Introduction:
This study aimed to evaluate the noise immunity level (NIL) of the booth-free KUDUwave™ audiometer and compare the subjective comfort of its headphones against a conventional screening audiometer under simulated noise conditions, in order to determine its suitability for hearing screening in resource-limited settings.

Material and methods:
30 normal-hearing adults (aged 20–25 years) participated in a repeated-measures crossover study. Pure-tone airand bone-conduction thresholds were obtained under quiet and background noise conditions using the KUDUwave audiometer and a conventional audiometer from Interacoustics. Three types of noise were presented: broadband noise (BBN), speech-shaped noise (SSN), and eight-talker babble (8-TB). In addition, the subjective comfort associated with each audiometer’s headset was evaluated.

Results:
Baseline air-conduction (AC) thresholds were comparable between the two audiometers, whereas bone-conduction (BC) thresholds were significantly lower with the KUDUwave, likely due to the occlusion effect. Across all noise conditions, the KUDUwave demonstrated higher NILs than the conventional audiometer, indicating greater resistance to ambient noise. In AC testing, NILs were lowest at low frequencies and highest at mid frequencies, with 8-TB producing greater masking effects than BBN and SSN. However, participants reported lower comfort with the KUDUwave headset compared to the conventional audiometer.

Conclusions:
The KUDUwave audiometer demonstrated greater noise immunity than the conventional device, indicating enhanced resistance to ambient noise. These findings suggest its potential suitability for hearing screening in non–sound-treated, community-based environments. However, its real-world utility and practical advantages in such settings need to be further validated through field-based studies.