1506: From silence to orality: the hearing screening in childhood

M. Pereira1, J. Araújo2
1 ACES Tâmega III – Vale do Sousa Norte, USF Freamunde, Freamunde, Portugal; 2 ACES Tâmega II – Vale do Sousa Sul, USF Terras de Souza, Paredes, Portugal
-Parameters revisions for evaluate in the Children’s Health Surveillance Consultations in the hearing range and the main techniques used in the Hearing Screening
-Systematise the knowledge available in this area
-Unify the procedures in the Primary Health Care
Methodology: Bibliographic research between august and September of 2012, which includes published articles in Medline and Uptodate, between 2004 e 2012, written in Portuguese and English, with Mesh terms: “Hearing Screening” and “childhood”; Paediatrics Portuguese Society site; Type-Program of Acting in Children’s and Juvenile’s Health of General Direction of Health; applications appointment’s of SAM® for PHC
Results: In the Children’s Health Surveillance Consultations, Family Doctor has the SAM® support, where he can check the several “Evaluation Parameters”, “Modified Sheridan” and “Alarm Signs” to guide the HS, that must be done by stages. There is a set of essential materials (an otoscope, a spoon, a bell, a paper and a cup) and several components to evaluate (crying, direct answer to the sound, social interaction and language development).
Conclusions: The child’s development depends on the hearing quality, therefore the preventive actions are very important. The HS must be universal and accomplished with otoacoustics emissions in newborns. In Portugal, this only happens in some maternities. Later, it should be done in a systematic way with sound answers manoeuvres, allowing FD suspect of hearing loss. In cases where the suspicion exists, the child should be referenced to the otorhinolaryngologist.

Disclosure: No conflict of interest declared