JUSTIFICATION:Hearing impairment is one of the most critical sensory impairments with significant social and psychological consequences. Evidence-based, standardized national guidelines are needed for professionals to screen for hearing impairment during the neonatal period. PROCESS:The meeting on formulation of national consensus guidelines on developmental disorders was organized by Indian Academy of Pediatrics in Mumbai, on 18th and 19th December, 2015. The invited experts included Pediatricians, Developmental Pediatricians, Pediatric Neurologists and Clinical Psychologists. The participants framed guidelines after extensive discussions. OBJECTIVE:To provide guidelines on newborn hearing screening in India. RECOMMENDATIONS:The first screening should be conducted before the neonate's discharge from the hospital - if it 'fails', then it should be repeated after four weeks, or at first immunization visit. If it 'fails' again, then Auditory Brainstem Response (ABR) audiometry should be conducted. All babies admitted to intensive care unit should be screened via ABR. All babies with abnormal ABR should undergo detailed evaluation, hearing aid fitting and auditory rehabilitation, before six months of age. The goal is to screen newborn babies before one month of age, diagnose hearing loss before three months of age and start intervention before six months of age.

译文

证据:听力障碍是最严重的感觉障碍之一,具有重大的社会和心理后果。专业人员在新生儿期筛查听力障碍时,需要以证据为依据的标准化国家准则。
过程:2015年12月18日至19日,印度儿科学会在孟买组织了关于发展性疾病的国家共识指南的制定会议。受邀的专家包括儿科医生,发育儿科医生,儿科神经病学家和临床心理学家。参加者在广泛讨论后制定了指导方针。
目的:为印度新生儿听力筛查提供指导。
建议:应在新生儿出院前进行第一次筛查-如果“失败”,则应在四个星期后或第一次免疫检查时重复进行。如果再次“失败”,则应进行听性脑干反应(ABR)听力测验。所有进入重症监护室的婴儿都应通过ABR进行筛查。所有ABR异常的婴儿应在6个月大之前进行详细评估,安装助听器和进行听觉康复。目的是对一个月大的婴儿进行筛查,在三个月大的婴儿中诊断听力下降,并在六个月大的婴儿开始干预。

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