{"title":"A Cross-Sectional Study of Audiological Assessment in HIV Positive Children.","authors":"Kakoli Roy, Sanjeev Bhagat, Dimple Sahni, Baljinder Kaur, Dinesh Kumar Sharma, Vishav Yadav","doi":"10.1007/s12070-025-05342-6","DOIUrl":null,"url":null,"abstract":"<p><p>Hearing loss is a significant but often under-recognized complication in pediatric HIV-positive patients. This study aimed to investigate the prevalence and types of hearing loss, their correlation with CD4 + counts, and the potential impact of antiretroviral therapy (ART) in this population. A cross-sectional study was conducted involving 50 pediatric HIV-positive patients aged 5-17 years attending a tertiary care hospital. Audiological assessments included Pure Tone Audiometry (PTA), Distortion Product Otoacoustic Emissions (DPOAE), and Impedance Audiometry. Data were analyzed to determine the prevalence and type of hearing loss, and correlations with CD4 + counts and ART regimens were explored. Hearing loss was identified in 21% of the ears examined (<i>n</i> = 14), predominantly sensorineural in nature (76.2%). Mild impairment hearing loss (26-40 dB) was the most common, affecting 80.95% of the ears. A significant association was found between lower CD4 + counts and the presence of hearing loss (333.62 ± 111.47 cells/mm³ compared to 671.75 ± 340.85 cells/mm³ in those without hearing loss, <i>p</i> = 0.001). There was no significant association of hearing loss with ART regime. Hearing loss as a morbidity was seen in 21% ears. A significant association was seen between hearing loss and lower CD4 + counts in pediatric HIV-positive patients, emphasizing the need for regular audiological monitoring.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1360-1366"},"PeriodicalIF":0.6000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909297/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05342-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/18 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Hearing loss is a significant but often under-recognized complication in pediatric HIV-positive patients. This study aimed to investigate the prevalence and types of hearing loss, their correlation with CD4 + counts, and the potential impact of antiretroviral therapy (ART) in this population. A cross-sectional study was conducted involving 50 pediatric HIV-positive patients aged 5-17 years attending a tertiary care hospital. Audiological assessments included Pure Tone Audiometry (PTA), Distortion Product Otoacoustic Emissions (DPOAE), and Impedance Audiometry. Data were analyzed to determine the prevalence and type of hearing loss, and correlations with CD4 + counts and ART regimens were explored. Hearing loss was identified in 21% of the ears examined (n = 14), predominantly sensorineural in nature (76.2%). Mild impairment hearing loss (26-40 dB) was the most common, affecting 80.95% of the ears. A significant association was found between lower CD4 + counts and the presence of hearing loss (333.62 ± 111.47 cells/mm³ compared to 671.75 ± 340.85 cells/mm³ in those without hearing loss, p = 0.001). There was no significant association of hearing loss with ART regime. Hearing loss as a morbidity was seen in 21% ears. A significant association was seen between hearing loss and lower CD4 + counts in pediatric HIV-positive patients, emphasizing the need for regular audiological monitoring.
期刊介绍:
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.