Gravel Judith S, White Karl R, Johnson Jean L, Widen Judith E, Vohr Betty R, James Michele, Kennalley Teresa, Maxon Antonia B, Spivak Lynn, Sullivan-Mahoney Maureen, Weirather Yusnita, Meyer Sally
Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, NY, USA.
Am J Audiol. 2005 Dec;14(2):S217-28. doi: 10.1044/1059-0889(2005/023).
This article examines whether changes in hearing screening practices are warranted based on the results of the recent series of studies by J. L. Johnson, K. R. White, J. E. Widen, J. S. Gravel, B. R. Vohr, M. James, T. Kennalley, A. B. Maxon, L. Spivak, M. Sullivan-Mahoney, Y. Weirather, and S. Meyer (Johnson, White, Widen, Gravel, James, et al., 2005; Johnson, White, Widen, Gravel, Vohr, et al., 2005; White et al., 2005; Widen et al., 2005) that found a significant number of infants who passed an automated auditory brainstem response (A-ABR) screening after failing an initial otoacoustic emission (OAE) screening later were found to have permanent hearing loss in one or both ears.
Similar to the approach used by F. H. Bess and J. Paradise (1994), this article addresses the public health tenets that need to be in place before screening programs, or in this case, a change in screening practice (use of a 2-step screening protocol) can be justified.
There are no data to suggest that a 2-step OAE/A-ABR screening protocol should be avoided.
Research is needed before any change in public policy and practice surrounding current early hearing detection and intervention programs could be supported.
本文基于J. L. 约翰逊、K. R. 怀特、J. E. 威登、J. S. 格拉维尔、B. R. 沃尔、M. 詹姆斯、T. 肯纳利、A. B. 马克森、L. 斯皮瓦克、M. 沙利文 - 马奥尼、Y. 韦拉瑟和S. 迈耶近期一系列研究的结果（约翰逊、怀特、威登、格拉维尔、詹姆斯等人，2005年；约翰逊、怀特、威登、格拉维尔、沃尔等人，2005年；怀特等人，2005年；威登等人，2005年），探讨听力筛查实践的改变是否合理。这些研究发现，大量最初耳声发射（OAE）筛查未通过但自动听性脑干反应（A - ABR）筛查通过的婴儿，后来被发现一只或两只耳朵存在永久性听力损失。
与F. H. 贝斯和J. 帕拉迪斯（1994年）采用的方法类似，本文阐述了在筛查项目实施之前，或者在这种情况下，在筛查实践发生改变（采用两步筛查方案）之前需要具备的公共卫生原则。
没有数据表明应避免采用两步OAE/A - ABR筛查方案。
在支持围绕当前早期听力检测和干预项目的任何公共政策和实践改变之前，需要进行研究。
