(精编)【体外膜肺ECMO精品课件】 Joint Committee on Infant Hearing Update 2007教学课件.pptVIP

Joint Committee on Infant HearingUpdate 2007 Objectives: Give a brief background of the 38 year history of the JCIH leading to the 8th JCIH Position Statement Present key changes in the 2007 Position Statement JCIH established in 1969 Composed of representatives of professional organizations with interest in children with hearing loss Original charge: Make recommendations concerning early identification of children with HL, and newborn screening. The professional leading that charge was Dr Marion Downs. First Position Statement The first one page Position Statement was published in Pediatrics in 1971. It concluded that data at the time were inconsistent and misleading and therefore universal screening of newborn infants could not be recommended. Risk Factors were not mentioned. Hearing Screen Protocols Separate protocols are therefore recommended for NICU and well baby nurseries. NICU babies 5 days are to have ABR included as part of their screen so that neural HL will not be missed Hearing Screen Protocols Screening results should be conveyed immediately to families so they understand the outcome and the importance of follow-up when indicated. For rescreening, a complete evaluation of both ears is recommended, even if only 1 ear failed the initial screen. Re-admissions For readmissions of infants in the first month of life, if there are conditions present which are associated with potential hearing loss (e.g. hyperbilirubinemia req. exchange transfusion or culture + sepsis), a repeat hearing screen is recommended prior to discharge. Diagnostic Audiology Evaluation Audiologists with skills and expertise in evaluating infants with hearing loss should provide audiology diagnostic and habilitation services. At least one ABR is recommended as part of a complete diagnostic audiology evaluation for children under 3 years of age for confirmation of permanent HL, in conjunction with other measures for validation of HL. Diagno