Acute otitis media and otitis media with effusion in children with bacterial meningitis

The Journal of Laryngology and Otology
M P RichardsonP T Rudd

Abstract

Acute otitis media and otitis media with effusion (OME) have often been observed in children with bacterial meningitis. OME has also been proposed as the mechanism of reversible hearing loss after meningitis. In this controlled study, children with acute bacterial meningitis were studied using auditory brainstem responses (ABR), otoacoustic emissions, tympanometry and otoscopy. An age- and sex-matched control was recruited for each patient and the incidence of acute otitis media and OME was compared between the two groups. One hundred and twenty-four children with meningitis were studied. Ninety-two children (74 per cent) had meningococcal meningitis. Five patients (4 per cent) had conductive hearing loss (ABR threshold > or = 30 dB HL) at the time of discharge from hospital. None of the patients or controls had acute otitis media. Patients and controls were well matched for risk factors for OME and the prevalence of middle ear effusion in patients and controls was 7.2 per cent and 11.3 per cent respectively. The relative risk of OME in the children with meningitis was 0.64 (95 per cent confidence interval 0.29 to 1.42). After nine months, three of the five children with meningitis and conductive hearing loss had regained norma...Continue Reading

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Citations

Feb 4, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A H YeungH A Brodie
Jul 6, 2007·Hearing Research·Qing Yin ZhengHeping Yu
Jun 8, 2014·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Syed MohiuddinIain Bruce
Sep 19, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Mamoona Khalid-RajaChris Coulson
Mar 18, 2005·Developmental Psychobiology·Janet F Werker, Richard C Tees
Jul 24, 2001·The Annals of Otology, Rhinology, and Laryngology·T M Sih

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