How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?

Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss> 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the hospital is effective. Many children can be identified at that time. Screening if not done while inpatient should be done soon – usually within days/weeks of discharge. Additional screening using validated child development screening should also be completed and are recommended by the American Academy of Pediatrics. Additional formal screening to identify late sequelae of bacterial meningitis or as a consequence of ototoxic drug exposure probably should occur at some interval, but the author was unable to identify an exact timing. Discussion with a pediatrician who is also a hearing screening expert felt that if one hearing screening was already normal, then a followup evaluation at 6 months would be appropriate. However, if the initial screening was abnormal then referral to an audiologist and/or otolaryngologist for formal evaluation was necessary and...
Source: - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Source: Frontiers in Neurology - Category: Neurology Source Type: research
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Source: Journal of Neurological Surgery Part B: Skull Base - Category: Neurosurgery Authors: Tags: Invited Review Source Type: research
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Source: the Mail online | Health - Category: Consumer Health News Source Type: news
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Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
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Source: International Journal of Pediatric Otorhinolaryngology - Category: ENT & OMF Authors: Source Type: research
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Source: Otology and Neurotology - Category: ENT & OMF Tags: Pediatric Otology Source Type: research
Abstract Mumps, a common childhood disease in the pre-vaccine era that causes swelling of the parotid salivary glands, can lead to orchitis, viral meningitis, and sensorineural deafness. While the incidence of disease decreased dramatically after the vaccine was added to standard vaccination schedules, the disease has made a substantial resurgence in recent years. As a result, it becomes critical to examine the factors involved in recurring outbreaks. Although low and incomplete vaccination coverage may be a key reason, it does not fully explain the issue due to the high rate of occurrence in populations with high...
Source: Vaccine - Category: Allergy & Immunology Authors: Tags: Vaccine Source Type: research
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Source: Journal of the American Academy of Physician Assistants - Category: Primary Care Tags: CME: Infectious Diseases Source Type: research
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Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
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