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[Screening of hearing in children up to 18 months of age]

E J Theunissen1

  • 1St. Maartens Gasthuis, afd. Keel-, Neus- en Oorheelkunde, Venlo.

Nederlands Tijdschrift Voor Geneeskunde
|April 13, 2000
PubMed

Insights

A new consensus improves hearing diagnostics for infants in the Netherlands. Children with poor hearing screening results will receive timely follow-up, with oto-acoustic emissions as the preferred diagnostic method.

Area of Science:

  • Audiology
  • Pediatrics
  • Public Health

Context:

  • The Netherlands conducts hearing screening for infants at nine months using the Ewing or Compact Amsterdam paedo-audiometric screener (CAPAS) test.
  • Disagreements between disciplines previously hindered necessary follow-up diagnostics for children with poor screening results.

Purpose:

  • To establish a consensus on the follow-up process for infants with abnormal hearing screening results.
  • To ensure timely and coordinated diagnostic procedures for early childhood hearing impairment.

Summary:

  • A consensus has been reached among Youth Health Care institutions, general practitioners, pediatricians, ENT physicians, and audiology centers regarding the follow-up of children with poor hearing screening results.
  • Each involved party has defined responsibilities to complete diagnostics before 18 months of age.
  • Referral for specialized diagnostics is advised for all children with poor screening results, potentially after treatment for otitis media with effusion. Measurement of oto-acoustic emissions is currently the most appropriate method for final diagnosis.

Impact:

  • This consensus aims to improve the detection and management of hearing loss in young children.
  • It ensures a standardized and efficient diagnostic pathway, reducing delays in intervention.
  • The improved collaboration facilitates earlier identification and treatment of hearing impairments, positively impacting child development.

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