Otoacoustic Emissions as a Screening Test for Hearing Impairment in Children Recovering From Acute Bacterial Meningitis
| العنوان: | Otoacoustic Emissions as a Screening Test for Hearing Impairment in Children Recovering From Acute Bacterial Meningitis |
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| المؤلفون: | T. J. Williamson, Andrew Reid, M P Richardson, P T Rudd, M J Tarlow |
| المصدر: | Pediatrics. 102:1364-1368 |
| بيانات النشر: | American Academy of Pediatrics (AAP), 1998. |
| سنة النشر: | 1998 |
| مصطلحات موضوعية: | medicine.medical_specialty, Adolescent, Hearing loss, Hearing Loss, Sensorineural, Hearing Loss, Conductive, Otoacoustic Emissions, Spontaneous, Otoacoustic emission, Audiology, Meningitis, Bacterial, Evoked Potentials, Auditory, Brain Stem, otorhinolaryngologic diseases, Humans, Multicenter Studies as Topic, Medicine, Prospective Studies, Child, Hearing Loss, medicine.diagnostic_test, business.industry, Infant, Gold standard (test), Tympanometry, medicine.disease, Confidence interval, Conductive hearing loss, Child, Preschool, Acute Disease, Pediatrics, Perinatology and Child Health, Feasibility Studies, Sensorineural hearing loss, medicine.symptom, business, Meningitis |
| الوصف: | Objectives. To study the efficacy of otoacoustic emissions (OAEs) as a screening test for hearing impairment in children with acute bacterial meningitis. Hearing tests were performed before discharge from the hospital in an attempt to improve coverage and avoid delays in the diagnosis of postmeningitic hearing loss. Methods. Children with bacterial meningitis were recruited from 21 centers. In the 48 hours before discharge from the hospital, all patients underwent a thorough audiologic assessment consisting of transient evoked OAEs, auditory brainstem responses (ABRs), otoscopy, and tympanometry. Hearing loss was defined as ABR threshold ≥30 dB. The results of OAE screening were compared with the gold standard of ABR threshold. Results. Of 124 children recruited, we were able to perform both OAEs and ABRs on 110 children. Seven (6.3%) of the 110 children had ABR threshold ≥30 dB; 2 had sensorineural hearing loss and 5 had conductive hearing loss. At follow-up, hearing loss persisted in both cases of sensorineural hearing loss and no new cases were identified. All 7 children with hearing loss failed the OAE screening test. Ninety-four children with normal hearing thresholds passed the test, and 9 failed. Thus, the screening test had a sensitivity of 1.00 (95% confidence interval, 0.59 to 1.00), a specificity of 0.91 (0.85 to 0.97), a positive predictive value of 0.44 (0.20 to 0.70), and a negative predictive value of 1.00 (0.96 to 1.00). Conclusions. OAE screening in children recovering from meningitis was found to be feasible and effective. The test was highly sensitive and reasonably specific. Inpatient OAE screening should allow early diagnosis of postmeningitic hearing loss and prompt auditory rehabilitation. |
| تدمد: | 1098-4275 0031-4005 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::11db01101d4b57585c2fcc8489ffec7dTest https://doi.org/10.1542/peds.102.6.1364Test |
| رقم الانضمام: | edsair.doi.dedup.....11db01101d4b57585c2fcc8489ffec7d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10984275 00314005 |
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