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Hearing evaluation in children with bacterial meningitis

V Gupta1

  • 1Department of Pediatrics, Banaras Hindu University, Varanasi.

Indian Pediatrics
|October 1, 1993
PubMed
Summary

Bacterial meningitis causes sensorineural hearing loss in 20.8% of children. Low CSF sugar, high protein, and neurological deficits are key risk factors for this hearing impairment.

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Area of Science:

  • Pediatrics
  • Neurology
  • Audiology

Background:

  • Bacterial meningitis is a serious infection in children.
  • Hearing loss is a potential complication of bacterial meningitis.

Purpose of the Study:

  • To determine the incidence, type, and severity of hearing loss in children with bacterial meningitis.
  • To identify risk factors associated with hearing impairment.

Main Methods:

  • Prospective study of 24 children diagnosed with bacterial meningitis.
  • Audiological follow-up for six months for patients with hearing loss.
  • Analysis of laboratory data, including cerebrospinal fluid (CSF) analysis, and antibiotic treatment.

Main Results:

  • The incidence of sensorineural hearing loss was 20.8%.
  • Hearing loss ranged from mild to moderate.
  • Low CSF sugar, high CSF protein, and neurological deficits were significant risk factors.
  • Antibiotic therapy, duration of illness, age, and sex were not significant risk factors.

Conclusions:

  • Sensorineural hearing loss is a significant complication of bacterial meningitis in children.
  • Early identification of risk factors like low CSF sugar, high protein, and neurological deficits is crucial.
  • Limited recovery was observed in affected patients, highlighting the importance of preventative strategies.

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