Regulation .04 High Risk Factors.
Regulation .04 High Risk Factors.LinkCopy Citation
Any of the following high risk factors are considered relevant in determining the possibility of a newborn or infant developing a permanent hearing status that affects speech-language skills under this chapter:
A.
Caregiver concern regarding hearing, speech, language, or developmental delay;
B.
Family history of a permanent hearing status that affects speech-language skills occurring during childhood;
C.
Medical risk factors:
(1)
Neonatal intensive care for more than 5 days;
(2)
Extracorporeal membrane oxygenation;
(3)
Assisted ventilation;
(4)
Hyperbilirubinemia that requires exchange transfusion of the blood;
(5)
Exposure to ototoxic medications, such as gentimycin and tobramycin; and
(6)
Exposure to loop diuretic medications, such as furosemide and lasix;
D.
In utero infections, such as cytomegalovirus, herpes, rubella, syphilis, and toxoplasmosis;
E.
Craniofacial anomalies;
F.
Physical findings associated with a permanent hearing status that affects speech-language skills;
G.
Diagnosis of a syndrome associated with a congenital or progressive change in hearing status that affects speech-language skills;
H.
Neurodegenerative disorders, including:
(1)
Hunter syndrome; and
(2)
Sensory motor neuropathies, such as Friedrich’s Ataxia and Charcot-Marie-Tooth disease;
I.
Culture-positive postnatal infections associated with a permanent change in hearing status that affects speech-language skills, including bacterial and viral meningitis;
J.
Head trauma, including basal skull and temporal bone fracture, that require hospitalization; and
K.
Chemotherapy.