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Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes
Dissertation (MCommunication Pathology)--University of Pretoria, 2016.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2016
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| _version_ | 1867613468745531392 |
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| access_status_str | Open Access |
| author2 | Swanepoel, De Wet |
| author_browse | Swanepoel, De Wet |
| author_facet | Swanepoel, De Wet |
| collection | Thesis |
| dc_rights_str_mv | © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MCommunication Pathology)--University of Pretoria, 2016. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/57177 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:36:37.921Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/57177 Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes Swanepoel, De Wet tersiadk@gmail.com Hall, James W. (James Wilbur), 1948- De Kock, Tersia UCTD Dissertation (MCommunication Pathology)--University of Pretoria, 2016. Objective: Developing countries require contextual models for universal newborn hearing screening (UNHS) to optimise screening outcomes and cost-effectiveness. Postnatal visits at community-based midwife obstetric units (MOUs) have been proposed as an alternative primary healthcare platform for UNHS in South Africa. This study evaluated the outcomes of distortion product otoacoustic emissions (DPOAEs) and automated auditory brainstem response (AABR) screening conducted by a dedicated non-professional screener at a community-based MOU in the Western Cape, South Africa. Methods: UNHS at a community-based MOU was evaluated over a 16-month period. A dedicated non-professional screener was trained to follow a two-stage screening protocol targeting bilateral hearing loss. A two group comparative design was used alternating AABR (Maico MB11 BERAphoneTM) and DPOAE (Bio-logic AuDX I) technology on a daily basis. Infants referring the initial screen received a follow-up appointment in two days time and were rescreened with the same technology used at their first screen. Those referring the second stage were booked for diagnostic assessments. Results: 7452 infants were screened including 47.9% (n=3573) with DPOAE and 52.1% (n=3879) with AABR technology. Mean age at first stage screen was 6.1 days. The initial bilateral referral rate was significantly lower for AABR (4.6%) compared to DPOAE (7.0%) and dropped to 0.3% and 0.7% respectively following the second stage screenings. First rescreen and initial diagnostic follow-up rates of 90% and 92.3% were obtained for the DPOAE group and 86.6% and 90% for the AABR group. Follow-up rates showed no significant difference between technology groups. Diagnostic assessment revealed a higher prevalence rate for bilateral sensorineural hearing loss among the AABR group (1/1000) compared to the DPOAE group (0.3/1000). Screening technology had no significant influence on daily screening capacity (23 AABR/day; 24 DPOAE/day). Objective: Developing countries require contextual models for universal newborn hearing screening (UNHS) to optimise screening outcomes and cost-effectiveness. Postnatal visits at community-based midwife obstetric units (MOUs) have been proposed as an alternative primary healthcare platform for UNHS in South Africa. This study evaluated the outcomes of distortion product otoacoustic emissions (DPOAEs) and automated auditory brainstem response (AABR) screening conducted by a dedicated non-professional screener at a community-based MOU in the Western Cape, South Africa. Methods: UNHS at a community-based MOU was evaluated over a 16-month period. A dedicated non-professional screener was trained to follow a two-stage screening protocol targeting bilateral hearing loss. A two group comparative design was used alternating AABR (Maico MB11 BERAphoneTM) and DPOAE (Bio-logic AuDX I) technology on a daily basis. Infants referring the initial screen received a follow-up appointment in two days time and were rescreened with the same technology used at their first screen. Those referring the second stage were booked for diagnostic assessments. Results: 7452 infants were screened including 47.9% (n=3573) with DPOAE and 52.1% (n=3879) with AABR technology. Mean age at first stage screen was 6.1 days. The initial bilateral referral rate was significantly lower for AABR (4.6%) compared to DPOAE (7.0%) and dropped to 0.3% and 0.7% respectively following the second stage screenings. First rescreen and initial diagnostic follow-up rates of 90% and 92.3% were obtained for the DPOAE group and 86.6% and 90% for the AABR group. Follow-up rates showed no significant difference between technology groups. Diagnostic assessment revealed a higher prevalence rate for bilateral sensorineural hearing loss among the AABR group (1/1000) compared to the DPOAE group (0.3/1000). Screening technology had no significant influence on daily screening capacity (23 AABR/day; 24 DPOAE/day). tm2016 Speech-Language Pathology and Audiology MCommunication Pathology Unrestricted 2016-10-14T07:32:05Z 2016-10-14T07:32:05Z 2016-08-31 2016 Dissertation De Kock, T 2016, Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes, MCommunication Pathology Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/57177> S2016 http://hdl.handle.net/2263/57177 en © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title | Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title_full | Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title_fullStr | Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title_full_unstemmed | Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title_short | Infant hearing screening at a community-based obstetric unit : a comparative study of screening technology and outcomes |
| title_sort | infant hearing screening at a community based obstetric unit a comparative study of screening technology and outcomes |
| topic | UCTD |
| url | http://hdl.handle.net/2263/57177 |