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Neonatal Hearing Screening Using Transient Evoked Otoacoustic Emission in a Sub-Urban Population in Nigeria

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DOI: 10.4236/ijohns.2014.34038    2,220 Downloads   2,656 Views   Citations

ABSTRACT

Objective: To determine the proportion of neonates with referral result on testing with transient evoked otoacoustic emission (TEOAE) and the associated risk factors. Method: Prospective evaluation of all neonates born in the Hospital within 6 months using the TEOAE. A hand-held Etymotic Research Otoacoustic Emission Scanner (Ero-scan Combo) was used with the child sleeping in the cot or the mother’s hand. Right and left ears were tested separately and the result was displayed automatically as “pass” when 100% of the in-built criteria were met and “refer” if otherwise. The subjects that passed in both ears were regarded as passes, while those with a refer in either the right/left ears or both ears were regarded as referrals and were thus subjected to rescreening in six weeks or on discharge from the special care baby unit. Analysis was done to find association between the outcome of TEOAE and the clinical and epidemiological risk factors. Result: TEOAE was carried out on 386 neonates, (194 males (50.3%) and 192 females (49.7%)). The mean age at screening was 2.3 days (SD = 1.5), the mean gestational age was 38.0 weeks (SD = 2.7) while the mean birth weight was 2.9 kg (SD = 0.7) and the mean Apgar score at 1 and 5 minute were 8.3 (SD = 1.0) and 9.8 (SD = 0.6). At the first step hearing screening, referral rate was 112 (29.0%); at the second stage, 31 (8.5%) neonates had referral in one or both ears. Fisher’s exact test showed that prematurity, multiple births, jaundice and small birth weight were significantly associated with a referral outcome. However, logistic regression revealed prematurity as a significant predictor of referral outcome with a negative predictive value of 12.61. Conclusion: The referral rate is high with prematurity as a significant predictor. This study calls for commencement of newborn hearing screening and strengthening of the public health measures in the developing countries.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Akinola, M. , Onakoya, P. , Tongo, O. and Lasisi, A. (2014) Neonatal Hearing Screening Using Transient Evoked Otoacoustic Emission in a Sub-Urban Population in Nigeria. International Journal of Otolaryngology and Head & Neck Surgery, 3, 205-211. doi: 10.4236/ijohns.2014.34038.

References

[1] Kemp, D.T. (1978) Stimulated Acoustic Emissions from the Human Auditory System. Journal of the Acoustical Society of America, 64, 1386-1391.
http://dx.doi.org/10.1121/1.382104
[2] Balkany, T., Telischi, F.F., McCoy, M.S., Lonsbury Martin, B.L. and Martin, G.K. (1994) Otoacoustic Emission in Otologic Practice. American Journal of Otolaryngology, 15, 29-38.
[3] Norton, S.J. (1993) Application of Transient Evoked Otoacoustic Emission to a Paediatric Population. Ear and Hearing, 14, 64-73.
http://dx.doi.org/10.1097/00003446-199302000-00009
[4] Del Buono, Z.G., Mininni, F., Delvecchio, M., Pannacciulli, C. and Mininni, S. (2005) Neonatal Hearing Screening during the First and Second Day of Life. Minerva Pediatrica, 57, 167-172.
[5] Hergils, L. (2007) Analysis of Measurements from the First Swedish Universal Neonatal Hearing Screening Program. International Journal of Audiology, 46, 680-685.
http://dx.doi.org/10.1080/14992020701459868
[6] Balkany, T., Telischi, F.F., McCoy, M.S., Lonsbury Martin, B.L. and Martin, G.K. (1994) Otoacoustic Emission in Otologic Practice. American Journal of Otolaryngology, 15, 29-38.
[7] Suleiman, A.O., Suleiman, B.M., Abdulmajid, U.F., Suleiman, M.R., Mustapha, A.Y., Afolabi, O.A., Yakubu, L.H., Nathal, C., Mohammed, G.M. and Lasisi, A.O. (2014) Paediatric Cochlear Implantation in North-Western Nigeria— Case Report and Review of Our Challenges. International Journal of Pediatric Otorhinolaryngology, 78, 363-365.
http://dx.doi.org/10.1016/j.ijporl.2013.10.061
[8] Oyedeji, G.A. (1985) Socio-Economic and Cultural Background of the Hospitalized Children in Ilesha. Nig J Paed, 12, 111-117.
[9] Minnesota Department of Health. Minnesota Newborn Hearing Screening Program Home Page—Protocols for Organization and Administration of Universal Newborn Hearing Screening Programs.
http://www.healthstate.mn.us:80/divs/fh/mch/unhs/index.html
[10] Maico Diagnostics USA (2003) Operating Instructions: ERO-SCAN OAE Test System. Etymotic Research, Inc., Eden Prairie.
[11] Maico Diagnostics GmbH (2008) Operating Instructions: MB 11 BERAphone. Maico, Berlin.
[12] Zhang, V.W. and McPherson, B. (2008) A Review of Otoacoustic Emission Screening Technology. Audiological Medicine, 6, 100-114.
http://dx.doi.org/10.1080/16513860701633326
[13] Olusanya, B.O. and Okolo, A.A. (2006) Early Hearing Detection at Immunization Clinics in Developing Countries. International Journal of Pediatric Otorhinolaryngology, 70, 1495-1498.
http://dx.doi.org/10.1016/j.ijporl.2006.04.002
[14] Abdullah, A., Hazim, M.Y., Almyzan, A., Jamilah, A.G., Roslin, S., et al. (2006) Newborn Hearing Screening: Experience in a Malaysian hospital. Singapore Medical Journal, 47, 60-64.
[15] Swanepoel, D.W., Hugo, R. and Louw, B. (2006) Infant Hearing Screening at Immunization Clinics in South Africa. International Journal of Pediatric Otorhinolaryngology, 70, 1241-1249.
http://dx.doi.org/10.1016/j.ijporl.2006.01.002
[16] Khandekar, R., Khabori, M., Mohammed, A.J. and Gupta, R. (2006) Neonatal Screening for Hearing Impairment: The Oman Experience. International Journal of Pediatric Otorhinolaryngology, 70, 663-670.
http://dx.doi.org/10.1016/j.ijporl.2005.08.020
[17] Ng, P.K., Hui, Y., Lam, B.C., Goh, W.H. and Yeung, C.Y. (2004) Feasibility of Implementing a Universal Neonatal Hearing Screening Programme Using Distortion Product Otoacoustic Emission Detection at a University Hospital in Hong Kong. Hong Kong Medical Journal, 10, 6-13.
[18] Nie, W.Y., Gong, L.X., Liu, Y.J., Xiang, L.L., Lin, Q., Qi, Y.S. and Nie, Y.J. (2003) Hearing Screening of 10,501 Newborns. Zhonghua Yi Xue Za Zhi, 83, 274-277.
[19] Dalzell, L., Orlando, M., MacDonald, M., Berg, A., Bradley, M., Cacace, A., et al. (2000) The New York State Universal Newborn Hearing Screening Demonstration Project: Ages of Hearing Loss Identification, Hearing Aid Fitting, and Enrolment in Early Intervention. Ear & Hearing, 21, 118-130.
http://dx.doi.org/10.1097/00003446-200004000-00006
[20] Quintos, M.R., Isleta, P.F., Chiong, C.C. and Abes, G.T. (2003) Newborn Hearing Screening Using the Evoked Otoacoustic Emission: The Philippine General Hospital Experience. Southeast Asian Journal of Tropical Medicine and Public Health, 34, 231-233.
[21] Beck, S., Wojdyla, D., Say, L., Betran, A.P., Merialdi, M., Requejo, J.H., Rubens, C., Menon, R. and Van Look, P.F.A. (2010) The Worldwide Incidence of Preterm Birth: A Systematic Review of Maternal Mortality and Morbidity. Bulletin of the World Health Organization, 88, 31-38.
http://dx.doi.org/10.2471/BLT.08.062554
[22] Blencowe, H., Cousens, S., Chou, D., Estergaard, M.O., Say, L., Moller, A.B., Kinney, M. and Lawn, J. (2013) Born Too Soon: The Global Epidemiology of 15 Million Preterm Births. Reproductive Health, 10, S2.
http://dx.doi.org/10.1186/1742-4755-10-S1-S2
[23] Guerrier, G., Oluyide, B., Keramarou, M. and Grais, R. (2013) High Maternal and Neonatal Mortality Rates in Northern Nigeria: An 8-Month Observational Study. International Journal of Women’s Health, 2013, 495-499.
http://dx.doi.org/10.2147/IJWH.S48179
[24] Olusanya, B.O. (2009) Newborns at Risk of Sensorineural Hearing Loss in Low-Income Countries. Archives of Disease in Childhood, 94, 227-230.
[25] Korres, S., Nikolopoulos, T.P., Komkotou, V., Balatsouras, D., Kandiloros, D., et al. (2005) Newborn Hearing Screening: Effectiveness, Importance of High-Risk Factors, and Characteristics of Infants in the Neonatal Intensive Care Unit and Well-Baby Nursery. Otology & Neurotology, 26, 1186-1190.
http://dx.doi.org/10.1097/01.mao.0000184602.94677.41
[26] Pereira, P.K., Ade, S.M., Vieira, M.R. and Azevedo, M.F. (2007) Newborn Hearing Screening Program: Association between Hearing Loss and Risk Factors. Pro Fono, 19, 267-278.
[27] Hernández-Herrera, R.J., Hernández-Aguirre, L.M., Castillo-Martínez, N.E., de la Rosa-Mireles, N., Martínez-Elizondo, J., et al. (2007) Hearing Screening and Diagnosis of Hearing Loss: High Risk versus Low Risk Neonates. Rev Med Inst Mex Seguro Soc, 45, 421-426.
[28] Srisuparp, P., Gleebbur, R., Ngerncham, S., Chonpracha, J. and Singkampong, J. (2005) High-Risk Neonatal Hearing Screening Program Using Automated Screening Device Performed by Trained Nursing Personnel at Siriraj Hospital: Yield and Feasibility. Journal of the Medical Association of Thailand, 88, 176-182.
[29] Olusanya, B.O., Wirz, S.L. and Luxon, L.M. (2008) Hospital-Based Universal Newborn Hearing Screening for Early Detection of Permanent Congenital Hearing Loss in Lagos, Nigeria. International Journal of Pediatric Otorhinolaryngology, 72, 991-1001.
http://dx.doi.org/10.1016/j.ijporl.2008.03.004

  
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