title: [Universal newborn hearing screening (UNHS): is it possible to successfully implement it nationwide?].
abstract: BACKGROUND
  Since 01.01.2009 in Germany a newborn hearing screening (UNHS) is obligatory for every child. The UNHS is part of the guidelines for the prevention of diseases for children up to 6 years of age (Kinder-Richtlinien). 2 years after its introduction in Bavaria, we now evaluate whether the UNHS has been implemented successfully,and if the quality criteria of the guidelines have been met.
  
  
  METHODS
  In the guidelines details for the procedure and screening quality are given. The UNHS data from the screening facilities in Bavaria were evaluated for process quality criteria like screening coverage, screening method, REFER rate (rate of failed tests) and child age at diagnosis.
  
  
  RESULTS
  More than 96 % of all newborns were screened. The REFER rate for 2010 was 4.5 %. Only 18 % of the controls were done by a paediatric audiologist.In 38.5 % of the newborns an intervention of the screening centre was necessary to assure controlling of a failed screening test. In 2009 the median age at diagnosis for a bilateral hearing loss was 5.5 months, and the start of therapy was 6.2 months.
  
  
  CONCLUSIONS
  In Bavaria the UNHS was implemented successfully. A tracking system for all children who failed the hearing screening test is pivotal for the early diagnosis of children with bilateral hearing deficiency.
authors: Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit , Oberschleißheim. inken.brockow@lgl.bayern.de
authors: I
authors: I
authors: Brockow
authors: P
authors: P
authors: Kummer
authors: B
authors: B
authors: Liebl
authors: U
authors: U
authors: Nennstiel-Ratzel
mesh_terms: D057210:Delayed Diagnosis; D005858:Germany; D019983:Guideline Adherence; D006284:Health Plan Implementation / Q000458:organization & administration*; D006312:Hearing Loss, Bilateral / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D006320:Hearing Tests; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000458:organization & administration*; D017084:Otoacoustic Emissions, Spontaneous; D055502:Secondary Prevention