Hearing Tests ; Humans ; Infant, Newborn ; Neonatal Screening

Newborn hearing screening program (NHSP) is a standard of care in many countries around the world. Its success to a great extent depends on professionals understanding of the program’s goals and the screening procedures. Hence, this study aimed to investigate the knowledge and attitudes of Malaysian healthcare professionals involved in NHSP. A cross-sectional survey study using a 25 items questionnaire was conducted on a purposive sample of healthcare professionals who worked in 30 Malaysian government hospitals that run NHSP. Four hundred and three questionnaires were distributed, only 138 completed questionnaires were analysed, yielding a response rate of 34.2%. Of the 138 healthcare professionals, 35 (25.4%) were paediatricians, 43 (31.2%) were ear, nose and throat (ENT) specialists, and 60 (43.5%) were nurses. In general, the study revealed that the ENT specialists scored significantly higher that the paediatricians and nurses on both knowledge and attitude. Although the majority of all three healthcare professionals (>75%) viewed NHSP as very important, yet many nurses and paediatricians (>70%) reported received limited information during their training in this area and felt uncomfortable in explaining about the whole hearing screening process to the parents. Despite the positive attitude towards NHSP, 22.5% of the healthcare professionals were not aware of the existence of the program. In conclusion, this study has demonstrated knowledge gap in NHSP among the healthcare professionals, but their positive attitudes could be an indication of a strong interest to learn more about NHSP. Therefore, there is a need to take urgent efforts to improve the knowledge of healthcare professionals on NHSP.
knowledge ; attitude ; healthcare professionals ; newborn hearing screening

Infant, Newborn ; Humans ; Hearing Tests ; Neonatal Screening ; China ; Hearing

Many features of transiently evoked otoacoustic emission(TEOE) are ideal for clinical use, including their ability to objectively measure cochlear function. TEOE can be used to accurately and efficiently screen for identification of neonatal hearing impairment. The purposes of this study are to provide the reference value of neonatal screening parameters, to evaluate the incidence and etiolgies of neonatal hearing loss, and to confirm the efficacy of neonatal screening. Data were collected from 1145 neonate subjects, the majority of whom is around 30 days of age. Reference values of TEOE are issued. Nine neonates proved to have sensorineural hearing loss of greater than moderate degree. Five of them had high risk factors of neonatal sensorineural hearing loss(SNHL), whereas other four did not. This study reconfirmed neonatal screening with TEOE is a valuable tool for early detection of the babies with SNHL. The babies with high risk factors have higher risk of SNHL(3.4%) than those without risk factors(0.4%). The baby without risk factors occupied some proportion of the babies with SNHL, which implies the necessity of TEOE screening in all neonates.
Hearing ; Hearing Loss ; Hearing Loss, Sensorineural ; Humans ; Incidence ; Infant, Newborn* ; Mass Screening* ; Neonatal Screening ; Reference Values ; Risk Factors

Congresses as Topic ; Hearing Tests ; Humans ; Infant, Newborn ; Neonatal Screening

Hearing Tests ; Hong Kong ; Humans ; Infant, Newborn ; Neonatal Screening

Congresses as Topic ; Hearing Tests ; Humans ; Infant, Newborn ; Neonatal Screening

China ; Hearing Tests ; Humans ; Infant, Newborn ; Neonatal Screening

Female ; Hearing Disorders ; etiology ; Hearing Tests ; Humans ; Infant, Newborn ; Male ; Neonatal Screening ; Risk Factors

Objective. The purpose of this study is to identify the incidence rate of 'refer' result in neonates born to diabetic mothers and to determine the association of maternal diabetes and the initial 'refer' result. Methods. This was a retrospective cross-sectional study which included neonates who had hearing screening test using transient-evoked otoacoustic emissions test (TEOAE) on both ears at the Philippine General Hospital Ear unit during three weeks. We obtained the demographic characteristics, presence/absence of maternal diabetes, and OAE results. Results. Among the 150 neonates, ten were born to diabetic mothers, with an age range of 2-8 days old. Forty percent of neonates of diabetic mothers had an initial 'refer' result compared with 7.9% of nondiabetic mothers' neonates. After logistic regression analysis, there is a significant association between maternal diabetes and initial 'refer' result in OAE with a p-value <0.05. If the mother is diagnosed with diabetes (gestational/pre-gestational), the odds of having an initial 'refer' result in the hearing screening is 2x higher. The odds can range from 2-43 times. Conclusion. The incidence rate of an initial 'refer' result in neonates of diabetic mothers is 40%. There is a significant association between maternal diabetes and the initial 'refer' result in the OAE test.
Infant, Newborn ; Humans ; Mothers ; Diabetes, Gestational ; Hearing Loss ; Mass Screening ; Risk Factors ; Hearing