Results of a program for the prevention of blindness caused by retinopathy of prematurity in southern Brazil
| Autor: | Renato S. Procianoy, Marlene Coelho da Costa, Cristiano Koch Barros, João Borges Fortes Filho |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Birth weight Population Developing country Disease Blindness Hospitals University Neonatal Screening Risk Factors medicine Humans Retinopathy of Prematurity education Pregnancy education.field_of_study business.industry Infant Newborn Retinopathy of prematurity medicine.disease Low birth weight Outcome and Process Assessment Health Care Pediatrics Perinatology and Child Health Female medicine.symptom business Developed country Brazil Infant Premature Program Evaluation |
| Zdroj: | Jornal de Pediatria. 83:209-216 |
| ISSN: | 0021-7557 |
| DOI: | 10.2223/jped.1611 |
| Popis: | Objective: To describe the results of a program for the prevention of blindness caused by retinopathy of prematurity implemented in 2002 at a tertiary-care hospital, according to screening criteria adopted in Brazil, and to compare some aspects with the criteria adopted by other countries. Methods:Descriptiveobservationalstudyincludingallpreterminfantsbornatthishospitalweighing≤1,500gat birthand/orgestationalage≤32weekswhosurviveduptothesixthweekafterbirth,betweenOctober2002andJune 2006. Ophthalmic examinations were performed from the sixth week of life and repeated as necessary until remission of the disease. Results: A total of 300 newborns were included and there were 18 cases of treatable threshold disease (18/300, 6%) according to the Brazilian criteria. One patient was not treated because s/he developed the disease after hospital discharge and did not turn up for examination in order to initiate treatment. According to the criteria suggested by industrialized countries, the total number of exams would be reduced under the same circumstances, but 11.76% of the cases of threshold disease would not be detected. Conclusions: The Brazilian criteria for neonatal screening were efficient in detecting treatable cases. Blindness was averted in 17 preterm infants in the study period. The universal use of such program at teaching hospitals or in the public and private health networks could help prevent one of the main causes of preventable and treatable blindness among infants in developing countries. Currently, a change in these criteria in Brazil may compromise the diagnosis of some treatable patients. |
| Databáze: | OpenAIRE |
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