Newborn hearing screening protocol in tuscany region
Abstract Background 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. Main Part In Tuscany Region of Italy, the universal newborn hearing screening is mandatory...
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doaj-a414484cab86432191da41bfb0256d6e2020-11-25T00:35:18ZengBMCItalian Journal of Pediatrics1824-72882017-09-014311910.1186/s13052-017-0397-1Newborn hearing screening protocol in tuscany regionStefano Berrettini0Paolo Ghirri1Francesco Lazzerini2Giovanni Lenzi3Francesca Forli4Otolaryngology Audiology and Phoniatric Unit, University of PisaMother and Child Department, Neonatology Unit and Section of Neonatal Endocrinology and Dysmorphology, University Hospital of PisaOtolaryngology Audiology and Phoniatric Unit, University of PisaPaediatrician, National Coordinator of FIMP Audiology sectionOtolaryngology Audiology and Phoniatric Unit, University of PisaAbstract Background 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. Main Part 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. Conclusions 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.http://link.springer.com/article/10.1186/s13052-017-0397-1ScreeningHearing lossNewbornCMVPaediatric |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Stefano Berrettini Paolo Ghirri Francesco Lazzerini Giovanni Lenzi Francesca Forli |
spellingShingle |
Stefano Berrettini Paolo Ghirri Francesco Lazzerini Giovanni Lenzi Francesca Forli Newborn hearing screening protocol in tuscany region Italian Journal of Pediatrics Screening Hearing loss Newborn CMV Paediatric |
author_facet |
Stefano Berrettini Paolo Ghirri Francesco Lazzerini Giovanni Lenzi Francesca Forli |
author_sort |
Stefano Berrettini |
title |
Newborn hearing screening protocol in tuscany region |
title_short |
Newborn hearing screening protocol in tuscany region |
title_full |
Newborn hearing screening protocol in tuscany region |
title_fullStr |
Newborn hearing screening protocol in tuscany region |
title_full_unstemmed |
Newborn hearing screening protocol in tuscany region |
title_sort |
newborn hearing screening protocol in tuscany region |
publisher |
BMC |
series |
Italian Journal of Pediatrics |
issn |
1824-7288 |
publishDate |
2017-09-01 |
description |
Abstract Background 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. Main Part 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. Conclusions 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. |
topic |
Screening Hearing loss Newborn CMV Paediatric |
url |
http://link.springer.com/article/10.1186/s13052-017-0397-1 |
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