Auditory profile in children recovering from bacterial meningitis

K Singh1, S B Mann, A K Gupta

  • 1Department of ENT and Head & Neck Surgery, PGIMER, Chandigarh.

Insights

Post-meningitis in children can cause significant sensorineural hearing loss, especially in younger children. This study found 36.6% of children aged 6-36 months had hearing deficits after meningitis.

Area of Science:

  • Pediatrics
  • Neurology
  • Audiology

Background:

  • Meningitis is a serious infection that can lead to long-term complications in children.
  • Sensorineural hearing loss is a potential sequela of meningitis, impacting child development.
  • Early identification of hearing deficits is crucial for timely intervention.

Purpose of the Study:

  • To assess the prevalence and degree of sensorineural hearing loss in children who have recovered from meningitis.
  • To identify risk factors associated with hearing impairment in post-meningitic children.

Main Methods:

  • Brainstem Evoked Response Audiometry (BERA) was performed on 30 children with a history of meningitis.
  • A control group of 15 age-matched normal children was included for comparison.
  • Hearing loss was categorized by severity (moderate, severe) and laterality (unilateral, bilateral).

Main Results:

  • 36.6% of post-meningitic children (aged 6-36 months) exhibited sensorineural hearing loss.
  • Severe bilateral hearing loss (>80 dB) was found in 6.6%, and moderate hearing loss (40-80 dB) in 30%.
  • Higher incidence of hearing loss correlated with younger age at meningitis onset and history of seizures.

Conclusions:

  • Meningitis poses a significant risk for developing sensorineural hearing loss in young children.
  • Younger age and seizure occurrence during meningitis are associated with increased risk of hearing impairment.
  • Regular audiological monitoring is recommended for children recovering from meningitis.

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