MONITORING CHILDREN AT RISK FOR PROGRESSIVE HEARING LOSS
Considerations for managing babies with risk factors for late onset or progressive hearing loss are extremely important. The timing and number of hearing reevaluations for children with these risk factors should be customized and individualized depending on the relative likelihood of a subsequent
delayed-onset hearing loss.
The JCIH 2007 Position Statement recommends an inclusive strategy of surveillance of all children within the medical home on the pediatric periodicity schedule.
All families should receive informational materials that discuss major milestones in normal speech and language development and risk factors for hearing loss in their native language.
Families of infants at high risk should receive additional information on late-onset or progressive hearing loss as well as local diagnostic resource centers.
• Infants who pass the neonatal screening but have a risk should have at least 1 diagnostic audiol¬ogy assessment by 24 to 30 months of age.
• Early and more frequent assessment may be indicated for children with CMV infection, syndromes associated with progressive hearing loss, neurodegenerative disorders, trauma, or culture positive postnatal infections associated with sensorineural hearing loss; for children who have received ECMO or chemotherapy; and when there is caregiver concern or family history of hearing loss.