Prognóstico audiológico tardio relacionado à meningite em lactentes

Anjos, Luzia Poliana; Queirós, Fernanda Costa de; Pereira, Maria Cecília Castello Silva; Brandão, Marcela Silva; Melo, Aílton; Lucena, Rita

doi:10.1590/s0004-282x2004000400013

Cited by 10 publications

(6 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Broad educational programs must be implemented to advise health care workers of the harm brought about by hearing impairment. The development of informational material can play a key role in the early detection of hearing impairment 12 .…”

Section: Discussionmentioning

confidence: 99%

Fatores etiológicos da deficiência auditiva em crianças e adolescentes de um centro de referência APADA em Salvador-BA

Silva

Queirós²,

Lima

2006

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Heari ng represents the main source for acquisition of language and speaking skills in childhood. In the first months of life, the hearing impaired child is deprived of sound stimulation in the most important period of development, and consequently, might present emotional, social and linguistic disorders. Therefore, it is of utmost relevance to learn about the main etiological factors that cause the auditory damage to trace a reliable nosological profile, and to take the appropriate measures to prevent and guide the family on the repercussions of hearing impairment in childhood. Aim: To characterize the etiology profile of hearing impairment in a reference center for hearing impaired children and adolescents. Methodology: We performed interviews, speech and hearing screening and analyses of medical charts of 87 hearing impaired children that were part of Associação de Pais e Amigos dos Deficientes Auditivos do Estado da Bahia (APADA-BA), trying to define etiology, gender distribution, age at diagnosis, level of hearing loss, age at hearing aid fitting, and rehabilitation. Results: Among the 87 children and adolescents who had undergone speech and hearing screening, we select a sample of 53 subjects, whose parents had come for three sessions of anamnesis and assessment. The main responsible etiological factor for hearing loss in the evaluated population was maternal rubella, amounting to 32% of the cases of deafness, followed by pyogenic meningitis with 20%, idiopathic cause with 15%, prematurity with 9%, heredity (deaf father or mother) and neonatal jaundice, which also presented 6% incidence; chronic otitis media represented 4%, use of misoprostol in the gestation, measles, ototoxicity and mumps, each factor with 2%. Conclusion: The present study demonstrated the heterogeneity of factors that cause hearing impairment, and the two main causes (rubella and pyogenic meningitis) still present high incidence in the studied population. We believe that preventive measures must be taken, especially in the prophylaxis of maternal rubella and extended vaccination of neonates and infants against bacterial meningitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Fatores etiológicos da deficiência auditiva em crianças e adolescentes de um centro de referência APADA em Salvador-BA

Silva

Queirós²,

Lima

2006

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…A recent study about breastfeeding in Hospital Couto Maia, which is considered a reference center for contagious infections, showed high incidence of bacterial meningitis by S. pneumoniae and complications such as hearing impairment in 29% of the sample and neurological complications such as epilepsy, hemiparesis and hydrocephalus [15]. However, there are few available publications about the associated complications for newborn meningitis in Brazil.…”

mentioning

confidence: 99%

Prevalence of newborn bacterial meningitis and sepsis during the pregnancy period for public health care system participants in Salvador, Bahia, Brazil

Silva¹,

Cavalheiro²,

Queirós³

et al. 2007

Braz J Infect Dis

Self Cite

View full text Add to dashboard Cite

Bacterial meningitis is still a major public health threat inside developing countries. In Brazil, the Department of Public Health estimates that the prevalence of bacterial meningitis is 22 cases per 100,000 persons. During the neonatal period, the bacterial meningitis develops special characteristics that can result in hearing problems and movement loss due to neurological and psychological damages. This study had the aim to analyze the prevalence of bacterial meningitis and sepsis in newborns during the pregnancy period for those using the public health care system in Salvador-Bahia. One of the goal was to describe the risk factors of bacterial meningitis and sepsis in newborns. A second goal was to identify, based on newborn health records, the difficulties to predict issues with the hearing, neurological and psychological problems. This study has a cross-sectional design. The newborns that were included in this study had bacterial meningitis or sepsis within 0-28 days of life. They were admitted in the maternity wards between June-December 2005 at the newborn intensive unit care. We analyzed 72 reports of newborns and only 11 (17%) were bacterial meningitis or sepsis newborn cases. These cases were associated to high intake of ototoxic drugs that can cause oto and nephrotoxicity, and cause serious sequels on the child development. Nervous system infection is one of the 2 major problems in clinical practice, especially during the first month after birth. During this first month, the nervous system infection develops special characteristics, which are different from regular symptoms and it requires treatment due to the increased risk to develop complications. It is strongly recommended to monitor ototoxic drugs use to prevent effects on the hearing system. Key-Words: Newborn meningitis, sepsis, prevalence, prediction, complications.The neonatal meningitis is an illness characterized as a result of infection and inflammation of the meninges and it typically happens between birth and the first 28 days of life [1].The bacterial infection is more common during the first month after birth compared to other stages of newborns. It has an incidence that varies from 0.22 to 2.66/1,000 newborns in different countries and it tends to be more common in developing countries [2].During the neonatal period, the illness has special characteristics. The etiology, the clinical symptoms and the mortality appear to be different from the observed in older children [3].The mortality varies based on the treatment, with survival rates of 17% to 29% and with complications rate of 15% to 68%. Among the predictive factors for determining the diagnosis of this condition are the premature birth, newborn weight, type of bacteria, predisposition for the microbial germ, the length of the treatment and complications [4].Although there have been medical advances of medicines and preventive medicine, the incidence of newborn bacterial meningitis for the last 30 years has been barely affected. This minor change in the incidence can be linked po...

show abstract

“…Sequelae rates were assumed by the authors based on those in the literature (Table 1) [23][24][25][26].…”

Section: Epidemiological Datamentioning

confidence: 99%

Cost-Effectiveness Analysis of a Universal Infant Immunization Program with Meningococcal C Conjugate Vaccine in Brazil

et al. 2011

View full text Add to dashboard Cite

show abstract

Prognóstico audiológico tardio relacionado à meningite em lactentes

Cited by 10 publications

References 6 publications

Fatores etiológicos da deficiência auditiva em crianças e adolescentes de um centro de referência APADA em Salvador-BA

Fatores etiológicos da deficiência auditiva em crianças e adolescentes de um centro de referência APADA em Salvador-BA

Prevalence of newborn bacterial meningitis and sepsis during the pregnancy period for public health care system participants in Salvador, Bahia, Brazil

Cost-Effectiveness Analysis of a Universal Infant Immunization Program with Meningococcal C Conjugate Vaccine in Brazil

Contact Info

Product

Resources

About