Expanding the Capacity of Otolaryngologists in Kenya through Mobile Technology:

OTO Open

Asitha D. L.Jayawardena¹ 

关键词: global health;    public health;    low-;    middle-income countries;    endoscopic otoscopy;    mobile technology;    iPad audiometry;    hearing screening;    community health workers;   

DOI  :  10.1177/2473974X18766824

学科分类：外科医学

来源: Sage Journals

【 摘 要 】

ObjectiveTo determine if reliable, objective audiologic data can be obtained by nonotolaryngology and nonaudiology practitioners using novel mobile technology in an effort to expand the capacity for early identification and treatment of disabling hearing loss in the developing world.Study DesignCross-sectional, proof-of-concept pilot study.SettingScreenings took place during an annual 2-week otolaryngology surgical mission in October 2016 in semirural Malindi, Kenya.Subject and MethodsEighty-seven patients (174 total ears) were included from 2 deaf schools (n = 12 and 9), a nondeaf school (n = 9), a tuberculosis ward (n = 8), and a walk-in otology clinic at a local hospital (n = 49). An automated, tablet-based, language-independent, clinically validated, play audiometry system and wireless otoscopic endoscopy via an iPhone or laptop platform was administered by Kenyan community health workers (CHWs) and nursing staff.ResultsVarious degrees of hearing loss and otologic pathology were identified, including ...

【 授权许可】

CC BY-NC