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Year : 2004  |  Volume : 6  |  Issue : 2  |  Page : 71-73

Meningitis in children a risk factor for hearing loss: A prospective study

Security Forces Hospital Riyadh, Saudi Arabia

Correspondence Address:
MD, FRCS Siraj M Zakzouk

Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.289586

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Objective: To identify risk factor for hearing loss in children with meningitis and to determine the incidence of hearing loss in a group of children with confirmed meningitis Design: This was a prospective study conducted during the year 1999-2000, Setting: A secondary referral paediatrics hospital in Riyadh. Saudi Arabia. Patients and Methods: Children admitted to Children’s Solimania Hospital in Riyadh with the diagnosis of suspected meningitis were included in this study. The age range was from 7 days to 7 years. The diagnosis of acute meningitis was confirmed. Thirty eight of the children underwent audiological assessment using auditory brain-stem responses (ABR) and tympanometry. Results: A total of 74 children with an age range between 7 years were included in the study. Forty two were boys and 32 were girls. There were 38 children with proven bacterial meningitis. Hearing results showed profound sensorineural hearing loss (SNHL) in 5 of them, 4 with conductive hearing loss and one with mixed hearing loss. Four children died and 32 were found with viral meningitis and discharged with no hearing tests performed. The prevalence of (SNHL) was 13%. Conclusions: Sensorineural hearing loss (SNHL) developed during the early stages of bacterial meningitis. The hearing loss may become permanent. Early diagnosis of and prompt treatment may reduce the overall prevalence of SNHL.

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