Universal hearing screening using transient otoacoustic emissions in a community health clinic
a Department of
Paediatrics, University College London Medical School, London, Camden
and Islington Community NHS Trust, London, and Hornsey Rise Health
Centre, London, b Children's Special
Needs and Hearing Clinics, Camden and Islington Community NHS Trust,
Hornsey Rise Health Centre, London
Correspondence to: Dr Helen Bantock, Hornsey Rise Health Centre, Hornsey Rise, London N19 3YU.
Accepted 11 November 1997
Since 1993, targeted screening of high risk Camden and
Islington babies has been carried out in hospital using the transient otoacoustic emission (TEOAE) technique and auditory brainstem responses
(ABR). Because targeted screening is difficult to implement, a
community pilot study using TEOAE was started in 1995, covering 7% of
the resident population. Although uptake has not been above 80%,
client satisfaction has been high and numbers requiring more detailed
tertiary assessment have been modest (0.5% of the population screened). A comparison was made between the cost of a universal neonatal screen using TEOAE and distraction testing at 7 months of age.
The neonatal screen would be no more expensive to implement universally, even when equipment costs are included. A combination of a
universal neonatal screen with distraction testing at 7 months for
those not screened is likely to give 96% coverage of hearing screening
in the first year of life.
© 1998 by Archives of Disease in Childhood
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