Infectious complications in pediatric cochlear implants

被引:58
|
作者
Hopfenspirger, Michael T. [1 ]
Levine, Samuel C. [1 ]
Rimell, Frank L. [1 ]
机构
[1] Univ Minnesota, Dept Otolaryngol, Minneapolis, MN 55455 USA
来源
LARYNGOSCOPE | 2007年 / 117卷 / 10期
关键词
cochlear implant; infection;
D O I
10.1097/MLG.0b013e3180de4d35
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objectives: Infectious complications may cause significant delay in cochlear implant device initiation and programming and be a source of additional morbidity. We reviewed our experience with infectious complications in the pediatric age group to determine specific sources that may not be seen in adults. Study Design: A retrospective analysis from a single implant center. Methods: Cases of pediatric cochlear implants were reviewed for data on infectious complications. Complications were identified as "major" or "minor," "early" or "delayed." Information was gathered regarding any comorbid, chronic health condition. Data related to the causative organism(s) were collected. Results: Two hundred sixty-eight cases of pediatric implants were reviewed. Twenty-two cases were identified (an infection rate of 8.2%, all classified as "major." The majority, 12, were classified as "delayed" complications. Twenty-one cases required explantation with 14 successfully reimplanted. Five cases (in 4 patients) or 23% were associated with a specific chronic pediatric condition including two children with tracheostomies. Among implanted children who had chronic health conditions, 42% developed implant-related infections. Among otherwise healthy implanted children, only 6.6% developed implant-related infections. Resistant bacterial infections were not identified. Conclusions: Health conditions in the pediatric age group were associated with 23% of our complications, a risk factor not previously identified in the literature. These children, demonstrating seven times the infection rate of healthy children, should be carefully observed postoperatively. Overall, cochlear implantation in children continues
引用
收藏
页码:1825 / 1829
页数:5
相关论文
共 50 条
  • [1] Infectious complications of pediatric cochlear implants are highly influenced by otitis media
    Vila, Peter M.
    Ghogomu, Nsangou T.
    Odom-John, Audrey R.
    Hullar, Timothy E.
    Hirose, Keiko
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2017, 97 : 76 - 82
  • [2] Complications in pediatric cochlear implants
    McJunkin, Jonathan
    Jeyakumar, Anita
    [J]. AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2010, 31 (02) : 110 - 113
  • [3] Infectious complications and optimising infection prevention for children with cochlear implants
    Davidson, Lucy
    Foley, David A.
    Clifford, Patricia
    Blyth, Christopher C.
    Bowen, Asha C.
    Hazelton, Briony
    Kuthubutheen, Jafri
    McLeod, Charlie
    Rodrigues, Stephen
    Tay, Siu Min
    Campbell, Anita J.
    [J]. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2022, 58 (06) : 1007 - 1012
  • [4] Complications of cochlear implants
    Eby, T
    [J]. COCHLEAR IMPLANTS, 1996, : 243 - 246
  • [5] Infectious Complications and Ventilation Tubes in Pediatric Cochlear Implant Recipients
    Javia, Luv
    Brant, Jason
    Guidi, Jessica
    Rameau, Anais
    Pross, Seth
    Cohn, Samuel
    Kazahaya, Ken
    Dunham, Brian
    Germiller, John
    [J]. LARYNGOSCOPE, 2016, 126 (07): : 1671 - 1676
  • [6] Complications with cochlear implants in children
    Laszig, R
    [J]. HNO, 1996, 44 (03) : 119 - 120
  • [7] The Dilemma of Pediatric Cochlear Implants
    Christiansen, John B.
    Leigh, Irene W.
    [J]. DEAF WAY II READER: PERSPECTIVES FROM THE SECOND INTERNATIONAL CONFERENCE ON DEAF CULTURE, 2006, : 363 - 369
  • [8] Complications of pediatric cochlear implantation
    Miyamoto, RT
    Young, M
    Myres, WA
    Kessler, K
    Wolfert, K
    Kirk, KI
    [J]. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 1996, 253 (1-2) : 1 - 4
  • [9] INFECTIOUS COMPLICATIONS OF PENILE PROSTHETIC IMPLANTS
    THOMALLA, JV
    THOMPSON, ST
    ROWLAND, RG
    MULCAHY, JJ
    [J]. JOURNAL OF UROLOGY, 1987, 138 (01): : 65 - 67
  • [10] Complications of cochlear implants: a MAUDE database study
    Jinka, S.
    Wase, S.
    Jeyakumar, A.
    [J]. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2023, 137 (11): : 1267 - 1271