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[Youth Health Care Services guideline 'Early screening for hearing impairment, 0-19 years']
1TNO Preventie en Gezondheid, divisie Jeugd, Leiden.
Insights
Early screening for hearing impairment in children (ages 0-19) is crucial for identifying perceptive hearing loss. Prompt diagnosis and treatment before 18 months are essential for better outcomes.
Area of Science:
- Pediatric Audiology
- Public Health Guidelines
- Child Development
Context:
- Youth Health Care guideline focuses on early hearing impairment detection in children aged 0-19 years.
- Addresses the critical need for case finding of perceptive hearing loss.
- Aims to support healthcare workers in managing referrals and follow-up processes.
Purpose:
- To emphasize the importance of diagnosing and treating perceptive hearing impairment in children.
- To guide healthcare professionals in referral arguments and subsequent management steps.
- To highlight the necessity of continuous monitoring for hearing loss throughout childhood.
Summary:
- Recommends screening methods like the Ewing test, Compacte Amsterdamse paedo-audiometrische screener (CAPAS), and audiograms.
- Identifies at-risk groups across different age categories.
- Notes challenges in neonates, including low test specificity and lack of interdisciplinary agreements.
Impact:
- Advocates for diagnosing perceptive hearing loss before 18 months of age.
- Suggests future neonatal screening for congenital perceptive hearing impairment.
- Stresses the ongoing need for vigilance regarding hearing impairment in all pediatric consultations.
Abstract:
The Youth Health Care guideline 'Early screening for hearing impairment, ages 0-19 years' draws the attention of all parties involved to the case finding of, notably, perceptive hearing loss; it helps workers in the Youth Health Care argue their referrals and improve the next steps in the process. Referrals always aim at ruling out perceptive hearing impairment. It is essential to diagnose and subsequently treat children with perceptive hearing impairment. It is important to keep track of the process after the referral. Screening methods are the Ewing test, the 'Compacte Amsterdamse paedo-audiometrische screener' (CAPAS) test and audiograms. Each age category has groups at risk for hearing impairment. Problems in neonates are a low specificity of the Ewing/CAPAS tests, treatment of middle ear disease without ruling out perceptive hearing impairment and absence of interdisciplinary agreements regarding the steps to be taken and the necessary feedback. Children with perceptive hearing loss should be diagnosed before 18 months of age. In the near future neonatal screening may detect congenital perceptive hearing impairment, but hearing impairment may still develop after the screening. Alertness with respect to hearing impairment will remain necessary in every consultation of a child.