An audiological profile of patients infected with multi-drug resistant tuberculosis at a district hospital in KwaZulu-Natal

Autor: Lavanithum Joseph, Jessica Paken, Delicia Appana
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Tuberculosis
Adolescent
Hearing loss
Otoacoustic Emissions
Spontaneous

Otoacoustic emission
Audiology
Hearing Loss
Bilateral

South Africa
Young Adult
03 medical and health sciences
0302 clinical medicine
Ototoxicity
Tuberculosis
Multidrug-Resistant

lcsh:Oral communication. Speech
medicine
Humans
Longitudinal Studies
030212 general & internal medicine
Hearing Loss
030223 otorhinolaryngology
Original Research
medicine.diagnostic_test
business.industry
audiological monitoring
Multi-drug-resistant tuberculosis
Incidence (epidemiology)
Audiological profiles
General Medicine
aural rehabilitation
Middle Aged
Aural rehabilitation
Hospitals
District

medicine.disease
Aminoglycosides
multi-drug resistant tuberculosis
ototoxic hearing loss

Evaluation Studies as Topic
lcsh:P95-95.6
Audiometry
Pure-Tone

Female
Audiometry
medicine.symptom
business
Zdroj: South African Journal of Communication Disorders, Vol 63, Iss 1, Pp e1-e12 (2016)
The South African Journal of Communication Disorders
South African Journal of Communication Disorders, Volume: 63, Issue: 1, Pages: 1-12, Published: 2016
ISSN: 2225-4765
0379-8046
Popis: Background: The increased incidence of multi-drug-resistant tuberculosis (MDR-TB) and the consequent use of aminoglycosides with their ototoxic potential necessitate a better understanding of the audiological pattern of infected patients. Objective: To describe the occurrence and nature of hearing loss in patients with MDR-TB receiving aminoglycosides over a period of 6 months. Methods: Baseline and five consecutive monthly audiological assessments were conducted on 52 adults at a hospital in KwaZulu-Natal. A longitudinal descriptive study was implemented. A conventional audiological test battery, extended high frequency audiometry and otoacoustic emission testing were conducted. Data were analysed using SPSS version 19 statistical software package. Results: Decreased hearing was the most common audiological symptom experienced. Bilateral sensorineural hearing loss was predominant. Ototoxic hearing loss was noted in 27 participants (52%) in 1 month post-treatment. Hearing loss progressed from mild to moderate at post-treatment one, to moderate to severe at post-treatment three and severe to profound at post-treatment five. Changes in hearing function were noted in 52 participants (100%) by post-treatment five. High and ultra-high frequencies were most affected. Speech discrimination scores deteriorated over time. The number of patients with absent distortion product otoacoustic emissions increased over treatment duration. Conclusion: The greatest effects were observed in the high frequencies before manifesting in the lower frequencies. This highlights the importance of inclusion of high frequency audiometry in the early detection of ototoxicity which can go undiagnosed with traditional audiometry. The high prevalence of hearing loss has implications for the provision of audiological service to this patient population.
Databáze: OpenAIRE