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Timing of newborn hearing screening in the neonatal intensive care unit: implications for targeted screening for congenital cytomegalovirus infection

Authors :
Alexandra K, Medoro
Prashant S, Malhotra
Masako, Shimamura
Ursula, Findlen
Holly, Gerth
Gina, Hounam
Douglas, Salamon
Nicholas, Foor
Cory, Hanlon
Amy, Leber
Oliver, Adunka
Pablo J, Sánchez
Source :
Journal of perinatology : official journal of the California Perinatal Association. 41(2)
Publication Year :
2020

Abstract

To determine when infants in the neonatal intensive care unit (NICU) have the first hearing screen performed, and thus inform targeted testing for cytomegalovirus (CMV)-related hearing loss.Retrospective review of electronic health records of infants admitted to a Level 4 outborn NICU and had a first hearing screen performed from 8/2016-8/2018.Among 1498 infants, 546 (36%) had a first hearing screen performed at age21 days when a positive CMV PCR test cannot distinguish congenital from postnatal CMV acquisition. While most infants tested at21 days of age were34 weeks' gestational age (71%), 18% (n = 100) and 11% (n = 59) were ≥34 and ≥37 weeks' gestation, respectively.Targeted CMV testing for failed hearing screen in the NICU is problematic as 36% of infants did not have a hearing screen performed before 21 days of age, supporting the need for CMV screening at NICU admission.

Details

ISSN :
14765543
Volume :
41
Issue :
2
Database :
OpenAIRE
Journal :
Journal of perinatology : official journal of the California Perinatal Association
Accession number :
edsair.pmid..........f899d3250ece272c2f5fda54a8674196