Surdez Infantil: REferenciar, VISItar e Tratar – REVISIT RANU (Rastreio Auditivo Neonatal Universal)
DOI:
https://doi.org/10.34631/sporl.1072Palavras-chave:
Pediatria, Potenciais Evocados, Cuidados Intensivos Neonatais, Extracorporeal Membrane Oxygenation, Vírus Zika, Audiometria, AudiçãoResumo
Introdução: Novos fatores de risco e de suspeição de surdez infantil foram recentemente introduzidos na literatura, justificando a sugestão da revisão do algoritmo associado ao RANU.
Objetivos: Desenvolver um algoritmo que permita o rastreio, diagnóstico precoce, referenciação e intervenção céleres na surdez infantil.
Material e Métodos: Criação de algoritmo com base na revisão da literatura e normas de orientação clínica existentes.
Resultados: Recém-nascidos após infecção intra-uterina a Zika, internados em unidade de cuidados intensivos neonatais durante mais de 5 dias ou submetidos a ExtraCorporeal Membrane Oxygenation e crianças submetidas a derivação ventrículo-peritoneal foram incluídos no grupo de risco do RANU. Em alguns casos é sugerido alargamento da avaliação audiológica até à idade escolar. Foram propostos sinais de alarme em etapas do desenvolvimento que devem motivar referenciação para exame audiológico.
Conclusões: O algoritmo desenvolvido estende o âmbito de referenciação do rastreio auditivo para outras idades pediátricas e sugere atualizações ao RANU.
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