Ingestion within the previous 2 months: Mefloquine, aminoglycoside antibiotics, halofantrine, artemether-lumefantrine. |
Ingestion within the previous 2 weeks: Quinine, chloroquine, any other antimalarial drug, aspirin, loop diuretics, macrolide antibiotics. |
History of any drug-related hearing impairment or prior middle or inner ear surgery. |
Current ear infection or discharge. |
Untreatable impaction of cerumen with occlusion of the external auditory canal. |
Currently wearing a hearing aid. |
Abnormal tympanometry in either or both ears defined as Type B (“flat”) or Type C (“negative”) with peak ear pressure more negative than −120 dPA; a static compliance outside the range of 0.3–1.4 mL was considered abnormal. |
Abnormal audiogram: Pure-tone air conduction thresholds in either or both ears (≥ 25 dB at 3 contiguous frequencies) or aural asymmetry (≥ 25 dB right-left difference at any frequency or ≥ 20 dB right-left difference at 2 contiguous frequencies or ≥ 15 dB right-left difference at 3 contiguous frequencies). |
Abnormal auditory brainstem response: Absence of identifiable, measurable waveforms (Wave I, III, and V) after 2 replicable runs in either or both ears or greater than 0.20 msec difference between the right and left ear Wave V latencies. |
Unable to cooperate with testing. |