Timing of newborn hearing screening in the neonatal intensive care unit: implications for targeted screening for congenital cytomegalovirus infection

Autor: Alexandra K, Medoro, Prashant S, Malhotra, Masako, Shimamura, Ursula, Findlen, Holly, Gerth, Gina, Hounam, Douglas, Salamon, Nicholas, Foor, Cory, Hanlon, Amy, Leber, Oliver, Adunka, Pablo J, Sánchez
Rok vydání: 2020
Předmět:
Zdroj: Journal of perinatology : official journal of the California Perinatal Association. 41(2)
ISSN: 1476-5543
Popis: To determine when infants in the neonatal intensive care unit (NICU) have the first hearing screen performed, and thus inform targeted testing for cytomegalovirus (CMV)-related hearing loss.Retrospective review of electronic health records of infants admitted to a Level 4 outborn NICU and had a first hearing screen performed from 8/2016-8/2018.Among 1498 infants, 546 (36%) had a first hearing screen performed at age21 days when a positive CMV PCR test cannot distinguish congenital from postnatal CMV acquisition. While most infants tested at21 days of age were34 weeks' gestational age (71%), 18% (n = 100) and 11% (n = 59) were ≥34 and ≥37 weeks' gestation, respectively.Targeted CMV testing for failed hearing screen in the NICU is problematic as 36% of infants did not have a hearing screen performed before 21 days of age, supporting the need for CMV screening at NICU admission.
Databáze: OpenAIRE