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Prevalence of Congenital Infections in Newborns and Universal Neonatal Hearing Screening in Santa Catarina, Brazil

Overview
Journal Audiol Res
Publisher MDPI
Date 2023 Feb 24
PMID 36825949
Authors
Affiliations
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Abstract

Objective: to verify the frequency of congenital infections in newborns and their possible associations with the universal-neonatal-hearing-screening (UNHS) results, and evaluate a reference UNHS service in the Unified Health System (-SUS), according to quality indicators.

Methods: Historical cohort study with data analysis of newborns attending prestigious hearing-health SUS services from January 2017 to December 2021, in Santa Catarina, Brazil. The quality of screening coverage was assessed based on the quality indicators proposed by the Brazilian neonatal-hearing-screening-care guidelines (-DATAN). Logistic-regression analysis, crude OR calculations, Cochran-Mantel-Haenszel OR calculation, and chi-square test were performed to estimate the association between risk indicators for hearing loss and UNHS failure.

Results: In the last five years, the prestigious services performed UNHS on 34,801 newborns and met the DATAN quality indicators. Congenital syphilis was the most frequent (1.59%) congenital infection in newborns, followed by HIV (0.87%), whereas the least frequent was rubella (0.029%).

Conclusion: Prestigious UNHS services reached ≥95% hearing screening coverage. Considering all congenital infections, the prevalence was 2.87%, with congenital syphilis the most frequent. Newborns with congenital syphilis or HIV are more likely to fail UNHS.

Citing Articles

Newborn screening in Brazil: realities and challenges.

de Souza C, Tonon T, Silva T, Bachega T J Community Genet. 2025; .

PMID: 39792349 DOI: 10.1007/s12687-024-00762-3.


Scoping review of hearing loss attributed to congenital syphilis.

Amjad Hafeeez A, Cavalcanti Bezerra K, Jimoh Z, Seal F, Robinson J, Gomaa N PLoS One. 2024; 19(4):e0302452.

PMID: 38669285 PMC: 11051613. DOI: 10.1371/journal.pone.0302452.

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