Do well-baby-nurseries children, if they pass the initial newborn hearing screening through TEOAE before discharge, have a chance failing the hearing screen if re-checked after 1 month/3 months?
Is it justified to exclude the well-baby-nurseries neonates from further testing if he/she passes TEOAE before discharge? Is there a possibility RCP, we are going to miss?
I would appreciate your input and suggestions with supporting studies.
There are a number of factors to take into consideration:
Yes with BERA (AEP) in first days. But I agree with Anthony, that the "otitis media in mid-infancy is very damaging to child development", and the damage after viral infection and immunisation (MMR).
You might like to look at the protocol and rationale for the hearing screening program in the UK, which answers some of your questions: http://hearing.screening.nhs.uk/
In the last 30 years, I have seen a noticeable increase in high frequency hearing losses. Remarkably similar in pattern to a noise induced hearing loss and think that studies need to be done in that area. Newborn screening is identifying that many of these children have normal OAE's at birth but the next test often is often not until the well check school screening when the child enters the education system. Looking at the annual list from the sight and hearing association http://www.sightandhearing.org/Services/NoisyToysList%C2%A9.aspx many of our toys exceed sate levels (if you half the distance you double the sound. toys that sound soft to the parents at the side of the crib and significantly louder at infant ear level, often dangerously so.) perhaps it is not OM but rather noise effects? I could not find any studies on noise exposure in infants. Perhaps someone has a student looking for a research topic. Implication could be that we need to screen more frequently or add noise exposure to our high risk register.
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