Auditory screening is required in children under following conditions -: (A) Before doing exchage transfusion for hyperbilirubinemia, (B) In premature babies, (C) Before staing aminoglycoside therapy, (D) All
Answer is D. Ans. is 'a' i.e., Before doing exchange transfusion for hyperbilirubinemia, 'b' In premature babies,`c' i.e., Before staing aminoglycoside therapy o All neonates with risk factor for hearing loss must be screened with an auditory brainsteam response (ABR) or otoacoustic emissions (OAE) test to exclude hearing impairment. Indications for Auditory screening ? Family history or hereditary childhood SNHL. In utero infections - Toxoplasmosis, Rubella, CMV, herpes, syphilis. Craniofacial anomaly-morphological abnormalities of the pinna and ear canal. Bih weight less than 1500 gm. Hyperbilirubinemia at a serum level requiring exchange transfusion. Ototoxic drugs aminoglycosides, loop diuretics Bacterial meningitis Apgar score 0 to 4 at 1 min or 0 to 6 at 5 min. Mechanical ventilation lasting more than 3 days. Stigmata associated with a syndrome known to include hearing loss.