Triagem Auditiva Neonatal: relação entre banho e índice de reteste

Abstract

Program (NHSP) is to have a low retesting rate. Aim: To investigate the association between the retesting rate and the bath of newborn babies. Study design: cross-sectional contemporary cohort. Materials and Methods: Transient otoacoustic emissions (TOE) results have been compared to the information received from the nurse's aide who bathed the babies on the day of the test (373 newborns), and the time interval between the TOE study and the last bath (350 newborns). Results: Significant statistical differences were found in relation to the percentage of retesting when babies were bathed by certain nurse's aides. On the other hand, the percentage of retesting decreased significantly when the time interval between the last bath and the TOE study was longer than 7 hours and 50 minutes. Conclusion: Moisture of the external acoustic meatus, caused by inappropriate protection against water during bath, and the short interval between the bath and the ETOE study, could be considered as possible factors causing retesting in NHSP programs.

Nursing training program in children’s hearing health: a proposal for interactive tele-education

“…They play a key role in maternity wards, both in guiding families at the time of hospital discharge, contributing to the greater adherence of these families to the program, as well as in the procedures and care prior to hearing screening. In the care prior to hearing screening with oto-acoustic emission testing (OAE), or ear test, in particular, humidity of the external auditory canal caused by inadequate protection of ears from water when bathing the baby, and the short interval between the bath and the hearing screening, can be considered a possible factor that generates retest in newborn hearing screening programs (19) . As for the professionals who perform their functions in the basic health units or as members of the family health strategy team, they work directly with the families, reducing non-adherence to newborn hearing screening programs and assisting in the programs that monitor infants at risk of hearing loss and with confirmed hearing loss.…”

Emissões otoacústicas evocadas transientes em recém-nascidos a termo e pré-termo

“…Ana Dolores Passarelli de Melo (1) , Kátia de Freitas Alvarenga (2) , Daniela Jovel Modolo (3) , Maria Cecília Bevilacqua (4) , Andréa Cintra Lopes (5) , Raquel Sampaio Agostinho-Pesse (6) RESUMO Objetivo: analisar a amplitude absoluta e nível de Response das emissões otoacústicas evocadas transientes em recém-nascidos pré-termo e a termo. Métodos: participaram deste estudo 50 recém-nascidos a termo e 50 pré-termo, os quais foram submetidos à triagem auditiva neonatal por meio da pesquisa das emissões otoacústicas evocadas transientes, realizada entre 24 horas e 11 semanas de vida.…”

“…Apenas um estudo na literatura consultada apresentou a análise estatística comparativa entre a amplitude das emissões otoacústicas evocadas transientes obtidas em recém-nascidos pré-termo e a termo, com diferença estatisticamente signi cante 16 , contrariando o resultado obtido no presente estudo. A prematuridade tem sido apresentada como um fator que in uencia na amplitude das emissões otoacústicas, principalmente devido a variáveis não relacionadas à maturação coclear, como aspectos anatômicos e funcionais de orelhas externa e/ou média [1][2][3][4] . Na análise por frequência especí ca, pode-se observar que apenas a banda de frequência de 3 kHz na orelha direita apresentou correlação estatisticamente signi cante em relação à prematuridade (Tabela 5).…”

Índice de retorno ao reteste em um programa de triagem auditiva neonatal

“…Meanwhile, and observed low compliance rate of mothers and/or responsible for NB/ infants in monitoring programs of hearing development, which slows or prevents the early detection and immediate intervention of the HL 6 . Therefore, it is important to increase the awareness to the problem of HL in childhood and emphasize the need for early detection, by facilitating the acquisition and development of communication skills and minimize the influence that the lead in the overall development of the child.…”

“…Such contradictions increase concern about the orientation and awareness of parents in relation to the retest. Therefore, even if the maternal anxiety before the false-positive result has been little common, before hospital discharge and necessary guide the family with clarity on the importance of retest in NB and on hearing development 6,10 . Of the babies who came to the retest, the majority showed positive results in the NAS, i.e., the presence of EOA-T associated with the presence of CPR.…”