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REVIEW PAPER
A review of hearing impairment due to bacterial meningitis in children: importance of early
diagnosis and treatment
1
Medical Department, Student Research Group at the Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Poland
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
Submission date: 2022-11-12
Final revision date: 2023-02-20
Acceptance date: 2023-03-10
Online publication date: 2023-04-28
Publication date: 2023-04-28
Corresponding author
Barbara Rusinowska
Medical Department, Student Research Group at the Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Poland, Poland, ul. Radziwiłłowska 11 (Collegium Medicum), 20-080 Lublin, Poland
Medical Department, Student Research Group at the Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Poland, Poland, ul. Radziwiłłowska 11 (Collegium Medicum), 20-080 Lublin, Poland
J Hear Sci 2023;13(1):9-16
KEYWORDS
TOPICS
ABSTRACT
This review underlines the significant role of early diagnosis and treatment of hearing impairment due to bacterial meningitis (BM) in children.
BM is a life-threatening neurological condition mostly caused by Streptococcus pneumoniae, Neisseria meningitides, or Haemophilus influenzae. Hearing loss is the most commonly reported neurological complication of BM; inflammation can damage the inner ear, leading to sensorineural hearing loss or complete deafness. Factors favoring neurological complications, including hearing impairment, are low age, immaturity of the immune system, poor health, anaemia, leukocytosis, and hypoglycemia. To avoid serious complications, quick intervention is necessary – administration of antibiotic in combination with dexamethasone. It is also important to conduct regular audiological tests to monitor hearing, not only immediately after BM, but also in the long term. Otoacoustic emissions (OAEs) and auditory brainstem responses (ABRs) are useful tools, and some researchers also recommend tympanometry. CTs and MRIs are important to visualize the condition of the inner ear after BM, paving the way for qualification for implantation and for pre-operative planning. The best results of implantation come from patients without ossification, whose period of deafness was short, where electrodes were inserted deeply, and who did not have neurological complications after BM. Early implantation is the best option as it promotes proper speech development and allows the child to adapt to their environment.
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