title: Study of the knowledge of pediatricians and senior residents relating to the importance of hearing impairment and deafness screening among newborns.
abstract: BACKGROUND
  Newborn hearing screening leads to the early detection of hearing impairment. The aim of screening is to decrease or remove the effect of hearing impairment on development of speech and language by timely diagnosis and effective treatment. A number of risk factors lead to delayed start of decreased hearing ability including: 1. Congenital infection with cytomegalovirus (CMV) virus, 2. Meningitis, 3. Mumps, 4. Positive family history, 5. Head trauma, 6. Chemotherapy,7. Syndrome pertaining to delayed start of decreased hearing. Unfortunately, lack of attention to early diagnosis of hearing impairment is becoming a general health problem. No research has yet been carried out relating to the knowledge of pediatricians on this issue, particularly the importance of hearing impairment and hearing screening. The aim of this study was to determine the attitude to newborn hearing screening among pediatricians.
  
  
  METHODS
  This cross-sectional, descriptive-analytic study was conducted in Isfahan in 2012 among 300 pediatricians and final-year pediatric residents. An adjusted 22-question version of the Early Hearing Detection and Intervention (EHDI) questionnaire was used to collect data. The validity and reliability of the EHDI questionnaire was previously demonstrated by Boys Town National Research Hospital and its Farsi translated version was validated by the EDC Center at the Isfahan University of Medical Sciences.
  
  
  RESULTS
  In our study, 83% of pediatricians agreed on the importance of hearing impairment screening for all infants. However 65% were not aware of special needs for hearing-impaired patients.
  
  
  CONCLUSIONS
  Newborn hearing impairment and deafness screening is important, irrespective of the costs, and lack of timely diagnosis results in both individual and social consequences. The majority of physicians use textbooks to gain information about hearing screening, but recognize that this is insufficient. Although it is now one of the most useful tools for gathering and applying new information, the physicians in our study rely very little on the Internet as a source of information.
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan , Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Rogha
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan , Iran.
authors.forename: Elham
authors.initials: E
authors.lastname: Mokhtari
keywords: Early detection; Hearing impairment; Hearing screening; Intervention
references.citation: Pediatrics. 1998 Jan;101(1):E4
references.pmid: 9417168
references.citation: Otolaryngol Head Neck Surg. 1999 Jun;120(6):799-808
references.pmid: 10352430
references.citation: Minn Med. 2006 Dec;89(12):50-4
references.pmid: 17256385
references.citation: Int J Pediatr Otorhinolaryngol. 2004 Mar;68(3):287-305
references.pmid: 15129939
references.citation: J Acad Rehabil Audiol. 2006 Jan 1;39:11-32
references.pmid: 20871740
references.citation: Pediatrics. 1999 Feb;103(2):527-30
references.pmid: 9925859
references.citation: HNO. 2000 Mar;48(3):215-20
references.pmid: 10768113
references.citation: Ann Otol Rhinol Laryngol. 2002 Nov;111(11):1021-5
references.pmid: 12450178
references.citation: Ital J Pediatr. 2011 Apr 11;37:16
references.pmid: 21481246
references.citation: Pediatrics. 1998 Nov;102(5):1161-71
references.pmid: 9794949
references.citation: Pediatrics. 2006 Oct;118(4):1357-70
references.pmid: 17015524