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Cytomegalovirus bearing in children with sensorineural hearing losses
T Devdariani1, N Chibalashvili, M Tushishvili
1Tbilisi State Medical University, Tbilisi, Georgia.
Insights
Cytomegalovirus (CMV) infection is found in 93.3% of children with sensorineural hearing loss, which is twice the rate in healthy children. Early detection of CMV is crucial for effective hearing loss treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Audiology
Background:
- Sensorineural hearing loss (SNH) in children can have various causes, including congenital infections.
- Cytomegalovirus (CMV) is a common viral infection that can be transmitted congenitally and may lead to long-term health issues.
- Hearing impairment is a significant consequence of congenital CMV infection.
Purpose of the Study:
- To investigate the prevalence of cytomegalovirus (CMV) in children diagnosed with sensorineural hearing loss (SNH).
- To compare CMV infection rates between children with SNH and healthy children.
- To highlight the importance of early CMV detection in managing hearing loss.
Main Methods:
- A case-control study involving 15 children (3-6 years) with SNH and 30 age-matched healthy children.
- CMV-specific IgG antibodies were quantified using the enzyme-linked immunosorbent assay (ELISA) in blood samples.
- Auditory brainstem responses (ABRs) were used for objective hearing assessment in both groups.
Main Results:
- CMV IgG antibodies were detected in 93.3% (14/15) of children with SNH.
- CMV IgG antibodies were detected in 46.7% (14/30) of healthy children.
- The difference in CMV prevalence between the groups was statistically significant (p=0.007), indicating a higher rate in children with hearing loss.
Conclusions:
- CMV infection is significantly more prevalent in children with sensorineural hearing loss compared to their healthy peers.
- Early identification of hearing loss and CMV status is essential for timely intervention.
- Prompt assessment and treatment can improve outcomes for children affected by CMV-related hearing impairment.
Abstract:
The rate of bearing of cytomegalovirus, CMV, has been estimated in children suffering from inborn or newborn types of a sensorineural hearing loss of hard-to-severe degrees. The test group comprised 15 hearing-loss children of 3-6 years of age. The control group included accidentally selected 30 healthy children of the same age without any hearing complains. In both groups the CMV-specific IgG antibodies were determined in blood via the enzyme-linked immunosorbent assay, ELISA. The excessive amount of IgG antibodies was found in 14 out of 15 children with sensorineural hearing losses being estimated objectively, via computer registration of auditory brainstem responses, ABRs, and in 14 out of 30 children with normal hearing, being also inspected objectively, via specialized screening procedure. The intergroup difference in CMV bearing rates, 93.3% and 46.7%, respectively, has been confirmed to be statistically significant (p=0.007). CMV bearing happens thus twice as much in sensorineural hearing-loss than in normally-hearing children. Early detection of a hearing loss and early assessment of CMV bearing seem essential for an immediate start and, consequently, for a batter chance of positive outcomes of specific treatment-rehabilitation means.
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