Newborn hearing screening – importance, current state in the Czech Republic
Authors:
Pavel Komínek 1; Viktor Chrobok 2; Karol Zeleník 1; Jakub Dršata 2
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku LF OU a FN Ostrava
1; Klinika otorinolaryngologie a chirurgie hlavy a krku LF UK a FN Hradec Králové
2
Published in the journal:
Čas. Lék. čes. 2017; 156: 173-177
Category:
Review Articles
Summary
The importance of early detection of hearing impairment in newborns and children and the early rehabilitation of hearing disorder with hearing aid or cochlear implant was demonstrated in a number of papers. As a result, newborn hearing screening was introduced in many countries around the world.
The incidence of congenital hearing impairment has been underestimated for a long time, empirically determined incidence was 1:1000 neonates. Thanks to newborn hearing screening was revealed that incidence of congenital hearing impairment is 3 times higher. One out of 300 newborns has profound hearing loss (deafness) and 1 in 300 newborns has mild to moderate hearing loss. Moreover, in 1 out of 300 children hearing impairment would develop before the age of 18.
In the Czech Republic, the screening of all newborns is still systematical and multilevel conducted in only three regions (Moravskoslezský, Královéhradecký, Pardubický). In these regions, statistics as well as assessments of individual stages of screening are carried out. In other regions, records of the number of screened children, number of rescreened children and detailed statistics of hearing impairment is missing.
The authors summarize the basic information about the importance of screening, the history of screening and its organization. Provided information is based on experience with the gradual introduction of screening over recent years in the regions in which they work. Newborn hearing screening should be organized in several stages (1 – screening at maternity hospitals, 2 – rescreening on collaborating otolaryngology/phoniatric workplaces and 3 – detailed hearing examination in centers in children whose screening was negative). The authors focus on problems related to the organization of screening and offer practical advice (e.g. implementation of screening coordinators). They consider it is essential to have statistical evidence of examination at all levels. Introducing of newborn hearing screening is not a short-term task but a long-term (many years) challenge.
Keywords:
newborn hearing screening – importance, current state in the Czech Republic
Zdroje
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8. MZ ČR. Metodický pokyn k zajištění celoplošného novorozeneckého screeningu sluchu a následné péče. Věstník MZ ČR 2012; 7: 18–19.
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11. World Health Organization. Newborn and infant hearing screening: current issues and guiding principles for action. WHO, Ženeva, 2009.
12. Zeleník K, Havlíková E, Poláčková R, Komínek P. Otázky související se zaváděním plošného screeningu sluchu v Moravskoslezském kraji. Otorinolaryngologie a foniatrie 2012; 61(2): 112–118.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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