Comprehensive evaluation of risk factors for neonatal hearing loss in a large Brazilian cohort

Autor: Adriana R T, Anastasio, Aparecida Y, Yamamoto, Eduardo T, Massuda, Alessandra K S, Manfredi, Juliana M S, Cavalcante, Bruno C P, Lopes, Davi C, Aragon, Suresh, Boppana, Karen B, Fowler, William J, Britt, Marisa M, Mussi-Pinhata
Rok vydání: 2020
Předmět:
Zdroj: Journal of perinatology : official journal of the California Perinatal Association. 41(2)
ISSN: 1476-5543
Popis: To determine the incidence and risk factors of hearing loss (HL) in Brazilian neonates.11,900 neonates were screened for hearing and congenital CMV (cCMV). Low and high-risk babies who did not pass their hearing screening and infants with cCMV were scheduled for a diagnostic audiologic evaluation.The incidence of HL was 2 per 1000 live-born infants (95% CI: 1-3). HL was higher in high-risk neonates than in low risk babies (18.6 vs. 0.3/1000 live births, respectively). Among infants exposed to isolated risk factors, association of HL with craniofacial abnormalities/syndromes (RR = 24.47; 95% CI: 5.9-100.9) and cCMV (RR = 9.54; 95% CI: 3.3-27.7) were observed. HL was 20 to 100-fold more likely in neonates exposed to ototoxic drugs in combination with cCMV or craniofacial/congenital anomalies.Strategies for the prevention of cCMV and exposure to ototoxic drugs may decrease the incidence of HL in this population.
Databáze: OpenAIRE