Effectiveness of neonatal hearing screening in identifying hearing impairment : a systematic review

2015 ◽  
Author(s):  
Wing-yin Au Yeung
Author(s):  
Saikat Samaddar ◽  
Swagatam Banerjee ◽  
Sanjoy Kumar Ghosh ◽  
Subhra Bhattacharya ◽  
Diptanshu Mukherjee ◽  
...  

INTRODUCTION Congenital deafness in a child is often missed. Several distraction tests have evolved over time to diagnose congenital deafness. These are of limited value in the era of Evoked response audiometry. Evoked responses, such as Oto-acoustic emission (OAE) and Brainstem Evoked Response Audiometry (BERA) have played a significant role in early diagnosis of congenital hearing impairment. The study was conducted to compare the result of neonatal hearing screening in high risk and non high risk neonates.   MATERIALS AND METHODS A study was conducted over a time period of three months at a tertiary care institute to screen all live neonates for congenital hearing impairment using OAE and BERA.   RESULT 1182 neonates were screened for hearing impairment. 336 were in High risk group and rest in Non high risk group. Nine neonates turned out to have abnormal BERA result (absence of wave V). Six of them were high risk babies and rest 3 were non high risk.   DISCUSSION 33.33% of congenital deaf population detected by UNHS belong to the Non High Risk group. Studies across the world suggest at least 50% chance of missing out a congenital deaf child if Universal Neonatal Hearing Screening is not practiced.   CONCLUSION In order to ensure that early detection and effective intervention are made on all newborns with hearing impairment, UNHS should be performed. Three stage UNHS protocol using TEOAEs and BERA showed that the implementation of UNHS for congenital childhood hearing loss among all newborns in India feasible and effective.


2019 ◽  
Vol 6 (5) ◽  
pp. 2068
Author(s):  
Ravi Bhatia ◽  
Rajendra Gorwara ◽  
Rajendra Gorwara

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.


Author(s):  
Anka Nestorova ◽  
Darina A. Ivanova

Hearing is one of the five human senses and represents the ability to perceive sounds through the hearing system. The presence of normal auditory perception is one of the prerequisites for the emergence and development of speech in children. Conducting neonatal auditory screening is part of the early neonatal screening and incorporates examining infant’s hearing shortly after birth. A screening device is used that emits very low sounds with the help of simultaneous "otoacoustic emissions" from the inner ear of this acoustic stimulation. The latest researches show that in one or two in a thousand births the child has congenital deafness or impaired hearing. Aim: To acquaint midwifery students with the implementation of universal neonatal hearing screening using information from the Trakia Electronic University. Materials and Methods: The conducted survey allows us to study students' attitudes towards the audio screening. Study materials are accessible via the Internet in our e-university. The use of digital and multimedia materials is a way of enhancing the students' professional competence and the effectiveness of the learning process.


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