Download Table 2.Delay progressive factors

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Transcript
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