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Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases

BACKGROUND: Regarding risk of bacterial meningitis (BM) after Cochlear implantation (CI), it was suggested to receive polyvalent conjugate vaccine. We aimed to estimate the prevalence of BM post CI in child recipients who do not receive polyvalent vaccine. METHODS: We enrolled 371 children who had r...

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Autores principales: Afsharpaiman, Shahla, Amirsalari, Susan, Ajalloueyan, Mohammad, Saburi, Amin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258670/
https://www.ncbi.nlm.nih.gov/pubmed/25489459
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author Afsharpaiman, Shahla
Amirsalari, Susan
Ajalloueyan, Mohammad
Saburi, Amin
author_facet Afsharpaiman, Shahla
Amirsalari, Susan
Ajalloueyan, Mohammad
Saburi, Amin
author_sort Afsharpaiman, Shahla
collection PubMed
description BACKGROUND: Regarding risk of bacterial meningitis (BM) after Cochlear implantation (CI), it was suggested to receive polyvalent conjugate vaccine. We aimed to estimate the prevalence of BM post CI in child recipients who do not receive polyvalent vaccine. METHODS: We enrolled 371 children who had received cochlear implants from 2007 to 2010. None of them received pre or post implantation polyvalent conjugate vaccine for BM. We followed all of them for BM for 2 years after implantation. RESULTS: We detected only one female case of BM (0.3% of patients) with the age of 24 months. The mean age of noninfected children was 36.7 ± 23.2 months. The education level of parents was “college level or higher” in less than half of them, and about 65% of patients were products of consanguineous marriage. CONCLUSIONS: Our findings indicated that the incidence of BM was not higher in our cochlear implanted children who did not receive immunization than patients from countries in which routine vaccination is done. We suggest that although proper immunization is recommended before surgery, this procedure could be performed without vaccination, especially in developing countries that face financial problems for preparing vaccines.
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spelling pubmed-42586702014-12-08 Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases Afsharpaiman, Shahla Amirsalari, Susan Ajalloueyan, Mohammad Saburi, Amin Int J Prev Med Brief Communication BACKGROUND: Regarding risk of bacterial meningitis (BM) after Cochlear implantation (CI), it was suggested to receive polyvalent conjugate vaccine. We aimed to estimate the prevalence of BM post CI in child recipients who do not receive polyvalent vaccine. METHODS: We enrolled 371 children who had received cochlear implants from 2007 to 2010. None of them received pre or post implantation polyvalent conjugate vaccine for BM. We followed all of them for BM for 2 years after implantation. RESULTS: We detected only one female case of BM (0.3% of patients) with the age of 24 months. The mean age of noninfected children was 36.7 ± 23.2 months. The education level of parents was “college level or higher” in less than half of them, and about 65% of patients were products of consanguineous marriage. CONCLUSIONS: Our findings indicated that the incidence of BM was not higher in our cochlear implanted children who did not receive immunization than patients from countries in which routine vaccination is done. We suggest that although proper immunization is recommended before surgery, this procedure could be performed without vaccination, especially in developing countries that face financial problems for preparing vaccines. Medknow Publications & Media Pvt Ltd 2014-08 /pmc/articles/PMC4258670/ /pubmed/25489459 Text en Copyright: © International Journal of Preventive Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Communication
Afsharpaiman, Shahla
Amirsalari, Susan
Ajalloueyan, Mohammad
Saburi, Amin
Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title_full Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title_fullStr Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title_full_unstemmed Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title_short Bacterial Meningitis after Cochlear Implantation among Children without Polyvalent Conjugate Vaccine: A Brief Report of an Iranian Cohort Study on 371 Cases
title_sort bacterial meningitis after cochlear implantation among children without polyvalent conjugate vaccine: a brief report of an iranian cohort study on 371 cases
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258670/
https://www.ncbi.nlm.nih.gov/pubmed/25489459
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