University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Collected Works
  • Graeme Clark Collection
  • View Item
  • Minerva Access
  • Collected Works
  • Graeme Clark Collection
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Pneumococcal meningitis post cochlear implantation: preventative measures

    Thumbnail
    Download
    Pneumococcal meningitis post cochlear implantation: preventative measures (210.7Kb)

    Citations
    Scopus
    Altmetric
    11
    Author
    Wei, Benjamin P. C.; Shepherd, Robert K.; Robins-Browne, Roy M.; Clark, Graeme M.; O'Leary, Stephen J.
    Date
    2010
    Source Title
    Otolaryngology - Head and Neck Surgery
    Publisher
    Elsevier
    University of Melbourne Author/s
    Wei, Benjamin; Clark, Graeme; O'Leary, Stephen; Shepherd, Robert; Robins-Browne, Roy
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Wei, B. P. C., Shepherd, R. K., Robins-Browne, R. M., Clark, G. M., & O'Leary, S. J. (2010). Pneumococcal meningitis post cochlear implantation: preventative measures. Otolaryngology - Head and Neck Surgery, 143(5,s3), S9-S14.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/33351
    DOI
    10.1016/j.otohns.2010.08.011
    Description

    © 2010 American Academy of Otolaryngology–Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.

    Abstract
    Objectives: Both clinical data and laboratory studies demonstrated the risk of pneumococcal meningitis post cochlear implantation. This review examines strategies to prevent post implant meningitis. Data Sources: Medline search on topics related to pneumococcal meningitis post cochlear implantation. Review Methods: Comprehensive analysis of the published clinical and scientific laboratory research data. Results: The presence of inner ear trauma as a result of surgical technique or cochlear implant electrode array design was associated with a higher risk of post implant meningitis. Laboratory data demonstrated the effectiveness of pneumococcal vaccination in preventing meningitis induced via the haematogenous route of infection. Fibrous sealing around the electrode array at the cochleostomy site and the use of antibiotic coated electrode array reduced the risk of meningitis induced via an otogenic route. Conclusion: The recent scientific data supports the FDA recommendation of pneumococcal vaccination for the prevention of meningitis in implant recipients. Non-traumatic cochlear implant design, surgical technique and an adequate fibrous seal around the cochleostomy site further reduce the risk of meningitis.
    Keywords
    cochlear implants; meningitis; Streptococcus pneumoniae; routes of infection; threshold model; prevention; implant design and vaccination

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Graeme Clark Collection [896]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors