The online version of this article (https://doi.org/10.1186/s13052-017-0397-1) contains supplementary material, which is available to authorized users.
Newborn hearing screening has to be considered the first step of a program for the identification, diagnosis, treatment and habilitation/rehabilitation of children with hearing impairment.
In Tuscany Region of Italy, the universal newborn hearing screening is mandatory since november 2007. The first guidelines for the execution of the screening have been released in June 2008; then many other Italian regions partially or totally adopted these guidelines. On the basis of the experience from 2008 and according to the recent evidences in the scientific literature, a new screening protocol was released in Tuscany region. The new protocol is an evolution of the previous one. Some issues reported in the previous protocol and in the Joint Committee on Infant Hearing statement published in 2007 were revised, such as the risk factors for auditory neuropathy and for late onset, progressive or acquired hearing loss. The new updated guidelines were submitted to the Sanitary Regional Council and then they have been approved in August 2016. The updated screening protocol is mainly aimed to identify newborns with a congenital moderate-to-profound hearing loss, but it also provides indications for the audiological follow-up of children with risk’s factor for progressive or late onset hearing loss; further it provides indications for the audiological surveillance of children at risk for acquired hearing impairment. Then, in the new guidelines the role of the family paediatrician in the newborn hearing screening and audiological follow-up and surveillance is underscored. Finally the new guidelines provide indications for the treatment with hearing aids and cochlear implant, in accordance with the recent Italian Health Technology Assessment (HTA) guidelines.
In the paper we report the modality of execution of the universal newborn hearing screening in the Tuscany Region, according to the recently updated protocol. The main features of the protocol and the critical issues are discussed.
Additional file 1: Survey for audiologic survelliance (DOC 25 kb)13052_2017_397_MOESM1_ESM.doc
American Academy of Pediatrics JCoIH. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007;120:898–921. CrossRef
Berrettini S, Arslan E, Baggiani A, Burdo S, Cassandro E, Cuda D, Filipo R, Rossi PG, Mancini P, Martini A, Quaranta A, Quaranta N, Turchetti G, Forli F. Analysis of the impact of professional involvement in evidence generation for the HTA Process, subproject “cochlear implants”: methodology, results and recommendations. Acta Otorhinolaryngol Ital. 2011;31(5):273–80. PubMedPubMedCentral
Diener ML, Zick CD, McVicar SB, Boettger J, Park AH. Outcomes From a Hearing-Targeted Cytomegalovirus Screening Program. Pediatrics . 2017;139(2).
- Newborn hearing screening protocol in tuscany region
- BioMed Central
Neu im Fachgebiet Pädiatrie
Meistgelesene Bücher aus dem Fachgebiet
Mail Icon II