Infectious complications of pediatric cochlear implants are highly influenced by otitis media.
Infectious complications of pediatric cochlear implants are highly influenced by otitis media.
复制标题
小儿耳蜗植入物的感染并发症受到中耳炎的高度影响。
DOI：
10.1016/j.ijporl.2017.02.026
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发表时间：
2017-06
影响因子：
1.5
通讯作者：
Hirose K
中科院分区：
文献类型：
--
作者：
Vila PM;Ghogomu NT;Odom-John AR;Hullar TE;Hirose K
确定人工耳蜗植入患者耳部感染的发生率，评估中耳炎对并发症的影响，描述人工耳蜗植入人群中中耳炎的细菌学、我们中心提供的治疗以及长期结局。收集的数据包括植入年龄、中耳炎或耳管病史、听力损失病因、内耳解剖结构、术后感染、至感染时间、抗生素给药途径和感染干预措施。感染类别为急性中耳炎、渗出性中耳炎、咽鼓管炎、脑膜炎、头皮蜂窝织炎和植入部位感染。在37%的植入耳中诊断出中耳感染。所有植入物中有2.8%（n = 16）发生中耳感染延伸至植入部位。在16件受感染器械中，10件成功接受了抗生素治疗，不需要再手术。保留种植体组和去除种植体组均包括一些中耳微生物，如流感嗜血杆菌和肺炎链球菌，以及皮肤植物群，如金黄色葡萄球菌。小儿人工耳蜗植入患者的中耳炎是一种常见事件，通常不会导致人工耳蜗植入并发症。然而，当耳部感染扩散到头皮和植入部位时，仍然可以使用抗生素治疗来消除感染，特别是当治疗针对从感染空间恢复的特定生物体并且仔细考虑抗生素治疗的持续时间和途径时。
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. 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. 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. 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.
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影响因子：
3.4
作者：
Koch, ME;Wyatt, JR;Niparko, JK
通讯作者：
Niparko, JK
影响因子：
11.8
作者：
Liu, Catherine;Bayer, Arnold;Chambers, Henry F.
通讯作者：
Chambers, Henry F.
影响因子：
--
作者：
Broomfield, Stephen J;Murphy, John;O'Donoghue, Gerard M
通讯作者：
O'Donoghue, Gerard M
影响因子：
--
作者：
Francis, HW;Koch, ME;Niparko, JK
通讯作者：
Niparko, JK
影响因子：
2.6
作者：
Kulak, Jessia;Garazi, Estee;Balkany, Thomas
通讯作者：
Balkany, Thomas