Aetiologies of profound bilateral sensorineural hearing loss among children in Ekiti State, South Western Nigeria.

Autor: Olajuyin OA; Department of Ear, Nose and Throat, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria., Olatunya OS; Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria., Olajide TG; Department of Ear, Nose and Throat, Federal Teaching Hospital, Ido Ekiti/Afe Babalola University, Ado Ekiti (ABUAD), Ekiti State, Nigeria., Olajuyin AB; Department of Family Medicine, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria., Olajuyin AA; Department of Obstetrics-gynaecology, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria., Babatola AO; Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria., Komolafe AK; Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2021 Jan 28; Vol. 38, pp. 98. Date of Electronic Publication: 2021 Jan 28 (Print Publication: 2021).
DOI: 10.11604/pamj.2021.38.98.21438
Abstrakt: Introduction: a strong need exists for the knowledge of aetiologies of diseases as this will guide the clinicians on the strategies for their treatment and prevention. In this study, we determined the aetiologies of profound bilateral sensorineural hearing loss (pbSNHL) with a view to provide the relevant data needed for preventive and therapeutic intervention among children in Ekiti State, South Western Nigeria.
Methods: medical records of children with pbSNHL seen over a ten-year period were analysed.
Results: in all, records of 142 children with pbSNHL were analysed. The results showed spectrum of aetiologies that were similar to those reported decades ago with the 'unknown' assuming a recurring decimal. Of the known (acquired) cases, measles takes up the largest 'chunk' with a prevalence of 45.8%. Twenty-eight (32.2%) of those with febrile illnesses had treated their fever with ototoxic antibiotics. Late diagnosis was characteristic of the pbSNHL.
Conclusion: this study shows that there hasn't been any significant shift in the common causes of pbSNHL. Of great concern is the persistence of the 'unknown' causes which assumes a recurring decimal in this and previous studies. Also worrisome is the high prevalence of measles-induced pbSNHL despite the availability of anti-measles vaccine. We therefore suggest effective immunization against measles and other vaccine-preventable causes of pbSNHL. The need for intensive research on the unknown causes of pbSNHL is hereby stressed. Also recommended is routine hearing assessment for survivors of febrile conditions so as to detect, if any, hearing loss promptly.
Competing Interests: The authors declare no competing interests.
(Copyright: Oyebanji Anthony Olajuyin et al.)
Databáze: MEDLINE