期刊
ACTA PAEDIATRICA
卷 111, 期 8, 页码 1585-1593出版社
WILEY
DOI: 10.1111/apa.16383
关键词
bacterial meningitis; child; hearing impairment; otitis media; otorrhoea
类别
资金
- Sigrid Juselius Research Foundation
- The Paivikki and Sakari Sohlberg Research Foundation
- Pediatric Research Foundation
- Helsinki University Hospital
- Finnish ORL-HNS Foundation
- Pediatric Research Center, University of Helsinki
This study investigated the bacterial etiology, hearing impairment, and outcome of childhood bacterial meningitis (BM) with or without otitis media (OM) in Angola. It was found that hearing impairment was common on day 7 of hospitalization, regardless of the presence of OM. Any hearing deficit on day 7 was associated with a higher risk of complicated or fatal clinical course.
Aim Bacterial meningitis (BM) is a common cause of hearing loss in childhood. Our aim was to investigate bacterial aetiology, hearing impairment and outcome in childhood BM with vs. without otitis media (OM) in Angola. Methods Hearing was tested by auditory brainstem response in 391 (76%) children with confirmed BM. The bacteria identified from the ear discharge were compared to those from cerebrospinal fluid (CSF). The hearing findings were compared among children with vs. without OM on days 1 and 7 of hospitalization, and at follow-ups of 1, 3 and 6 month(s). Results No correlation was found in bacteriology between the ear discharge and CSF. On day 7 in hospital, hearing impairment (>40 dB) was common, regardless of whether concomitant OM or not (in 27% vs. 30%, respectively). Any hearing deficit on day 7 was associated with a higher risk of complicated or fatal clinical course (OR 2.76, CI95% 1.43-5.29, p = 0.002). Conclusion No significant difference prevailed in hearing thresholds between children with or without OM in hospital on day 7 or at later follow-ups. Any hearing impairment during hospital stay associated with a higher risk for complicated clinical course or death.
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