Table 1.
Audiometric and Imaging Dataa
Patient No./Age at Diagnosis | Organism | Days in ICU | Mechanical Ventilation? | Seizures | Other Significant Events | Type of Audiometry | Hearing Outcome
|
MRI Score
|
MRI Timing, Days After Diagnosis | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Right | Left | Right | Left | ||||||||
1/2.8 mo | P multocida | 5 | Y | N | 8 Days of aminoglycoside therapy | Screening ABR | Normal | Normal | 0 | 0 | 4 |
2/2.9 mo | P aeruginosa, blood | 16 | Y | Y | Craniotomy for subdural bleed; pseudomonas sepsis; 27 days of aminoglycoside therapy; Dex for 24 h around extubation, days 3–4b | Screening ABR | Normal | Normal | 0 | 0 | 2 |
3/3.4 mo | S pneumoniae | 6 | N | Y | None | Screening ABR | Normal | Normal | 0 | 0 | 2 |
4/3.4 mo | S pneumoniae | 3 | N | Y | None | ABR+OAEs | Normal | Normal | 0 | 0 | 1 |
5/4.0 mo | Group B Streptococcus | No ICU | N | None | Screening ABR | Normal | Normal | 0 | 0 | 15 | |
6/4.0 mo | S pneumoniae | 1 | N | N | None | SF Audio + ES OAEs | Normal | Normal | 0 | 0 | 4 |
7/4.3 mo | Group B Streptococcus (blood) | 6 | N | Y | None | Screening ABR | Normal | Normal | 0 | 0 | 3 |
8/5.1 mo | S pneumoniae | 5 | N | Y | None | Screening ABR | Normal | Normal | 0 | 0 | 3 |
9/16 mo | S pneumoniae | 3 | N | Y | None | ABR + OAEs | Normal | Normal | 0 | 0 | 2 |
10/5.2 y | No growth | 3 | N | N | None | Audio + OAEs | Normal | Normal | 0 | 0 | 0 |
11/6.5 y | N meningitidis | 9 | Y | Y | MCA stroke; craniotomy; ventriculostomy with ICP mgmt, 4 days; dopamine, 7 days | Audio | Normal | Normal | 0 | 0 | 0 |
12/6.7 y | No growth | 2 | N | N | None | Audio | Normal | Normal | 0 | 0 | 2 |
13/7.2 y | S pneumoniae, blood | No ICU | N | N | None | Audio | Normal | Normal | 0 | 0 | 1 |
14/8.8 y | S pneumoniae | 1 | Y | Y | None | Audio | Normal | Normal | 0 | 0 | 5 |
15/11 y | S pneumoniae | 3 | N | N | None | Audio | Normal | Normal | 0 | 0 | 1 |
16/14 y | N meningitidis | 4 | N | Y | None | Audio | M-M HL | M-M HL | 0 | 0 | 3 |
17/15 mo | S pneumoniae | 5 | N | N | None | SF Audio + ES OAEs | M-M HL | S-P HL | 1 | 3 | 5 |
18/14 mo | S pneumoniae | 2 | N | N | Dopamine, 1 day | SF Audio + ES OAEs | S-P HL | S-P HL | 2 | 2 | 8 |
19/13 y | S pneumoniae | 3 | Y | N | Sphenoid sinusitis; Gent, 2 days | Audio | M-M HL | S-P HL | 2 | 3 | 7 |
20/5.5 mo | S pneumoniae | 5 | N | Y | Refractory seizures; multiple medications | SF Audio + ES OAEs | S-P HL | Normal | 2 | 0 | 1 |
21/11 mo | S pneumoniae | 17 | Y | N | Bilateral MCA stroke; ventriculostomy and ICP mgmt for 12 days; 10 days of aminoglycoside therapy; spasticity; cognitive defect; single-dose MePred after strokeb | ABR + OAEs | S-P HL | S-P HL | 2 | 2 | 5 |
22/16 mo | S pneumoniae | 6 | Y | Y | None | ABR | S-P HL | S-P HL | 3 | 3 | 6 |
23/30 mo | S pneumoniae | 6 | Y | N | Multiple parietal infarcts; hypotonia; speech defect; leg paresis; Dex at outside hospital, days 1–2b | ABR | S-P HL | S-P HL | 2–3 | 2–3 | 7 |
Abbreviations: ABR, auditory brainstem response; Audio, audiogram; Dex, dexamethasone; ES, ear-specific; Gent, gentamicin; ICP, intracranial pressure; ICU, intensive care unit; MCA, middle cerebral artery; MePred, methylprednisolone; mgmt, management; M-M HL, mild to moderate hearing loss; MRI, magnetic resonance imaging; N, no; N meningitidis, Neisseria meningitidis; OAE, otoacoustic emissions; P aeruginosa, Pseudomonas aeruginosa; P multocida, Pasteurella multocida; S pneumoniae, Streptococcus pneumoniae; SF, soundfield; S-P HL, severe to profound hearing loss; Tobra, tobramycin; Y, yes.
Patients are listed in order of hearing outcome. All ABRs were ear specific.
Patients who received corticosteroids.