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Early identification of hearing loss and centralized newborn hearing screening facility-the Cochin experience

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Abstract

Significant hearing loss is one of the most common major abnormalities present at birth. If undetected, it will impede speech, language and cognitive development. Significant bilateral hearing loss is present in 1 to 3 per 1000 new born infants in the well-baby nursery population and in 2 to 4 per 100 infants in the intensive care unit population. It is an established fact that if hearing loss is present it should be detected and remediated before the baby is 6 months old. Neither universal screening nor a high risk screening, exists in majority of the hospitals in our country. In such a situation, a centralized facility catering to all hospitals in the city is a practical option. A two-stage screening protocol is projected, in which infants are screened first with otoacoustic emissions (OAE). Infants who fail the OAE are screened with auditory brainstem response (ABR). This two tier screening program (the second tier being ABR, which is more expensive) is required only for a selected few, making the program more practical and viable. It is the practicability of this program that makes it relevant for replication in other cities of the country, making it a model screening program for any developing country.

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References

  1. Yoshinaga-Itano C, Apuzzo ML. Identification of hearing loss after age 18 months is not early enough. Am Ann Deaf. 1998;143:380–387.

    PubMed  CAS  Google Scholar 

  2. Yoshinaga-Itano C, Apuzzo ML. The development of deaf and hard of hearing children identified early enough through the high risk registry. Am Ann Deaf. 1998;143:416–424.

    PubMed  CAS  Google Scholar 

  3. Fortnum HM, Summerfield. AQ, Marshal DH, Davis A, Bamford M. Prevalence of permanent childhood hearing impairment in United Kingdom and implications for universal neonatal hearing screening: Questionare based assertainment study BMJ. 2001;323:536–540.

    Article  PubMed  CAS  Google Scholar 

  4. Ruben RJ. Effectiveness and efficacy of early detection of hearing impairment in children. Acta Otolaryngol. 1991;482:127–131.

    Article  CAS  Google Scholar 

  5. Erenberg A, Lemons J, Sia C, Tunkel D, Ziring P. Newborn and infant hearing loss: detection and intervention. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. 1998–1999. Pediatrics. 1999;103:527–530.

    Article  PubMed  CAS  Google Scholar 

  6. Yoshinaga-Itono C. Efficacy of early identification and early intervention. Semin Hear. 1995;16:115–123.

    Article  Google Scholar 

  7. Camey AE, Moeller MP. Treatment efficacy: hearing loss in children. J Speech Lang Hear Res. 1998;41:S 61–S 84.

    Google Scholar 

  8. Beatriz CWR. Parents of deaf children. In: Prabakar E, Claudia K, Sian T. Listening to Sounds and Signs: Trends in Deaf Education and Communication. 1st ed. Bangalore: Christoffel Blinden Mission and Books for Change 1988.p.14.

    Google Scholar 

  9. Report of the Collective Study on Prevalence and Etiology of Hearing Impairment. New Delhi: ICMR and Department of Science; 1983.

  10. Kacker SK. The scope of pediatric audiology in India. In: Deka RC, Kacker SK, Vijayalakshmi B, eds. Pediatric Audiology in India, 1st ed. New Delhi: Otorhinolaryngological Research Society of AIIMS; 1997. p.20.

    Google Scholar 

  11. Nagapoornima P, Ramesh A, Srilakshmi, Rao S, Patricia PL, Gore M. Universal hearing screening. Indian J Pediatr. 2007;74:545–548.

    Article  PubMed  CAS  Google Scholar 

  12. Vaid N, Shanbag J, Nikam R, Biswas A. Neonatal hearing screening — The Indian experience. Cochlear Implants Int. 2009;10, 111–114.

    PubMed  Google Scholar 

  13. Joint Committee on Infant Hearing; American Academy of Audiology; American Academy of Pediatrics; American Speech-Language-Hearing Association; Directors of Speech and Hearing Programmes in State Health and Welfare Agencies. Year 2000 Position Statement: Principles and guidelines for early hearing detection and intervention programmes. Pediatrics. 2000;106;798–817.

    Article  Google Scholar 

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Correspondence to Abraham K. Paul.

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Paul, A.K. Early identification of hearing loss and centralized newborn hearing screening facility-the Cochin experience. Indian Pediatr 48, 355–359 (2011). https://doi.org/10.1007/s13312-011-0067-0

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  • DOI: https://doi.org/10.1007/s13312-011-0067-0

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