Neonatal Hearing Screening Programme (NHSP): At A Rural Based Tertiary Care Centre

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• 作者：Yojana Sharma ; Girish Mishra…
• 关键词：Universal neonatal hearing screening ; OAE ; BERA ; Congenital deafness ; Impaired hearing
• 刊名：Indian Journal of Otolaryngology and Head & Neck Surgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：67
• 期：4
• 页码：388-393
• 全文大小：581 KB
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• 作者单位：Yojana Sharma (1)
  Girish Mishra (1)
  Sushen H. Bhatt (1)
  Somashekhar Nimbalkar (2)
  
  1. Department of Otorhinolaryngology and Head & Neck Surgery, Shri Krishna Hospital & Pramukh Swami Medical College, Karamsad, Anand, Gujarat, 388325, India
  2. Department of Pediatrics, Shri Krishna Hospital & Pramukh Swami Medical College, Karamsad, Anand, Gujarat, India
  
• 刊物主题：Otorhinolaryngology; Head and Neck Surgery;
• 出版者：Springer India
• ISSN：0973-7707

文摘

Deafness is the most common curable childhood handicap. It is a well recognised fact that unidentified hearing impairment can adversely affect optimal speech and language development and therefore academic, social and emotional development. Universal neonatal hearing screening programmes are implemented in many developed countries. However it is still in its early stage in India. The incidence of hearing impairment in India is 1- per thousand newborns screened (Paediatrics 19:155-65, 1998; Indian J Paediatr 74(6):545-49, 2007; Status of Disability in India, pp 172-85 2000). To determine the incidence of permanent hearing loss of moderate to evere variety in neonates taking care in a tertiary care rural based hospital in Gujarat. It was a non randomised observational study done for duration of 3 years. All neonates born in Shri Krishna Hospital underwent screening using two stage protocols with DPOAE test and final confirmation done with BERA. Total 2534 neonates were screened out of them 52 failed and 2482 (97.94 %) neonates passed in the 1st DPOAE test with 2.05 % refer rate. Total 7 (2 per 1000) neonates were detected with hearing impairment. 10 % neonates had one or other high risk factor. Out of high risk neonates, 1.8 % were diagnosed with hearing impairment in high risk group. Overall the follow-up rate was 72.7 %. Hospital based universal hearing screening of new born before discharge is feasible at a rural based tertiary care centre. Non specialist staff is invaluable in achieving a satisfactory referral rate with two stage hearing screening protocol. However, more efficacious tracking and follow up system is needed to improve the follow up rate for diagnosis. Keywords Universal neonatal hearing screening OAE-BERA Congenital deafness Impaired hearing