Pediatric Hearing Screening

Pediatric Hearing Screening

Periodicity

• All newborns must receive newborn hearing screening before discharge from the newborn nursery or NICU

• At age of 3–5 days, confirm initial screen was completed, verify results, and follow-up as appropriate

• Formal hearing screening is recommended at age 4, 5, 6, 8, 10, and once between 11–14, 15–17, 18–21 years

Goal of screening

• Identify hearing loss of 35 dB or greater in 500–4000 Hz range

Indication for hearing screening in special situations

• Speech delay

• Parental expression of concern on hearing problem, language, or developmental delay

• History of bacterial meningitis

• Neonatal CMV infection

• Head trauma

• Syndromes associated with hearing loss, e.g., Alport syndrome

• Exposure to ototoxic medications