Infectious complications of pediatric cochlear implants are highly influenced by otitis media

Peter M. Vila, Nsangou T. Ghogomu, Audrey R. Odom-John, Timothy Hullar, Keiko Hirose

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective Determine the incidence of ear infections in cochlear implant patients, evaluate the contribution of otitis media to complications, describe the bacteriology of otitis media in the cochlear implant population, the treatment provided at our center, and the long term outcome. Methods Data collected included age at implantation, history of otitis media or ear tubes, etiology of hearing loss, inner ear anatomy, postoperative infections, time to infection, route of antibiotic administration, and interventions for infections. Categories of infection were acute otitis media, otitis media with effusion, tube otorrhea, meningitis, scalp cellulitis, and infection at the implant site. Results Middle ear infections were diagnosed in 37% of implanted ears. Extension of middle ear infections into the implant site occurred in 2.8% of all implants (n = 16). Of the 16 infected devices, 10 were successfully treated with antibiotic therapy and did not require explantation. The retained implant group and explanted group both included some middle ear microbes such as Haemophilus influenzae and Streptococcus pneumoniae, as well as skin flora such as Staphylococcus aureus. Conclusion Otitis media in pediatric cochlear implant patients is a common event and usually does not lead to complications of the cochlear implant. However, when the ear infection spreads to the scalp and the implant site, it is still possible to eliminate the infection using antibiotic therapy, particularly when treatment is directed to the specific organism that is recovered from the infected space and the duration and route of antibiotic treatment is carefully considered.

Original languageEnglish (US)
Pages (from-to)76-82
Number of pages7
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume97
DOIs
StatePublished - Jun 1 2017

Fingerprint

Cochlear Implants
Otitis Media
Pediatrics
Infection
Ear
Middle Ear
Anti-Bacterial Agents
Scalp
Therapeutics
Otitis Media with Effusion
Bacteriology
Cellulitis
Haemophilus influenzae
Inner Ear
Streptococcus pneumoniae
Hearing Loss
Meningitis
Staphylococcus aureus
Anatomy
Equipment and Supplies

Keywords

  • Acute otitis media
  • Cochlear implant
  • Infectious complications
  • Meningitis
  • Otitis media
  • Tube otorrhea

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

Infectious complications of pediatric cochlear implants are highly influenced by otitis media. / Vila, Peter M.; Ghogomu, Nsangou T.; Odom-John, Audrey R.; Hullar, Timothy; Hirose, Keiko.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 97, 01.06.2017, p. 76-82.

Research output: Contribution to journalArticle

Vila, Peter M. ; Ghogomu, Nsangou T. ; Odom-John, Audrey R. ; Hullar, Timothy ; Hirose, Keiko. / Infectious complications of pediatric cochlear implants are highly influenced by otitis media. In: International Journal of Pediatric Otorhinolaryngology. 2017 ; Vol. 97. pp. 76-82.
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