Prevention and treatment of retinopathy in prematurity in Grade Ⅲ A hospitals of Hunan Province / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To investigate the present situation and restrictive factors about the prevention and control of retinopathy of prematurity in Grade Ⅲ A hospitals of Hunan Province.<p>METHODS: A total of 20 hospitals with neonatal intensive care unit were selected from 13 prefecture level cities and 1 autonomous prefectures in Hunan Province by stratified random sampling method. The questionnaires for prevention and treatment of retinopathy of prematurity in hospital were distributed to the hospital officers in order to survey the condition of oxygen monitoring, ROP screening and treatment, ROP training in hospitals and the supervision of health administration departments and the restrictive factors for prevention and treatment of ROP. <p>RESULTS: Totally 20 questionnaires were collected. There were 20(100%)hospitals carried out oxygen monitoring, 12(60%)hospitals conducted ROP screening, 3(15%)hospitals conducted ROP treatment, 2(10%)hospitals conducted ROP screening and treatment, 5(25%)hospitals conducted special training for prevention and treatment of ROP and 4(20%)local health administration conducted supervision for prevention and control of ROP. The situation of treatment, special training and supervision for ROP in provincial Grade Ⅲ A hospitals were better than ministerial Grade Ⅲ A hospitals. The main restrictive factors of ROP were lack of professional and technical talents, equipment for prevention and treatment, standardized training and the great risk of treatment in children with severe disease.<p>CONCLUSION: The oxygen monitoring for newborns in Grade Ⅲ A hospitals were good, but the present situation of screening and treatment about ROP is not optimistic. The training of special skills and supervision for prevention and treatment of ROP should be strengthened to further improve the overall level of ROP prevention and control.