Moore Megan, Fitzgibbons E Jane, Driscoll Carlie, Beswick Rachael
Healthy Hearing Program, Children's Health Queensland Hospital and Health Service, Brisbane, Australia.
School of Health and Rehabilitation Services, University of Queensland, Brisbane, Australia.
Int J Audiol. 2023 Nov;62(11):1101-1107. doi: 10.1080/14992027.2022.2145514. Epub 2022 Nov 21.
This study reviewed the outcomes of universal newborn hearing screening (UNHS) and ongoing hearing monitoring in children following recovery from neonatal bacterial meningitis to determine (a) whether screening may be a suitable alternative to diagnostic audiology for detecting permanent childhood hearing loss (PCHL) and (b) whether infants who pass UNHS should be monitored throughout childhood.
Retrospective analysis of a UNHS database.
Data were extracted from the state-wide UNHS database for all children born in Queensland Australia between 1 September 2004 and 30 June 2020 with the risk factor of bacterial meningitis (in isolation or in combination with other risk factors) identified at the time of the UNHS. This cohort included 231 children.
Results showed that all post-meningitic infants diagnosed with PCHL had a refer result on the UNHS or were medically excluded from screening. Additionally, no cases of PCHL were identified through the targeted surveillance program following a pass result on UNHS.
UNHS may be sufficient to detect PCHL in post-meningitic neonates and routine audiological monitoring may not be required for children who pass the screen.
本研究回顾了新生儿细菌性脑膜炎康复后儿童的普遍新生儿听力筛查（UNHS）结果及持续听力监测情况，以确定（a）筛查是否可能是检测儿童永久性听力损失（PCHL）的诊断听力学的合适替代方法，以及（b）通过UNHS的婴儿是否应在整个儿童期接受监测。
对UNHS数据库进行回顾性分析。
从澳大利亚昆士兰州全州的UNHS数据库中提取2004年9月1日至2020年6月30日出生的所有儿童的数据，这些儿童在UNHS时被确定有细菌性脑膜炎风险因素（单独或与其他风险因素合并）。该队列包括231名儿童。
结果显示，所有被诊断为PCHL的脑膜炎后婴儿在UNHS上都有转诊结果或因医学原因被排除在筛查之外。此外，在UNHS通过结果后，通过针对性监测计划未发现PCHL病例。
UNHS可能足以检测脑膜炎后新生儿的PCHL，对于通过筛查的儿童可能不需要常规听力学监测。
