Screening the new born for hearing loss - An experience at tertiary care hospital
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 8, Issue 2
Abstract
Background: If the hearing loss in new born is identified at a very early period of life before plasticity sets in, proper rehabilitation can be done so that child will have a good and prosperous adult life. The screening strategies of young infants, specifically, universal screening versus selective screening is a debate especially in resource limited setting. Aim: To estimate the incidence of neonatal hearing loss in a tertiary care setting, and assessing the associated risk factors in those identified with hearing loss. Material and Methods: A total of 1000 neonates born and intramural admission to NICU over a study period were studied. A three-stage hearing screening protocol with TEOAE testing for stage one and two and Brainstem Evoked Response Audiometry, which is the gold standard test for hearing assessment for babies, was conducted as stage three. Results: An incidence of hearing loss was 0.7%, incidence in ICU was 1.85% and incidence in well-baby was 0.27%. The risk factors associated with hearing loss which were statistically significant were family history of hearing loss, maternal drug intake, VLBW, ICU admission, intubation and systemic findings. Conclusion: Universal neonatal hearing screening (UNHS) is a feasible practice. The identification of all new borns with hearing loss before 6 months of age is now a realistic and attainable goal.
Authors and Affiliations
Rohit M Bhandar, Poorna Chandra Rao M N
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Screening the new born for hearing loss - An experience at tertiary care hospital
Background: If the hearing loss in new born is identified at a very early period of life before plasticity sets in, proper rehabilitation can be done so that child will have a good and prosperous adult life. The screenin...