When and Why Acceptable to Rescreen

The birth screening should consist of a maximum of 2 attempts on each ear. If the infant does not pass in one or both ears, re-screening is recommended.

Re-screening – Outpatient
The re-screening should be performed using Evoked Otoacoustic Emissions (OAE, TEOAE, DPOAE), Auditory Brainstem Re-sponse (ABR, AABR, BAER, ABAER), or a combination of both tests. Re-screening should occur prior to 1 month of age. Both ears should be re-screened. The re-screening should consist of a maximum of 2 attempts on each ear at the time of the screening.

If an infant does not pass or results are inconclusive, the infant should be referred to an audiologist for diagnostic evaluation.

  • Infants in the well-infant nursery who fail A-ABR testing should not be rescreened by OAE testing and "passed", because such infants are presumed to be at risk of having a subsequent diagnosis of auditory neuropathy/dyssynchrony.
  • Infants who do not pass A-ABR testing in the NICU, referral should be made directly to an audiologist for rescreening and, when indicated, comprehensive evaluation, including diagnostic ABR testing, rather than for general outpatient rescreening.

Diagnostic evaluation should be coordinated by the screening facility or medical home that is referring the infant for a diagnostic evaluation.

The diagnostic evaluation should occur before 3 months of age.