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Vol. 72. Issue 5.
Pages 312-323 (September - October 2021)
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Vol. 72. Issue 5.
Pages 312-323 (September - October 2021)
Review article
New-born Hearing Screening Programmes in 2020: CODEPEH Recommendations
Programas de cribado de la hipoacusia congénita en 2020: recomendaciones CODEPEH
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Faustino Núñez-Batallaa,
Corresponding author
fnunezb@telefonica.net

Corresponding author.
, Carmen Jáudenes-Casaubóna, Jose Miguel Sequí-Caneta, Ana Vivanco-Allendea, Jose Zubicaray-Ugartechea, Isabel Olleta Lascarrob
a Comisión para la detección precoz de la hipoacusia, Madrid, Spain
b Centro de Logopedia y Audiología de Logroño, Spain
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Abstract

Programmes for early detection of congenital hearing loss have been successfully implemented mainly in developed countries, after overcoming some conceptual errors argued against their implementation and some criticism of their efficacy. However, some difficulties and weaknesses are still identified in these programmes: the detection of late-onset hearing loss and the percentage of children who did not pass the screening and did not complete the process of diagnosis and treatment, these being cases that are lost in the process.

The purpose of this Document is to analyse these problems to determine areas for improvement and to emphasize one of the basic principles for the success of the programmes: continuous training for the interdisciplinary team.

The result of the review process carried out by CODEPEH has been drafted as Recommendations for updating the Programmes with the evidence of the last decade, including advances in screening technology, the impact of the present knowledge on congenital infection by cytomegalovirus, genetic hearing loss research and control systems of lost to follow-up cases, treatment and follow up.

Keywords:
Hearing loss
New-born hearing screening
Loss to follow-up
Congenital cytomegalovirus infection
Aetiological diagnosis of paediatric hearing loss
Resumen

Los programas de detección precoz de la hipoacusia congénita se han extendido de forma exitosa, especialmente en países desarrollados, superando los errores conceptuales argumentados contra su implantación o las críticas a su eficacia. No obstante, aún se identifican algunas dificultades y debilidades: la detección de la hipoacusia de desarrollo tardío y el porcentaje de niños que no pasaron el cribado y no completan el diagnóstico ni el tratamiento, siendo casos que se pierden en el proceso son algunas de ellas.

El objetivo del presente documento es analizar estos problemas para determinar puntos de mejora e incidir en un principio básico del éxito de los programas: la formación continuada del equipo interdisciplinar.

El resultado del trabajo de revisión llevado a cabo por la CODEPEH se plasma en la formulación de unas recomendaciones orientadas a actualizar los programas con las evidencias aparecidas en la última década, incorporando los progresos de la tecnología, los conocimientos actuales sobre la infección congénita por citomegalovirus y los estudios genéticos de la hipoacusia en los programas, así como los sistemas de control de la pérdida de casos en el proceso, el tratamiento y el seguimiento.

Palabras clave:
Hipoacusia
Cribado neonatal hipoacusia
Pérdidas en el seguimiento
Infección congénita citomegalovirus
Diagnóstico etiológico hipoacusia infantil

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