Attias J, Al-Masri M, Abukader L, Cohen G, Merlov P, Pratt H, Othman-Jebara R, Aber P, Raad F, Noyek A
University of Haifa, Haifa, Israel.
Int J Audiol. 2006 Sep;45(9):528-36. doi: 10.1080/14992020600810039.
The objective of the study was to investigate the prevalence of congenital and early-onset hearing loss, and the influence of the known risk factors for hearing loss on infants in Jordan and Israel. Subjects were a total of nearly 17,000 infants from both countries, including infants with and without risk factors for hearing loss. The hearing screening protocol included distortion product otoacoustic emission, followed in case of repeated OAE referral or high risk (HR) infant by diagnostic auditory brainstem responses. The results indicate that the prevalence and severity of hearing loss amongst Jordanian infants (1.37%) is remarkably higher as compared to the Israeli infants (0.48%). The overall prevalence of bilateral SNHL was seven times more in the Jordanian infants, 18 times in non-risk, and three times in the HR infants relative to the Israeli infants. Risk factors including family history, hyperbilirubinemia, bacterial meningitis, and associated syndromes were more prevalent amongst Jordanian infants. This unique study underscores the importance of sharing and exchanging information to create empirical data to guide health-care providers in adapting protocols to the local constraints in developing countries.
该研究的目的是调查约旦和以色列先天性及早发性听力损失的患病率，以及已知听力损失风险因素对两国婴儿的影响。研究对象共有来自两国的近17000名婴儿，包括有和没有听力损失风险因素的婴儿。听力筛查方案包括畸变产物耳声发射，对于重复耳声发射转诊或高危（HR）婴儿，后续采用诊断性听性脑干反应。结果表明，约旦婴儿的听力损失患病率和严重程度（1.37%）明显高于以色列婴儿（0.48%）。相对于以色列婴儿，约旦婴儿双侧感音神经性听力损失的总体患病率是其7倍，无风险婴儿是其18倍，高危婴儿是其3倍。包括家族史、高胆红素血症、细菌性脑膜炎和相关综合征在内的风险因素在约旦婴儿中更为普遍。这项独特的研究强调了共享和交流信息以创建实证数据的重要性，从而指导医疗保健提供者根据发展中国家的当地限制调整方案。
