Clinical predictors for hearing loss in children with bacterial meningitis

J. Walter Kutz, Lawrence Mariano Simon, Sri Kiran Chennupati, Carla Marie Giannoni, Spiros Manolidis

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objectives: To identify clinical risk factors that predict a higher incidence of hearing loss in children with bacterial meningitis, to determine the overall incidence of hearing loss in a large group of children proven by culture findings to have bacterial meningitis, and to compare clinical characteristics among patients with Streptococcus pneumoniae meningitis and Neisseria meningitidis meningitis. Design: Retrospective review Setting: Tertiary pediatric hospital. Patients: A total of 171 children identified with bacterial meningitis who met inclusion criteria over a consecutive 10-year period. Main Outcome Measure: Presence of sensorineural hearing loss. Results: Of 134 patients who underwent audiologic testing during their initial hospitalization, 41 (30.6%) were found to have at least a unilateral mild sensorineural hearing loss. The incidence of hearing loss was greater in patients with S pneumoniae meningitis than in patients with N meningitidis meningitis (35.9% and 23.9%, respectively). Length of hospitalization, development of seizures, elevated cerebrospinal fluid protein, and decreased cerebrospinal fluid glucose were significant predictors for hearing loss in children with bacterial meningitis. These factors were not found to be as strong a predictor for hearing loss in patients with N meningitidis meningitis. Stability of hearing was demonstrated with limited follow-up audiometry. Conclusions: Sensorineural hearing loss is a common sequela in children with bacterial meningitis. Identification of hearing loss in children with bacterial meningitis and early rehabilitation will lessen the long-term educational and social difficulties these children may experience.

Original languageEnglish (US)
Pages (from-to)941-945
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume132
Issue number9
DOIs
StatePublished - 2006

Fingerprint

Bacterial Meningitides
Hearing Loss
Meningitis
Sensorineural Hearing Loss
Incidence
Hospitalization
Pneumococcal Meningitis
Cerebrospinal Fluid Proteins
Audiometry
Pediatric Hospitals
Neisseria meningitidis
Tertiary Care Centers
Hearing
Cerebrospinal Fluid
Pneumonia
Seizures
Rehabilitation
Outcome Assessment (Health Care)
Glucose

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Clinical predictors for hearing loss in children with bacterial meningitis. / Kutz, J. Walter; Simon, Lawrence Mariano; Chennupati, Sri Kiran; Giannoni, Carla Marie; Manolidis, Spiros.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 132, No. 9, 2006, p. 941-945.

Research output: Contribution to journalArticle

Kutz, J. Walter ; Simon, Lawrence Mariano ; Chennupati, Sri Kiran ; Giannoni, Carla Marie ; Manolidis, Spiros. / Clinical predictors for hearing loss in children with bacterial meningitis. In: Archives of Otolaryngology - Head and Neck Surgery. 2006 ; Vol. 132, No. 9. pp. 941-945.
@article{ea101f3095a84b748d5eb02ba664ad46,
title = "Clinical predictors for hearing loss in children with bacterial meningitis",
abstract = "Objectives: To identify clinical risk factors that predict a higher incidence of hearing loss in children with bacterial meningitis, to determine the overall incidence of hearing loss in a large group of children proven by culture findings to have bacterial meningitis, and to compare clinical characteristics among patients with Streptococcus pneumoniae meningitis and Neisseria meningitidis meningitis. Design: Retrospective review Setting: Tertiary pediatric hospital. Patients: A total of 171 children identified with bacterial meningitis who met inclusion criteria over a consecutive 10-year period. Main Outcome Measure: Presence of sensorineural hearing loss. Results: Of 134 patients who underwent audiologic testing during their initial hospitalization, 41 (30.6{\%}) were found to have at least a unilateral mild sensorineural hearing loss. The incidence of hearing loss was greater in patients with S pneumoniae meningitis than in patients with N meningitidis meningitis (35.9{\%} and 23.9{\%}, respectively). Length of hospitalization, development of seizures, elevated cerebrospinal fluid protein, and decreased cerebrospinal fluid glucose were significant predictors for hearing loss in children with bacterial meningitis. These factors were not found to be as strong a predictor for hearing loss in patients with N meningitidis meningitis. Stability of hearing was demonstrated with limited follow-up audiometry. Conclusions: Sensorineural hearing loss is a common sequela in children with bacterial meningitis. Identification of hearing loss in children with bacterial meningitis and early rehabilitation will lessen the long-term educational and social difficulties these children may experience.",
author = "Kutz, {J. Walter} and Simon, {Lawrence Mariano} and Chennupati, {Sri Kiran} and Giannoni, {Carla Marie} and Spiros Manolidis",
year = "2006",
doi = "10.1001/archotol.132.9.941",
language = "English (US)",
volume = "132",
pages = "941--945",
journal = "JAMA Otolaryngology - Head and Neck Surgery",
issn = "2168-6181",
publisher = "American Medical Association",
number = "9",

}

TY - JOUR

T1 - Clinical predictors for hearing loss in children with bacterial meningitis

AU - Kutz, J. Walter

AU - Simon, Lawrence Mariano

AU - Chennupati, Sri Kiran

AU - Giannoni, Carla Marie

AU - Manolidis, Spiros

PY - 2006

Y1 - 2006

N2 - Objectives: To identify clinical risk factors that predict a higher incidence of hearing loss in children with bacterial meningitis, to determine the overall incidence of hearing loss in a large group of children proven by culture findings to have bacterial meningitis, and to compare clinical characteristics among patients with Streptococcus pneumoniae meningitis and Neisseria meningitidis meningitis. Design: Retrospective review Setting: Tertiary pediatric hospital. Patients: A total of 171 children identified with bacterial meningitis who met inclusion criteria over a consecutive 10-year period. Main Outcome Measure: Presence of sensorineural hearing loss. Results: Of 134 patients who underwent audiologic testing during their initial hospitalization, 41 (30.6%) were found to have at least a unilateral mild sensorineural hearing loss. The incidence of hearing loss was greater in patients with S pneumoniae meningitis than in patients with N meningitidis meningitis (35.9% and 23.9%, respectively). Length of hospitalization, development of seizures, elevated cerebrospinal fluid protein, and decreased cerebrospinal fluid glucose were significant predictors for hearing loss in children with bacterial meningitis. These factors were not found to be as strong a predictor for hearing loss in patients with N meningitidis meningitis. Stability of hearing was demonstrated with limited follow-up audiometry. Conclusions: Sensorineural hearing loss is a common sequela in children with bacterial meningitis. Identification of hearing loss in children with bacterial meningitis and early rehabilitation will lessen the long-term educational and social difficulties these children may experience.

AB - Objectives: To identify clinical risk factors that predict a higher incidence of hearing loss in children with bacterial meningitis, to determine the overall incidence of hearing loss in a large group of children proven by culture findings to have bacterial meningitis, and to compare clinical characteristics among patients with Streptococcus pneumoniae meningitis and Neisseria meningitidis meningitis. Design: Retrospective review Setting: Tertiary pediatric hospital. Patients: A total of 171 children identified with bacterial meningitis who met inclusion criteria over a consecutive 10-year period. Main Outcome Measure: Presence of sensorineural hearing loss. Results: Of 134 patients who underwent audiologic testing during their initial hospitalization, 41 (30.6%) were found to have at least a unilateral mild sensorineural hearing loss. The incidence of hearing loss was greater in patients with S pneumoniae meningitis than in patients with N meningitidis meningitis (35.9% and 23.9%, respectively). Length of hospitalization, development of seizures, elevated cerebrospinal fluid protein, and decreased cerebrospinal fluid glucose were significant predictors for hearing loss in children with bacterial meningitis. These factors were not found to be as strong a predictor for hearing loss in patients with N meningitidis meningitis. Stability of hearing was demonstrated with limited follow-up audiometry. Conclusions: Sensorineural hearing loss is a common sequela in children with bacterial meningitis. Identification of hearing loss in children with bacterial meningitis and early rehabilitation will lessen the long-term educational and social difficulties these children may experience.

UR - http://www.scopus.com/inward/record.url?scp=33748872322&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748872322&partnerID=8YFLogxK

U2 - 10.1001/archotol.132.9.941

DO - 10.1001/archotol.132.9.941

M3 - Article

VL - 132

SP - 941

EP - 945

JO - JAMA Otolaryngology - Head and Neck Surgery

JF - JAMA Otolaryngology - Head and Neck Surgery

SN - 2168-6181

IS - 9

ER -