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High prevalence of hearing impairment in HIV-infected Peruvian children

Christina K Chao1, Josephine A Czechowicz, Anna H Messner

  • 1Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 1, 2011
PubMed

Insights

Hearing impairment affects 38.8% of HIV-infected children in Peru. Risk factors include middle ear disease, cerebral infections, and low CD4 counts, highlighting the need for regular hearing checks.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Audiology

Background:

  • Hearing impairment is a potential complication in children with human immunodeficiency virus (HIV) infection.
  • Understanding the prevalence and risk factors is crucial for early detection and intervention.

Purpose of the Study:

  • To determine the prevalence of hearing impairment in HIV-infected children in Peru.
  • To identify associated risk factors for hearing impairment in this population.

Main Methods:

  • A cross-sectional observational study was conducted with 139 HIV-infected children (ages 4-19) in Lima, Peru.
  • Hearing was assessed using pure tone audiometry, tympanometry, and otoscopy.
  • Data on medical history and socioeconomic factors were collected via surveys and chart reviews.

Main Results:

  • The prevalence of hearing impairment was 38.8% (54 out of 139 children).
  • Significant risk factors identified include tympanic membrane perforation, abnormal tympanometry, cerebral infection, seizures, and CD4 cell counts below 500 cells/mm³.

Conclusions:

  • A high prevalence of hearing impairment (38.8%) was observed in HIV-infected children in Lima, Peru.
  • Middle ear disease, prior cerebral infection, and low CD4 cell count are associated with hearing impairment.
  • Routine hearing assessments are recommended for HIV-infected children.
Abstract

Keywords:
HIVPeruhearing impairment

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