
mesh_terms: D001927:Brain Diseases / Q000000981:diagnostic imaging; D006748:Hospital Departments; D006776:Hospitals, Pediatric; D006801:Humans; D006814:Hungary; D007223:Infant; D007231:Infant, Newborn; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data*; D015997:Neonatal Screening / Q000379:methods; D014463:Ultrasonography / Q000706:statistics & numerical data*; D014570:Urologic Diseases / Q000000981:diagnostic imaging
vernacular_title: Ujszülöttek és csecsemók ultrahanggal végzett szúróvizsgálata Magyarországon.