Department of Otolaryngology, 12328Vanderbilt University Medical Center, Nashville, TN, USA.
Division of Head and Neck Surgery, 12328Vanderbilt University Medical Center, Nashville, TN, USA.
Ear Nose Throat J. 2021 Jun;100(3_suppl):259S-262S. doi: 10.1177/0145561319880388. Epub 2019 Oct 13.
The goal of this prospective cohort study was to characterize the ability of teachers to identify schoolchildren at risk of hearing loss in order to maximize hearing screening efficiency in low-resource settings. At 4 semirural schools in Malindi, Kenya, preselected schoolchildren perceived as hearing impaired were compared to children thought to have normal hearing using portable audiometry. Eight of 127 children (54% male) failed hearing screening, all of who were identified by schoolteachers as having a high risk of hearing loss. Thus, for every 5 children prescreened by schoolteachers, an average of 1 child would be identified as having hearing loss. Overall, teacher prescreening had a 100% hearing loss identification rate and a 20% referral rate. In conclusion, in resource-limited settings, where universal hearing screening is challenging, teachers can effectively identify children with hearing loss for early intervention.
本前瞻性队列研究的目的是描述教师识别有听力损失风险的学童的能力，以便在资源有限的环境中最大程度地提高听力筛查效率。在肯尼亚马林迪的 4 所半农村学校，使用便携式测听仪对被认为听力受损的预选学童与被认为听力正常的学童进行了比较。127 名儿童中有 8 名（54%为男性）未通过听力筛查，他们均被教师认为有听力损失高风险。因此，每有 5 名儿童经教师预筛查，就有 1 名儿童被发现有听力损失。总体而言，教师预筛查的听力损失检出率为 100%，转诊率为 20%。总之，在资源有限的环境中，普遍进行听力筛查具有挑战性，教师可以有效地识别有听力损失的儿童，以便进行早期干预。
