Prevention of hearing impairment from infection and ototoxic drugs

Insights

Infectious diseases and ototoxic drugs cause significant hearing loss, including congenital cases. Preventive strategies are crucial for mitigating these hearing impairments.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Audiology

Background:

  • Infectious diseases are a leading cause of hearing impairment, accounting for approximately 25% of profound hearing losses.
  • Congenital infections contribute significantly, with one-fifth of infection-related hearing loss being congenital.
  • Major infectious agents include rubella, cytomegalovirus, measles, pertussis, meningitis, and acute otitis media.

Purpose of the Study:

  • To review the causes of hearing impairment related to infectious diseases and ototoxicity.
  • To discuss the principles and strategies for preventing hearing loss from these causes.

Main Methods:

  • Literature review of infectious diseases and ototoxic drug effects on hearing.
  • Analysis of preventive measures based on primary, secondary, and tertiary principles.

Main Results:

  • Infectious diseases are responsible for a substantial portion of profound hearing losses, with congenital origins being a key concern.
  • Ototoxicity from medications such as aminoglycosides, loop diuretics, and cisplatin is another significant factor in acquired hearing loss.
  • Effective prevention requires tailored strategies addressing specific causes and employing direct action, defined objectives, and considering variability.

Conclusions:

  • Hearing impairment is a major public health issue with significant contributions from infectious agents and iatrogenic ototoxicity.
  • A multi-faceted approach to prevention, encompassing various levels of intervention, is essential for reducing the burden of hearing loss.

Related Concept Videos

Infection01:20

Infection

When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...