Skrining Gangguan Pendengaran pada Neonatus Risiko Tinggi

Rundjan, Lily; Amir, Idham; Suwento, Ronny; Mangunatmadja, Irawan

doi:10.14238/sp6.4.2005.149-54

Cited by 9 publications

(17 citation statements)

References 13 publications

(43 reference statements)

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“…5 Universal newborn hearing screening (UNHS) has been proposed to detect children with permanent congenital hearing loss. 6,7 UNHS should be done before hospital discharge or within the first month of age through audiologic assessment so that hearing loss can be diagnosed before 3 months of age and early intervention can be taken before 6 months. [6][7][8] To date, this mandatory hearing screening is not performed in Indonesia, whereas hearing loss is found to be the most common defect associated with CRS.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 UNHS should be done before hospital discharge or within the first month of age through audiologic assessment so that hearing loss can be diagnosed before 3 months of age and early intervention can be taken before 6 months. [6][7][8] To date, this mandatory hearing screening is not performed in Indonesia, whereas hearing loss is found to be the most common defect associated with CRS. 4,5,9 A two-step screening protocol with otoacoustic emissions (OAEs) test followed by auditory brainstem response (ABR) in those who failed the OAEs-test has been recommended by audiologic experts.…”

Section: Introductionmentioning

confidence: 99%

“…4,5,9 A two-step screening protocol with otoacoustic emissions (OAEs) test followed by auditory brainstem response (ABR) in those who failed the OAEs-test has been recommended by audiologic experts. [6][7][8]10 According to the WHO, the rubella IgM detection is the preferred test to diagnose CRS. 4,11 This study aimed to identify CRS cases through a newborn hearing screening at Dr. Sardjito Hospital, Yogyakarta, Indonesia.…”

Section: Introductionmentioning

confidence: 99%

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Congenital Rubella Syndrome Screening for Newborn in Yogyakarta, Indonesia

Triono

Candrawati

Sudarman

et al. 2017

J Pediatr Infect Dis

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Background Rubella infection in pregnancy can cause congenital rubella syndrome (CRS), and one common defect of CRS is hearing loss. However, hearing screening is not routinely performed in Indonesia. While the number of reported cases of CRS in Indonesia is increasing, it is still difficult to identify all CRS cases. This study aims to identify CRS cases through a newborn hearing screening. Materials and Methods This descriptive study was conducted at Dr. Sardjito Hospital, Yogyakarta, Indonesia. The subjects were recruited from September 1, 2013 to November 19, 2013. The study period was from September 1, 2013 to January 31, 2014. Newborn subjects underwent the first otoacoustic emissions (OAEs) test. Subjects with the first OAEs test REFER results underwent the second OAEs test 2 months later. Subjects with REFER result in the second OAEs test then underwent auditory brainstem response (ABR) and detection of rubella IgM in blood serum. Result There were 151 subjects who underwent the first OAEs test. Ninety subjects (60%) had REFER results, but only 29 subjects underwent the second OAEs test. In the second OAEs test, 9/151 (5%) subjects were REFER. There were 6/151 (3.9%) subjects who underwent ABR and all subjects had sensory neural hearing loss. Of them, one subject was positive for rubella IgM with a titer of 11.86 at 2.5 months of age. We found nine suspected CRS cases, one clinically-confirmed and one laboratory-confirmed CRS case. The incidence of laboratory-confirmed CRS was 1/151 (6.62/1,000) live births. Conclusion Due to the low incidence we found and the cost of screening, we recommend to strengthen surveillance of CRS. All infants less than 1 year of age with suspected CRS should be checked with rubella IgM to identify CRS cases. While universal newborn hearing screening is not mandatory in Indonesia, targeted newborn hearing screening should be performed to detect children with permanent congenital hearing loss due to CRS.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Congenital Rubella Syndrome Screening for Newborn in Yogyakarta, Indonesia

Triono

Candrawati

Sudarman

et al. 2017

J Pediatr Infect Dis

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“…2,3 Menurut data WHO tahun 2007, prevalensi gangguan pendengaran penduduk Indonesia diperkirakan 4,2%. 4 Asfiksia adalah keadaan neonatus yang gagal bernapas secara spontan dan teratur saat lahir atau beberapa saat setelah lahir sehingga mengakibatkan kurangnya oksigenasi atau perfusi jaringan, ditandai dengan hipoksia, hiperkarbi, dan asidosis.…”

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Pengaruh Asfiksia Neonatal Terhadap Gangguan Pendengaran

Sarosa¹,

Putranti²,

Setyarini³

2016

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Latar belakang. Kejadian gangguan pendengaran di negara maju 1-3 dari 1000 kelahiran hidup, sedangkan prevalensi gangguan pendengaran di Indonesia ±4,2%, penyebabnya antara lain asfiksia. Identifikasi dini usia 3 bulan pertama kehidupan dan intervensi optimal 6 bulan pertama mencegah gangguan bicara, bahasa, kognitif, personal sosial, emosional, perilaku, akademik dan keterbatasan kesempatan kerja. Kesimpulan. Asfiksia merupakan faktor risiko gangguan pendengaran usia kurang dari satu bulan. Gangguan pendengaran terbanyak pada asfiksia berat. Obat ototoksik dan ventilator mekanik merupakan faktor risiko gangguan pendengaran usia kurang dari satu bulan. Prematuritas dan asfiksia, obat ototoksik, ventilator mekanik secara bersama-sama belum dapat disimpulkan sebagai faktor risiko gangguan pendengaran. Sari Pediatri 2011;13(1):5-13.Kata kunci: OAE, gangguan pendengaran, asfiksia neonatal.

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“…3 Some proposed risk factors for congenital or acquired neonatal HL include family history of permanent sensorineural HL, craniofacial anomalies, intrauterine infections, physical anomalies or other related syndrome, birth weight <1,500 grams, low Apgar scores (0-3 at 5 minutes, or 0-6 at 10 minutes), NICU admission, respiratory distress, mechanical ventilation for 5 days or more, hyperbilirubinemia at levels that require exchange transfusion, bacterial meningitis, and use of ototoxic drugs. [4][5][6][7][8][9][10][11] Given this uncertainty, we aimed to identify risk factors associated with HL in neonates.…”

mentioning

confidence: 99%