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Prevention and treatment of meningitis and acute otitis media in children with cochlear implants.
- Source :
-
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2010 Oct; Vol. 31 (8), pp. 1331-3. - Publication Year :
- 2010
-
Abstract
- Objective: To provide recommendations for 1) prevention of acute otitis media and meningitis via immunization and 2) antimicrobial therapy of acute otitis media and meningitis in children with cochlear implants.<br />Data Sources: Literature review and policy statement from the American Academy of Pediatrics.<br />Conclusion: 1) Children who are candidates for cochlear implants or have received cochlear implants should receive all-age appropriate vaccinations, including indicated doses of 13-valent pneumococcal conjugate vaccine, Haemophilus influenzae type b conjugate vaccine, and influenza vaccine. A supplemental dose of 13-valent pneumococcal conjugate vaccine is indicated for children who have received indicated doses of 7-valent pneumococcal vaccine, but have not received 13-valent pneumococcal conjugate vaccine. In addition, children 24 months and older should receive a single dose of 23-valent pneumococcal polysaccharide vaccine. 2) Acute otitis media in children with cochlear implants should be treated with an antimicrobial. During the first 2 months after implant, initial treatment of acute otitis media with a parenteral antimicrobial, e.g., cetriaxone, is indicated. High-dose amoxicillin or amoxicillin-clavulanate is an appropriate antimicrobial choice for empiric treatment of acute otitis media occurring 2 or more months after implant. In cases of meningitis occurring during the first 2 months after implantation, broad spectrum empiric antimicrobial therapy, e.g., meropenem and vancomycin, should be initiated pending the results of CSF culture. Empiric antimicrobial therapy with ceftriaxone and vancomycin is appropriate for cases of meningitis occurring 2 or more months after implant.
- Subjects :
- Amoxicillin therapeutic use
Anti-Infective Agents therapeutic use
Child
Cochlear Implantation adverse effects
Cochlear Implants microbiology
Humans
Meningitis, Bacterial drug therapy
Meningitis, Bacterial etiology
Otitis Media drug therapy
Otitis Media etiology
Pneumococcal Infections drug therapy
Pneumococcal Infections etiology
Policy
Cochlear Implants adverse effects
Meningitis, Bacterial prevention & control
Otitis Media prevention & control
Pneumococcal Infections prevention & control
Vaccination
Subjects
Details
- Language :
- English
- ISSN :
- 1537-4505
- Volume :
- 31
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
- Publication Type :
- Academic Journal
- Accession number :
- 20802367
- Full Text :
- https://doi.org/10.1097/MAO.0b013e3181f2f074