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An overview of risk factors, management and prevention of cochlear implant infections.
- Source :
-
Current opinion in infectious diseases [Curr Opin Infect Dis] 2024 Jun 01; Vol. 37 (3), pp. 220-225. Date of Electronic Publication: 2024 Mar 27. - Publication Year :
- 2024
-
Abstract
- Purpose of Review: With cochlear implantation becoming increasingly performed worldwide, an understanding of the risk factors, preventive measures, and management of cochlear implant (CI) infection remains important given the significant morbidity and cost it conveys.<br />Recent Findings: At the turn of the 21st century there was a decrease in rates of CI infection, particularly meningitis, following the discontinuation of positioner use for CI. However, in more recent years rates of CI infection have remained largely static. Recently, studies evaluating preventive measures such as pneumococcal vaccination, S. aureus decolonization and surgical antibiotic prophylaxis have emerged in the literature.<br />Summary: Prompt recognition of CI infection and appropriate investigation and management are key, however at present treatment is largely informed by cohort and case-control studies and expert opinion. Preventive measures including pneumococcal vaccination, S. aureus decolonization and preoperative antibiotic prophylaxis play a role in reducing rates of CI infection. However, there remains a need for well designed clinical trials to provide higher level evidence to better guide preventive measures for, and management decisions of, CI infections in the future.<br /> (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Humans
Risk Factors
Antibiotic Prophylaxis methods
Cochlear Implantation adverse effects
Anti-Bacterial Agents therapeutic use
Anti-Bacterial Agents administration & dosage
Pneumococcal Vaccines administration & dosage
Staphylococcal Infections prevention & control
Cochlear Implants adverse effects
Cochlear Implants microbiology
Prosthesis-Related Infections prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1473-6527
- Volume :
- 37
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Current opinion in infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 38545833
- Full Text :
- https://doi.org/10.1097/QCO.0000000000001011