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Table 2. Factors associated with delayed diagnosis of hearing loss and contributing to late intervention for infants who pass newborn hearing screening. Adapted from Joint Committee on Infant Hearing (2007). _______________________________________________________________ Caregiver concern regarding Hearing Speech and language Developmental delay Family history of permanent hearing loss Intensive care nursery stay of > 5 days and/or Extra-corporeal membrane oxygenation (ECMO) Assistive ventilation Exposure ototoxic medicines Hyperbilibrubinemia requiring exchange transfusion In utero infections, e.g., Cytomegalovirus (CMV) Herpes Rubella Syphilis Toxoplasmosis Craniofacial anomalies involving Pinna Ear canals Ear tags and pits Temporal bone Neurodegenerative disorders, e.g., Hunter syndrome Sensory motor neuropathies such as Friedrich ataxia and Charcot-MarieTooth syndrome Culture positive post-natal infections associated with sensorineural hearing loss, such as bacterial meningitis Head trauma requiring hospitalization Chemotherapy with potentially ototoxic drugs Physical findings associated with syndrome Syndromes associated with hearing loss, e.g., Neurofibromatosis Osteopetrosis Usher Waardenburg Pendred Alport Jervell Lange-Nielson