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ABSTRACT INFORMATION
Title: 'Testing for CMV following Diagnosis of Sensorineural Hearing Loss--A Clinical Practice' Track: - Keyword(s): congenital cytomegalovirus (CMV), sensorineural hearing loss, universal newborn hearing screening, clinical practice Learning Objectives: Recognize alternate clinical practice to improve the efficacy of CMV diagnosis in areas where CMV screenings are not state mandated. Identify patient populations for whom diagnosis of CMV status is warranted. Abstract: Congenital Cytomegalovirus (CMV) is the most common viral infection that infants in the United States are born with (CDC, 2013), but is also the leading non-genetic cause of sensorineural hearing loss (Kadambari, 2011). Each year about 30,000 babies are born with congenital CMV in the U.S. (CDC, 2013), 10-15% of babies are symptomatic and of the otherwise asymptomatic babies, 10% develop a sensorineural hearing loss (Kenna, 2013). The challenge in all of this is how to diagnose and who to treat. In July 2013, Utah became the first and only state to put into effect a state mandated CMV testing for newborns who fail the newborn hearing screening, providing education to parents and directs medical practitioners to test infants (Kenna, 2013; Utah Department of Public Health, 2014). CMV is a potentially treatable etiology of hearing loss; therefore diagnosis should occur within the critical time window, the first 3 weeks of life, to differentiate congenital from postnatal CMV (Kadambari, 2011). The Otolaryngology and Communication Enhancement Department of Boston Children’s Hospital has adopted a clinical practice to improve the efficacy of CMV diagnosis. The purpose of this poster is to review the clinical practice for CMV testing and the current outcomes. This will involve a chart review to investigate: 1) the number of children seen for a diagnostic ABR following a refer on the newborn hearing screen, 2) the number of children who are found to have hearing loss after diagnostic ABR testing, 3) the number of children with hearing loss who receive a CMV swab, 4) the number of children who are found to be CMV positive, and 5) the current audiologic profiles of those children who have hearing loss and are CMV positive. Presentation: This presentation has not yet been uploaded or the speaker has opted not to make the presentation available online. Handouts: Handout is not Available CART: CART Transcription is not Available
PRESENTER(S) / AUTHOR(S) INFORMATION
Jennifer Butler - Co-Presenter,Author,POC Boston Children's Hospital - LEND      Credentials: Bachelor's of Science (B.S.)       Currently a graduate student in the Doctor of Audiology Program at Northeastern University, and completing her 4th year audiology externship at Boston Children's Hospital. Also participates in the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program through Boston Children's Hospital. After graduation would like to pursue a career in pediatric audiology and in the future become board certified with specialty certification in pediatric audiology.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist. Sydney Bednarz - Co-Presenter,Author Boston Children's Hospital - LEND      Credentials: Bachelor's of Science (B.S.)       Currently a 4th year Au.D. graduate student through Central Michigan University, completing her audiology externship at Boston Children’s Hospital. Current fellow for the Leadership education in Neurodevelopmental and Related Disabilities (LEND) program through Boston Children’s Hospital. Hopes to pursue a career working with pediatric hearing technologies and as an educational audiologist.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist. Rihab Alkhalil - Co-Presenter,Author Boston Children's Hospital - LEND      Credentials: Master of Arts (M.A.)       Rihab Alkhalil, I earned my masters degree in Audiology in 2013 and currently a doctoral student in the Doctor of Audiology Program at University of Pittsburgh. I was a research assistant in Dr.Catherine Palmer’s lab at University of Pittsburgh and completed my AuD research project on the relationship between uncomfortable loudness level and loudness perception in new hearing aid users. Now, I’m completing my forth ear audiology externship at Boston children’s Hospital. I also participate this year in the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program through Boston Children's Hospital.       ASHA DISCLOSURE: Financial - Nonfinancial -