Introduction:

New risk and suspicion factors for childhood deafness were recently introduced in the literature, justifying the suggestion to review the algorithm associated with Portuguese Universal Neonatal Hearing Screening (UNHS).

Goals:

Develop an algorithm that allows screening, early diagnosis, referral and rapid intervention in child deafness.

Material and methods:

Algorithm creation based on literature review and existing clinical guidelines.

Results:

Newborns after intrauterine Zika infection, admitted to a neonatal intensive care unit for more than 5 days or submitted to ExtraCorporal Membrane Oxygenation and children submitted to ventriculoperitoneal shunt were included in the UNHS risk group. In some cases, it is suggested to extend the audiological assessment until school age. Alarm signals were proposed at stages of development that should motivate referral for audiological examination.

Conclusions:

The developed algorithm extends the scope of referral of auditory screening to other pediatric ages and suggests updates to the UNHS.

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