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Good hearing outcome in children recovering from non-polio enteroviral meningitis
Chew Thye Choong1,2,3,4, Elis Y Lee5, Henry K K Tan2,3,6
1Neurology Service, Department of Pediatric Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Insights
Children recovering from non-polio enteroviral meningitis (EVM) generally experience good hearing outcomes. This study evaluated hearing in pediatric patients post-EVM, finding positive results for all participants.
Area of Science:
- Pediatrics
- Infectious Diseases
- Audiology
Background:
- Non-polio enteroviral meningitis (EVM) is a significant cause of central nervous system infection in children.
- Hearing impairment is a potential complication of meningitis, necessitating careful monitoring.
Purpose of the Study:
- To evaluate the hearing outcomes in children diagnosed with non-polio enteroviral meningitis (EVM).
- To assess the incidence of hearing loss following EVM in pediatric patients.
Main Methods:
- A retrospective review of 179 children (≤15 years) with EVM managed between 2008-2015.
- Exclusion criteria included bacterial infections, intensive care, prior hearing impairment, or immunodeficiency.
- Hearing screening using transient-evoked otoacoustic emissions (TEOAE) was performed 8-10 weeks post-meningitis.
Main Results:
- The study included 179 children, with 89% younger than 90 days.
- All 179 participants demonstrated good hearing post-EVM.
- No significant hearing deficits were identified in the study cohort.
Conclusions:
- Non-polio enteroviral meningitis (EVM) in children is associated with favorable hearing outcomes.
- Early hearing screening post-EVM is crucial for identifying any potential auditory complications.
Aim:
Evaluation of hearing outcome in children following non-polio enteroviral meningitis (EVM).
Methods:
We reviewed hearing outcome of children, aged ≤15 years, with EVM managed at our institution over a 4-year period from July 2008 to July 2011 and January-December 2015. Children with concomitant bacterial infections, and those who required intensive care, or with a prior history of hearing impairment or immunodeficiency were excluded. Data on demographics, medical history, presentation and outcome of hearing screen were collected. The children attended post-meningitis review and hearing screen utilising transient-evoked otoacoustic emission testing at 8-10 weeks. Children who failed the transient-evoked otoacoustic emission testing and those with caregiver concerns were referred to otolaryngology for comprehensive audiologic evaluation.
Results:
The study cohort consisted of 179 children, aged from 3 days to 15 years, of whom 158 (89%) were younger than 90 days of age. Eleven were preterm infants. A total of 158 children had received intravenous gentamicin at 5-7.5 mg/kg/day for a median duration of 2 days. All 179 study participants were found to have good hearing post EVM.
Conclusion:
Hearing outcome in children recovering from EVM is good.
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