TESTIRANJE KRITERIJUMA ZA SKRINING PREMATURNE RETINOPATIJE.

TESTS OF SCREENING CRITERIA FOR RETINOPATHY OF PREMATURITY.

Introduction. Retinopathy of prematurity is a disease of the eye, i.e. the retinal blood vessels, which occurs exclusively in premature infants. The level of blindness in one country depends on the level of development of neonatal care and the opportunities to implement screening. The aim of this study was to examine the possibilities of changing screening criteria, provided that not a single child was left out from the survey. Material and Methods. A two-year prospective study, which was carried out in the period from January 1st 2007 to December 31st 2008, included 191 premature infants who were treated at the Institute for Child and Youth Healthcare of Vojvodina. Results. Different inclusion criteria regarding body mass and gestational age were applied for screening retinopathy of prematurity and we assessed the coverage of the sample if certain screening criteria were applied. According to the results of the research, when the applied screening criterion was 37/2000, there was not a single case of a blind, prematurely born baby. Discussion. Great migrations of population as well as big differences in characteristics of premature infants together with underlying multi-factor diseases besides retinopathy of prematurity send a warning signal to be very cautious. Conclusion. Although this study has given ground to shift the limits of screening, we will adhere to broad screening criteria. [ABSTRACT FROM AUTHOR]

Uvod. Prematurna retinopatija je oboljenje oka, odnosno krvnih sudova retine, i javlja se isključivo kod prevremeno rođene dece. Za sprečavanje nastanka tog oboljenja veoma je važan nivo razvoja neonatalne službe, kao i mogućnost sprovođenja skrininga i lečenja tih pacijenata. Kriterijume za skrining odredila je Američka akademija oftalmologa i podrazumevaju telesnu masu ≤ 2000 grama, nedelju gestacije ≤ 37 nedelja i primenu terapije kiseonikom, s tim što se skrining kriterijumi mogu prilagoditi uslovima svake zemlje. Cilj ovog rada bio je da se ispitaju mogućnosti menjanja kriterijuma za skrining prematurne retinopatije. Materijal i metode. Prema kriterijumima skrininga za retinopatiju prematuriteta, u istraživanju je učestvovalo 191 prevremeno rođeno dete, a ona su rođena u periodu od 1. januara 2007. do 31. decembra 2008. godine i lečena su u Institutu za zdravstvenu zaštitu dece i omladine Vojvodine. Rezultati. Primenjivani su različiti inkluzioni kriterijumi telesne mase i gestacijske starosti za skrining na prematurnu retinopatiju i ispitivane su obuhvatnosti uzorka usled primene određenih skrining kriterijuma. Rezultat istraživanja je da uz primenjene skrining kriterijume 37/2000 nije bilo nijedno slepo prevremeno rođeno dete. Diskusija. Velike migracije stanovništva, kao i velike amplitude karakteristika prematurusa uz multifaktorijalnost udruženih bolesti, a ne samo prematurne retinopatije, upozoravaju nas na veliku opreznost. Zaključak. Iako smo u istraživanju dobili da možemo pomeriti granice skrininga, i dalje ćemo ostati na širokim skrining kriterijumima. [ABSTRACT FROM AUTHOR]

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