CGSC379 Lecture Notes - Lecture 8: Boys Town (Organization), Otorhinolaryngology, Vertically Transmitted Infection
4 Nov 2018
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2 responsibilities: early identification of infants with hearing loss; develop newborn hearing screening protocols. Stakeholders: asha, aap (american academy of pediatrics, aaoo (american. Ag bell association for deaf and hard of fearing. American academy of otolaryngology - head and neck surgery. Directors of speech and hearing programs in state health and welfare. Centers for disease control and prevention (cdc) National institutes on deafness and other communication disorders (nidcd) Family history of permanent childhood hearing impairment. Congenital perinatal infection: rubella, syphilis, cmv, herpes, toxoplasmosis. Anatomic malformations of the head and neck. Birthweight < 1500 grams (approx 3. 3 lbs) Hyperbilirubinemia at levels high enough for transfusions (jaundice) Severe asphyxia (low apgar scores <3 at 5 mins) Ototoxic medications including aminoglycosides and loop diuretics. Recommend the screening of all newborns prior to discharge from newborn nursery. Encouraged development of state and national database to track infants. Initial screening prior to discharge or 1 month old. Failed screenings, diagnostic testing by 3 months.
