Neonatal hearing screening- time to make a noise- experience from a private medical college in South Rajasthan

Background: Neonatal Hearing Loss has a prevalence that is twice than that of disorders like congenital hypothyroidism, phenyl ketonuria etc. Early detection of hearing impairment is vital since early intervention in form of hearing aids and speech therapy would help lead a child a normal life. The aim of the study was to set up a neonatal hearing screening program and to study the various risk factors which could be associated with hearing loss.Methods: The prospective descriptive study was carried over a period of two years. All neonates before being discharged were subjected to OAE. OAE was done on Oto Read Machine (Intra acoustic) and BERA was done on BERA eclipse machine (Intra acoustic). Babies who failed the first OAE were called back for a repeat OAE at six weeks of age. Babies who failed the second OAE were referred to a trained audiologist for BERA which was performed on BERA Eclipse machine.Results: Out of 1114 neonates screened, 285 neonates failed the first OAE and were called back at six weeks for repeat OAE. Out of the 285 babies who were called for repeat OAE, 258 turned up 27(9.47%) were lost to follow up. Out of the 258 babies who turned up, 245 passed the test while 13 failed the test. 13 Babies who had failed the second OAE screening were called back 1 month later for BERA testing. Out of the 13 babies who turned up for BERA testing, 12 passed the test and 1 failed giving us a prevalence of 0.89 per 1000 population. Of the various risk factors studied only low birth weight was found to be having significant association with hearing loss.Conclusion: Neonatal hearing screening is the need of the hour. Larger multi centric studies are required to establish the prevalence of hearing impairment among newborns.

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A study on prevalence and risk factors of hearing impairment among newborns

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20180018 ◽

2018 ◽

Vol 5 (2) ◽

pp. 304 ◽

Cited By ~ 5

Author(s):

Mary James ◽

Kumar P. ◽

Praveen Jacob Ninan

Keyword(s):

Risk Factors ◽

Hearing Impairment ◽

Hearing Aids ◽

Speech Therapy ◽

Perinatal Asphyxia ◽

Tertiary Care ◽

Congenital Infection ◽

Tertiary Care Centre ◽

Medical College ◽

Nicu Admission

Background: Hearing impairment in children constitutes a particularly serious obstacle to their optimal development. Early detection of hearing impairment is vital since early intervention including hearing aids and speech therapy can be initiated at the earliest and will help them to enjoy equal opportunities in society alongside all other children. The aim of the study was to determine the prevalence and risk factors associated with hearing impairment among newborns delivered in a tertiary care centre using a two staged OAE test.Methods: This study was a prospective descriptive study done in Govt. T.D. medical college, Alappuzha over a period of 12 months. All newborns (4359) were included in the study. They were carefully evaluated for presence of risk factors and OAE was done before discharge from the hospital. If found abnormal OAE was repeated at 6 weeks, failing which BERA was performed.Results: Out of 4268 newborns screened, 275 failed OAE (6.4%) and 44 failed second OAE (1.03%) also. BERA was done in 40 newborns out of whom 6 failed (prevalence of 1.3 per 1000 population). Risk factors studied were prematurity, perinatal asphyxia, hyperbilirubinemea requiring phototherapy, congenital infection, family history of deafness, NICU admission more than 5 days, culture positive sepsis and newborns receiving ototoxic medications.Conclusions: Hearing impairment was more among those with risk factors. But hearing evaluation is important in all newborns irrespective of presence of risk factors to avoid missing hearing impairment in otherwise normal newborn.

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Newborn hearing screening with transient evoked otoacoustic emission: a prospective study in a tertiary health care centre

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20161849 ◽

2016 ◽

Author(s):

Shashidhar S. Suligavi ◽

Prakhar Upadhyay ◽

Prasen Reddy ◽

S. S. Doddamani ◽

M. N. Patil

Keyword(s):

Hearing Loss ◽

Prospective Study ◽

Hearing Impairment ◽

Hearing Aids ◽

Otoacoustic Emissions ◽

Speech Therapy ◽

Otoacoustic Emission ◽

Tertiary Hospital ◽

Hearing Screening ◽

Health Care Centre

Background: As hearing impairment is a hidden disability, it is usually detected after 2-3 years by which time there will be irreversible stunting of the skills and hence rehabilitation procedures like hearing aids, speech therapy are unable to ensure complete development of speech. Therefore hearing impairment should be diagnosed as early as 6 months to ensure timely therapy. The objective of the study is to identify the proportion of incidence of hearing impairment in neonates using transient evoked otoacoustic emissions (TEOAE) as a screening tool.Methods: Prospective study on 800 newborns in a tertiary hospital using TEOAE. Brain stem evoked response audiometry (BERA) was used to confirm hearing loss in neonates who failed TEOAE. Results: Thirteen out of 800 newborns failed TEOAE test on first screening. Two failed on 2nd TEOAE test done after 3-4 weeks. Hearing loss was later confirmed in them with BERA test.Conclusions: Proportion of hearing loss in our study was 0.25%. Hearing screening should be done as early as possible so that deaf children are rehabilitated early.

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Performance and characteristics of the Newborn Hearing Screening Program in Campania region (Italy) between 2013 and 2019

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06748-y ◽

2021 ◽

Author(s):

Rita Malesci ◽

Valeria Del Vecchio ◽

Dario Bruzzese ◽

Ernesto Burattini ◽

Gennaro Auletta ◽

...

Keyword(s):

Hearing Impairment ◽

Neonatal Intensive Care ◽

Screening Program ◽

Hearing Screening ◽

Newborn Hearing Screening ◽

Campania Region ◽

Universal Newborn Hearing Screening ◽

Newborn Hearing ◽

Health Organization ◽

Lost To Follow Up

Abstract Purpose Universal newborn hearing screening (UNHS) in the first month of life is crucial for facilitating both early hearing detection and intervention (EHDI) of significant permanent hearing impairment (PHI). In Campania region, UNHS has been introduced in 2003 by the Regional Council Resolution and started on January 2007. The aim of this paper is to update a previous article describing the performance of the program since its implementation in the period between 2013 and 2019. Methods A longitudinal retrospective study was carried at the Regional Reference Center III on 350,178 babies born in the analysis period. The paper reports the main results of overall coverage, referral rate, lost-to-follow-up rate,yield for PHI and shall determine various risk factor associations with hearing impairment Results In Campania region, 318,878 newborns were enrolled at I level, with a coverage rate of 91.06%, 301,818 (86.18%) Well Infant Nurseries (WIN) and 17,060 (5.35%) Neonatal Intensive Care Unit (NICU) babies. PHI was identified in 413 children, 288 (69.73%) bilaterally and 125 (30.26%) unilaterally. The overall cumulative incidence rate of PHI was 1.29 per 1000 live-born infants (95% CI 1.17–1.42) with a quite steady tendency during the whole study period. Conclusions This study confirms the feasibility and effectiveness of UNHS in Campania region also in a setting with major socioeconomic and health organization restrictions.The program meets quality benchmarks to evaluate the progress of UNHS. Nowadays, it is possible to achieve an early diagnosis of all types of HL avoiding the consequences of hearing deprivation.

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The report of the Polish Universal Neonatal Hearing Screening Program in 2016

Otolaryngologia Polska ◽

10.5604/01.3001.0011.5913 ◽

2018 ◽

Vol 72 (1) ◽

pp. 1-4

Author(s):

Monika Zych ◽

Grażyna Greczka ◽

Piotr Dąbrowski ◽

Maciej Wróbel ◽

Joanna Szyfter-Harris ◽

...

Keyword(s):

Risk Factors ◽

Hearing Loss ◽

Screening Program ◽

Hearing Screening ◽

Screening Tests ◽

Neonatal Hearing Screening ◽

Central Database ◽

Bilateral Sensorineural Hearing Loss ◽

Almost All ◽

Universal Neonatal Hearing Screening

The Polish Universal Neonatal Hearing Screening Program (PUNHSP) has been carried out in Poland for 14 years. The main aim of this Program is to organize hearing screening tests and to gather the information about risk factors of hearing loss in almost all newborns in Poland. It consists of 496 centers at 3 referral levels. A total of 5 458 114 children had been registered in the Central Database (CDB) of PUNHSP by the 22nd of August 2017. Bilateral sensorineural hearing loss was the most frequently appearing hearing impairment in children. It was diagnosed in 260 cases in 2016. This report presents the most important results and conclusions concerning the running of the PUNHSP in 2016.

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Evidence-Based Practice in Audiology: Rehabilitation Options for Adults With Hearing Impairment

American Journal of Audiology ◽

10.1044/1059-0889(2013/12-0085) ◽

2013 ◽

Vol 22 (2) ◽

pp. 329-331 ◽

Cited By ~ 4

Author(s):

Louise Hickson ◽

Ariane Laplante-Lévesque ◽

Lena Wong

Keyword(s):

Hearing Impairment ◽

Hearing Aids ◽

Evidence Based Practice ◽

Hearing Screening ◽

Activity Limitations ◽

Evidence Based ◽

Reduce Activity ◽

Participation Restrictions ◽

Communication Programs ◽

First Time

Purpose The authors address 3 questions: (a) What is evidence-based practice (EBP), and why is it important for adults with hearing impairment? (b) What is the evidence about intervention options for adults who fail a hearing screening and are identified with hearing impairment? (c) What intervention options do adults choose when identified with hearing impairment for the first time? Method The 5 steps of the EBP process are discussed in relation to a clinical question about whether hearing aids and communication programs reduce activity limitations and participation restrictions compared with no treatment for adults who fail a hearing screening and are identified with hearing impairment. Results Systematic reviews of the evidence indicate that both hearing aids and communication programs reduce activity limitations and participation restrictions for this population and are therefore appropriate options. A study is then described in which these options were presented to 153 clients identified with hearing impairment for the first time: 43% chose hearing aids, 18% chose communication programs, and the remaining 39% chose not to take any action. Conclusion EBP supports the offer of intervention options to adults who fail a hearing screening and are identified with hearing impairment.

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Concurrent genetic and standard screening test for hearing reduction

Macedonian Pharmaceutical Bulletin ◽

10.33320/maced.pharm.bull.2020.66.02.004 ◽

2020 ◽

Vol 66 (2) ◽

pp. 35-40

Author(s):

Marina Davcheva Chakar ◽

Gjorgji Bozhinovski ◽

Emilija Shukarova Stefanovska ◽

Dejan Trajkov

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Genetic Screening ◽

Screening Test ◽

Screening Program ◽

Deaf Child ◽

Hearing Screening ◽

Pathogenic Variant ◽

Gjb2 Gene ◽

Brainstem Response

Reduction of hearing is the most common sensory impairment among newborns with an incidence of 1-3 per 1000 births. Introduction of an Auditory Newborn screening program allows early identification of hearing impairment. Mainly, congenital hearing loss in early childhood is a result of genetic changes. Due to high frequency of GJB2 pathogenic variants, its molecular characterization among sensorineural hearing reduction cases is already conducted as a routine analysis in many countries. The aim of this study is to show our initial results in the effort to determine whether genetic screening along with the standard hearing screening in newborns is justified. Otoacoustic emission (OAE) method was conducted in 223 newborns at risk of hearing impairment. Among them, 7 did not pass the test in both ears while 9 exhibited one-sided hearing loss. In all 7 children with indication of profound bilateral deafness, the diagnosis was confirmed using auditory brainstem response. Genetic screening of GJB2 gene was performed in 6 of them. Genetic analysis of GJB2 revealed homozygous state of the most common pathogenic variant 35delG in 3 (50%) of the analyzed infants. In the remaining 3 no pathogenic variant was determined. The results indicate that performing auditory OAE together with genetic screening is justified. In newborns who have not passed the hearing screening test and have profound hearing loss, without other syndrome traits, screening for mutations of GJB2 gene should be conducted. Genetic screening enables establishment of early definite diagnosis for deafness and helps in conducting adequate therapy providing timely rehabilitation and social inclusion of deaf child. Key words: hearing loss, genetic screening, auditory screening, GJB2 gene

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