Auditory brainstem responses (ABRs) can be reliably recorded from infants in the first few months of life. Since they are normally recognizable down to intensities that are 30 dB above normal hearing thresholds, ABRs elicited by clicks are useful in screening for hearing-impairment in infancy. The ABRs can also provide further diagnostic information about the hearing losses that are detected by screening: the threshold for the response represents a reasonable estimate of the severity of the hearing loss; bone-conduction studies can assess the extent of a conductive loss; and frequency-specific techniques can evaluate hearing thresholds at different frequencies. At present, ABRs are mainly used for screening infants who have been treated in neonatal intensive care units. Because the majority of infants with hearing impairment are not seen in these units, it might be worthwhile to use ABRs in a more widespread screening program.
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