An audiological profile of a cohort of school-aged children with HIV and AIDS attending an antiretroviral clinic in South Africa
| Autor: | Lavanithum Joseph, Jessica Paken, Vuyelwa Z Peter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Hearing loss Hearing Loss Conductive Otoscopy hiv Audiology Cohort Studies South Africa Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires lcsh:Oral communication. Speech otorhinolaryngologic diseases Medicine Humans audiological profile Child school children Original Research hearing loss Acquired Immunodeficiency Syndrome Language Disorders medicine.diagnostic_test business.industry Medical record HIV General Medicine medicine.disease Conductive hearing loss AIDS Auditory brainstem response Acoustic Impedance Tests Child Preschool Cohort lcsh:P95-95.6 Audiometry Pure-Tone Female Audiometry Abnormality medicine.symptom business aids |
| Zdroj: | South African Journal of Communication Disorders, Vol 67, Iss 1, Pp e1-e9 (2020) South African Journal of Communication Disorders, Volume: 67, Issue: 1, Pages: 1-9, Published: 2020 The South African Journal of Communication Disorders |
| ISSN: | 2225-4765 0379-8046 |
| Popis: | Background Recent estimates reveal that there are approximately 280 000 children between the ages of birth and 14 years who are living with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in South Africa. These children are living with a compromised immune system, are vulnerable to opportunistic infections and subsequent hearing loss. However, there is limited research on the nature and extent of this sensory impairment amongst school-aged children. Objective This study aimed to determine an audiological profile of a cohort of school-aged children attending an antiretroviral (ARV) clinic, describing the occurrence of hearing loss and nature in terms of degree, type, configuration and symmetry. Methods A non-experimental descriptive exploratory study was conducted, where 30 children aged between 6 and 12 years underwent diagnostic audiological assessments. Audiological procedures included case history, medical record review, otoscopic examination, immittance audiometry, pure-tone audiometry, speech audiometry, distortion product otoacoustic emissions (DPOAEs) and neurological auditory brainstem response (ABR) testing. The results were analysed descriptively using SPSS version 22 software. Results The results indicated abnormal otoscopic findings in half the participants, and consequently type C tympanograms were the most common. Of the 28 participants who could be assessed with pure-tone audiometry, 15 (54%) showed a hearing loss. A bilateral rising mild, conductive hearing loss was predominant. Thirteen (43%) of the participants could not be tested using DPOAE because of outer and middle-ear pathology. Neurological ABR testing revealed an abnormality in 18 (60%) of the participants suggesting the sensitivity of the ABR to detect subtle neurological changes. Conclusion Half the children in this study showed hearing loss, which has serious implications for the holistic management of the children within the health and educational contexts. Therefore, there is a need for audiological monitoring of children with HIV and AIDS. Keywords audiological profile; HIV; AIDS; hearing loss; school children. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|