The article demonstrates actuality of problem of occupational bradyacusia that takes first place in the structure of professional morbidity of workers in the Russian Federation. This disease has no trend to decreasing and at that about one third of it are initial stages of disorders of sound perception - "signs of impact of noise on organ of hearing" and "loss of hearing (chronic senso-neural bradyacusia) of degree I". The occupational bradyacusia develops at rather young and not retirement age and conditions loss of vocational fitness that determines importance of early diagnostic, treatment and rehabilitation of individuals with loss of hearing due to noise. The main modern pathogenic aspects of rehabilitation and health improvement of individuals with disorders of function of hearing working in conditions of impact of noise. Also are presented hygienic principles of rehabilitation based on accounting negative impact of occupational conditions, necessary measures of primary and secondary prevention, possibilities of sanatoria and health resort, rehabilitation treatment and health improvement.
The article reflects the main sections of Clinical guidelines «Hearing loss, noise-induced» (second revision) included in the Rubric of Clinical guidelines of the Ministry of health of the Russian Federation in 2018, CG609 and aimed at streamlining and unification of actions in clinical diagnostic and expert work. The purpose of the of research is to help the practitioner in making the right decision on the assessment of health, treatment of hearing loss caused by industrial noise, on the basis of evidence-based step-by-step protocols. Material and methods. The subject of the development of the CG609 were high rates of occupational hearing loss in employees of “noise-hazardous” industries, classified as “Professional sensorineural hearing loss”. Results. The structure of the CG609 is presented, the importance of unified approaches to the diagnosis, treatment, rehabilitation, prevention, examination of the relationship of the disease of the hearing with the profession and aptitude is shown. The criteria of evidence and credibility of specific recommendations are given. Discussion. CG609 are created on the generally accepted, repeatedly approved methodology of development of SIGN (2014) guaranteeing reliability of recommendations, generalization of the best world experience and modern knowledge, applicability in practice and convenience in use. The use of high-quality clinical guidelines makes it possible to introduce into medical practice the most effective medical technologies, to refuse unreasonable and unsafe interventions and to improve the quality of medical care. Conclusion. CG609 are required for the integrated interaction of specialists otolaryngologists, audiologists-otorhinolaryngologists, pathologists, physicians, occupational health, occupational medicine and all medical professionals involved in diagnostic and expert work of the assessment of hearing in workers «noise hazardous» professions.
Covers the main expert diagnostic errors diagnostic and examination for hearing loss from exposure to noise, imperfection of normative and regulatory documentation, inadequate attention to the criteria the Association of the disease with the profession, lack of qualified health workers
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.