Middle ear pathologies in children living with HIV: A scoping review.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Ben Sebothoma, Minkhenso Maluleke
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引用次数: 0

Abstract

Background:  Middle ear pathologies are associated with and persist in individuals living with human immunodeficiency virus (HIV). Yet, limited research exists on middle ear pathologies in children living with human immunodeficiency viruses.

Objective:  To systematically review evidence of middle ear pathologies in children living with HIV, how it is described, measures used to describe it and other relevant information.

Methods:  This study was a scoping review. The data were collected from different electronic databases including PubMed, Scopus, Science Direct, ProQuest, and Web of Science. The electronic database search was conducted for articles published between January 2010 and December 2020. Keywords used for searching relevant articles included 'middle ear pathology', 'middle ear disorder', 'children', 'HIV', 'otitis media (OM)', 'hearing loss (HL)', 'hearing impairment', 'paediatric', 'minors', 'infants' and 'HIV/AIDS'. Only articles that were published in English and reported on the middle ear function and pathologies of children living with HIV were considered.

Results:  A total of 350 articles were extracted through databases, but only six studies were eligible and included for further analysis. Studies reviewed suggested that middle ear pathologies in children living with HIV exist and are common. Recurrent OM, type B tympanogram, chronic OM and HL with conductive element were common. Tympanometry with a 226 Hz probe tone and air bone gap were used commonly to establish the presence of middle ear pathology.

Conclusion:  The findings of this study highlighted that despite the dearth of evidence in this area, available evidence indicates that children living with HIV are at increased risk of middle ear pathology. However, studies in this review have mostly used middle ear measures with poor sensitivity and specificity. Therefore, the prevalence and nature of middle ear pathologies in studies reviewed may have been underreported. Further research using sensitive measures such as wideband acoustic immittance is required. Despite the paucity of evidence, the current findings raise important clinical implications for the assessment and management of middle ear pathologies in children living with HIV.Contribution: This study makes a significant contribution to the literature regarding middle ear pathologies and HIV, particularly in children.

Abstract Image

艾滋病病毒感染儿童的中耳病变:范围综述。
背景: 中耳病变与人类免疫缺陷病毒(HIV)感染者有关,并且在感染者中持续存在。然而,有关人类免疫缺陷病毒感染儿童中耳病变的研究却十分有限: 系统回顾艾滋病病毒感染儿童中耳病变的证据、描述方法、描述方法及其他相关信息: 本研究为范围界定研究。数据来自不同的电子数据库,包括 PubMed、Scopus、Science Direct、ProQuest 和 Web of Science。电子数据库搜索的是 2010 年 1 月至 2020 年 12 月间发表的文章。用于搜索相关文章的关键词包括 "中耳病理学"、"中耳疾病"、"儿童"、"HIV"、"中耳炎(OM)"、"听力损失(HL)"、"听力损伤"、"儿科"、"未成年人"、"婴儿 "和 "HIV/AIDS"。仅考虑以英文发表的、报道艾滋病病毒感染儿童中耳功能和病理的文章: 结果:通过数据库共提取了 350 篇文章,但只有 6 项研究符合条件并被纳入进一步分析。综述的研究表明,艾滋病病毒感染儿童的中耳病变是存在的,而且很常见。复发性中耳炎、B型鼓室造影、慢性中耳炎和伴有传导因素的中耳炎很常见。通常使用 226 赫兹探头音和气骨间隙进行鼓室测量,以确定是否存在中耳病变: 本研究结果强调,尽管这方面的证据不足,但现有证据表明,感染艾滋病毒的儿童患中耳病变的风险增加。然而,本综述中的研究大多采用了敏感性和特异性较差的中耳测量方法。因此,在所回顾的研究中,中耳病变的发病率和性质可能被低估了。需要使用宽带声沉等敏感性测量方法进行进一步研究。尽管证据不足,但目前的研究结果对评估和管理艾滋病病毒感染儿童的中耳病变具有重要的临床意义:本研究为有关中耳病变和艾滋病病毒(尤其是儿童)的文献做出了重要贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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