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Hearing loss after bacterial meningitis, a retrospective study

Persson, Filip LU ; Bjar, Nora LU ; Hermansson, Ann LU and Gisselsson-Solen, Marie LU (2022) In Acta Oto-Laryngologica 142(3-4). p.298-301
Abstract

Background: Hearing loss is a common sequela after bacterial meningitis, but risk factors for this are poorly studied, particularly in relation to concurrent acute otitis media (AOM). Aims: The aim of this study was to investigate incidence and risk factors for hearing loss in patients treated for bacterial meningitis. Methods: In this retrospective study, medical records for patients admitted to hospital with bacterial meningitis in Skåne county, Sweden, between 2000 and 2017 were retrieved. The association between risk factors and hearing loss was estimated using logistic regression. Results: During the 18 years, 187 cases of meningitis were identified. Hearing loss was confirmed in 71 of the 119 patients who had done an audiometry.... (More)

Background: Hearing loss is a common sequela after bacterial meningitis, but risk factors for this are poorly studied, particularly in relation to concurrent acute otitis media (AOM). Aims: The aim of this study was to investigate incidence and risk factors for hearing loss in patients treated for bacterial meningitis. Methods: In this retrospective study, medical records for patients admitted to hospital with bacterial meningitis in Skåne county, Sweden, between 2000 and 2017 were retrieved. The association between risk factors and hearing loss was estimated using logistic regression. Results: During the 18 years, 187 cases of meningitis were identified. Hearing loss was confirmed in 71 of the 119 patients who had done an audiometry. It was significantly more common in adults. There was also evidence of an association between hearing loss and AOM, and between hearing loss and pneumococcal infection. Conclusion: Age, concurrent AOM and pneumococcal infection were risk factors for developing hearing loss. Despite being recommended in the national guidelines, more than a third of the patients had not done a hearing test after recovering from bacterial meningitis. The findings strengthen the demand for prompt ear examination and–if needed–tympanocentesis in meningitis patients.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute otitis media, AOM, bacterial meningitis, hearing loss, risk factor, Streptococcus pneumoniae
in
Acta Oto-Laryngologica
volume
142
issue
3-4
pages
4 pages
publisher
Taylor & Francis
external identifiers
  • pmid:35404758
  • scopus:85129198626
ISSN
0001-6489
DOI
10.1080/00016489.2022.2058708
language
English
LU publication?
no
id
a2fedae4-f314-4e56-bf4b-2059cad03927
date added to LUP
2022-08-15 09:01:42
date last changed
2024-06-13 18:12:23
@article{a2fedae4-f314-4e56-bf4b-2059cad03927,
  abstract     = {{<p>Background: Hearing loss is a common sequela after bacterial meningitis, but risk factors for this are poorly studied, particularly in relation to concurrent acute otitis media (AOM). Aims: The aim of this study was to investigate incidence and risk factors for hearing loss in patients treated for bacterial meningitis. Methods: In this retrospective study, medical records for patients admitted to hospital with bacterial meningitis in Skåne county, Sweden, between 2000 and 2017 were retrieved. The association between risk factors and hearing loss was estimated using logistic regression. Results: During the 18 years, 187 cases of meningitis were identified. Hearing loss was confirmed in 71 of the 119 patients who had done an audiometry. It was significantly more common in adults. There was also evidence of an association between hearing loss and AOM, and between hearing loss and pneumococcal infection. Conclusion: Age, concurrent AOM and pneumococcal infection were risk factors for developing hearing loss. Despite being recommended in the national guidelines, more than a third of the patients had not done a hearing test after recovering from bacterial meningitis. The findings strengthen the demand for prompt ear examination and–if needed–tympanocentesis in meningitis patients.</p>}},
  author       = {{Persson, Filip and Bjar, Nora and Hermansson, Ann and Gisselsson-Solen, Marie}},
  issn         = {{0001-6489}},
  keywords     = {{Acute otitis media; AOM; bacterial meningitis; hearing loss; risk factor; Streptococcus pneumoniae}},
  language     = {{eng}},
  number       = {{3-4}},
  pages        = {{298--301}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Oto-Laryngologica}},
  title        = {{Hearing loss after bacterial meningitis, a retrospective study}},
  url          = {{http://dx.doi.org/10.1080/00016489.2022.2058708}},
  doi          = {{10.1080/00016489.2022.2058708}},
  volume       = {{142}},
  year         = {{2022}},
}