Frequency of sensorineural hearing loss in children with bacterial meningitis.

Abstract

Objectives: To determine the frequency of sensorineural hearing loss (SNHL) in children with bacterial meningitis. Study Design: Cross Sectional study. Setting: Department of Paediatric Medicine Nishtar Hospital, Multan. Period: October 2019 to March 2020. Material & Methods: The study was conducted after permission from ethical committee. A total of 151 patients admitted with bacterial meningitis were enrolled. Apart from the presenting complaints, necessary information like the age and gender were noted. Examination of the child was done to assess the condition of child. Brainstem evoked response audiometry (BERA) test was performed before discharge of the patient from the hospital. The outcome variable that is SNHL in bacterial meningitis assessed by BERA test was noted in a specifically designed Performa. Results: Out of total of 151 patients, males were 83 (55%) while females 68 (45%). Overall mean age was 11.85+6.12 months. SNHL was found in 26 (17.2%) children. There was no significant effect of age or gender on the frequencies of SNHL. Conclusion: SNHL is a frequently encountered complication in our population of children with bacterial meningitis. SNHL should be carefully sought out and properly diagnosed in all the patients presenting with bacterial meningitis.

Frequency of Sensorineural Hearing Loss among Children with Pyogenic Meningitis

“…The current study found that more females were affected but no significant association. It is also noticed that the younger age groups of children were more affected but no significant association was found between age and frequency of sensorineural hearing loss among children of pyogenic meningitis [7] and the current study favored this finding.…”

“…Literature review revealed that male were predominant but found non-significant association of gender with occurrence of sensorineural hearing loss among the cases of meningitis [7,20,22]. The current study found that more females were affected but no significant association.…”

“…Children with meningitis having signs and symptoms including fever, poor feeding history, irritability, lethargy, headache, signs of meningeal irritation and bulging fontanell [5,6]. It is diagnosed by clinical presentation and testing the cerebrospinal fluid (CSF) of the patient that shows increased intracranial pressure, serum glucose level less than 40mg/dl, proteins more than 80mg/dl and increased leukocytes count mainly there is increase in neutrophil count [7].…”