Pathological vestibular symptoms presenting in a group of adults with HIV/AIDS in Johannesburg, South Africa

Khoza-Shangase, Katijah; Rie, Kayla Jade Van

doi:10.1080/23120053.2016.1216816

Cited by 7 publications

(11 citation statements)

References 28 publications

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“…It was concerning that almost half the participants (47%) indicated that they would only sometimes wear gloves during evoked potentials and vestibular testing; however, it was encouraging that an equal number indicated that they would always wear gloves. It was important to note that about a quarter of the participants from Khoza-Shangase and Van Rie’s study (2017) reported that they had diminished hearing sensitivity since being diagnosed with HIV and AIDS. This is further supported by the literature from Heinze, Swanepoel and Hofmeyer (2011), in which reports of auditory and vestibular manifestations were identified in patients with HIV and AIDS (Heinze et al, 2011), necessitating audiological services.…”

Section: Discussionmentioning

confidence: 99%

“…Its treatment includes a group of antibiotics termed aminoglycosides, which are ototoxic and target the cochlea vestibular system. Managing individuals with TB requires the inclusion of the appropriate HCPs, including audiologists, who are essential in monitoring the effects of ototoxic medication on hearing (Khoza-Shangase, 2013). A South African study by Khoza-Shangase and Van Rie (2017) conducted with 96 participants from an HIV and AIDS research unit indicated that, of those diagnosed with HIV and AIDS, 14% reported co-occurring vestibular symptoms and 69% reported experiencing co-occurring audiological symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Managing individuals with TB requires the inclusion of the appropriate HCPs, including audiologists, who are essential in monitoring the effects of ototoxic medication on hearing (Khoza-Shangase, 2013). A South African study by Khoza-Shangase and Van Rie (2017) conducted with 96 participants from an HIV and AIDS research unit indicated that, of those diagnosed with HIV and AIDS, 14% reported co-occurring vestibular symptoms and 69% reported experiencing co-occurring audiological symptoms. Therefore, audiologists and speech therapists, and audiologists (A/STAs) in a South African context have numerous contacts with patients with communicable diseases and should implement effective IPC practices when in contact with all patients (Khoza-Shangase & Van Rie, 2017), thus embracing universal precautions.…”

Section: Introductionmentioning

confidence: 99%

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Infection prevention and control measures in audiology practice within public healthcare facilities in KwaZulu-Natal province, South Africa

Khan

Charles

Naidoo

et al. 2019

South African Journal of Communication Disorders

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BackgroundAudiologists have a clinical and ethical responsibility to create a working environment, designed to reduce the potential for cross-contamination or transmission of infections.ObjectivesTo describe the infection prevention and control (IPC) measures utilised and the opinions of audiologists and speech therapists, and audiologists (A/STAs) towards IPC in public healthcare facilities in KwaZulu-Natal province, South Africa.MethodA quantitative, descriptive survey was utilised and entailed completing an online questionnaire. The Cronbach’s alpha (0.82) indicated good internal consistency of the tool. Forty-nine A/STAs from 29 public healthcare facilities responded.ResultsMost participants (82%) followed a generic Department of Health policy on IPC, while 67% alluded to a discipline-specific policy. Participants had received training in infection control but indicated that further instruction was required for audiology-specific infection control procedures. Only 57% indicated that they ‘sometimes’ wore gloves with every patient during direct clinical contact. An association between the healthcare facility level and the wearing of gloves was found to be statistically significant (p = 0.025). Participants at regional and tertiary levels contended that gloves should be worn during most procedures versus those at district levels of care. While 96% washed their hands after each patient, only 76% washed their hands before each patient. Twenty-nine per cent indicated that they only ‘sometimes’ wore masks when in contact with patients with communicable diseases. Approximately one-third disinfected touch surfaces and toys, based on the clinician’s discretion. The majority (86%) of participants, however, always followed the correct protocol for medical waste disposal. Despite training and the availability of policies, some practitioners displayed poor IPC practices in terms of universal precautions, personal protective equipment, handwashing and sterilisation.ConclusionFurther education, training and awareness related to appropriate IPC measures are recommended for audiologists. It is envisaged that this will lead to more effective IPC measures in audiology practice thereby reducing the risk of infection transmission.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Infection prevention and control measures in audiology practice within public healthcare facilities in KwaZulu-Natal province, South Africa

Khan

Charles

Naidoo

et al. 2019

South African Journal of Communication Disorders

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“…Factors influencing health care in developing countries are numerous. South Africa has the largest number of people living with HIV/AIDS [7]. Disorders of the auditory and vestibular system, including otitis media, are often associated with HIV/AIDS [7, 8].…”

Section: Introductionmentioning

confidence: 99%

“…South Africa has the largest number of people living with HIV/AIDS [7]. Disorders of the auditory and vestibular system, including otitis media, are often associated with HIV/AIDS [7, 8]. Otitis media as a global middle ear disease is reported to be as high as 11% in some African countries, with severe economic implications [9].…”

Section: Introductionmentioning

confidence: 99%

Audiological function in a group of adults following myringoplasty: an exploratory study in South Africa

Khoza-Shangase¹,

Ramdin²

2019

Pan Afr Med J

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IntroductionChronic suppurative otitis media is a global middle ear disease with quality of life as economic implications, which are worse felt in low and middle income (LAMI) countries; thus the need for myringoplasty. This study aimed to explore audiological function in a group of adults following myringoplasty in South Africa, with an exploration of the possible influence of factors such as HIV/AIDS and type of surgical technique on hearing outcomes.MethodsWithin a retrospective chart review research design, 41 participant files for a six-year period from two academic hospitals in Johannesburg, South Africa, were reviewed. Data were analysed using both descriptive and inferential statistics.ResultsParticipant files comprised of 16 males and 25 females between 18-63 years. Findings revealed that clinically, overall hearing improved post-operatively, as indicated by improved tympanometry findings, pure tone air-conduction and speech reception thresholds. Descriptively, the predictors of improved hearing outcomes post-operatively appeared to be HIV negative status and butterfly cartilage inlay surgery as a surgical technique adopted. Although clinically, hearing outcomes improved post-operatively at all air-conduction frequencies tested; these clinical improvements were only statistically significant at specific frequencies.ConclusionCurrent findings provide useful initial evidence on the benefits of myringoplasty from the South African context; particularly because of the HIV/AIDS prevalence and its potential influence on middle ear disease and its management. Prospective efficacy studies with bigger sample sizes are recommended, with early identification strategies for middle ear disease to reduce the need for myringoplasty seriously considered bearing in mind the resource constraints.

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Vestibular assessment and management in adults

Seedat

Khoza-Shangase

Sebothoma

2018

Hearing Balance and Communication

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Background: There is scarcity of research in vestibular assessment and management within the South African context. Methods: The current study explored the current practices of South African Audiologists in the assessment and management of vestibular disorders in adults. A survey research methodology with a cross-sectional research design was adopted. The current study made use of a 29 item web-based survey, and surveyed 32 audiologists from across the country on their practices around vestibular assessment and management in adults presenting with vestibular symptoms. Data were analyzed using descriptive statistics. Results: Current findings revealed that 53% of participants in the study were conducting vestibular assessments, even though 75% reported seeing patients presenting with vestibular symptoms in their practices. 34.4% of participants indicated using a core test battery adapted to the patient’s case history when assessing patients with vestibular disorders. The most common assessments performed were peripheral vestibular examinations and oculomotor tests. Furthermore, a majority (59.4%) of the participants do not have any high-tech equipment at their practice. Of the sample, 62.5% of the participants do not perform vestibular management. Of the individuals who do perform vestibular management, vestibular rehabilitation therapy and canalith repositioning maneuvers were the most common treatment procedures performed. The most commonly referred to professional is the Ear, Nose and Throat specialist, and 50% of participants make 0-5 referrals per week for patients with vestibular disorders. With regards to the facilitators and barriers to practice, 53% indicated that lack of vestibular equipment was the main barrier to practice, whereas 50% indicated that the main facilitator to practice was the fact that there were patients presenting with vestibular symptoms. Conclusion: Current findings raise implications about the provision of vestibular function services in both public and private sectors in South Africa. Implications for training and resource planning and allocation are highlighted.

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Pathological vestibular symptoms presenting in a group of adults with HIV/AIDS in Johannesburg, South Africa

Cited by 7 publications

References 28 publications

Infection prevention and control measures in audiology practice within public healthcare facilities in KwaZulu-Natal province, South Africa

Infection prevention and control measures in audiology practice within public healthcare facilities in KwaZulu-Natal province, South Africa

Audiological function in a group of adults following myringoplasty: an exploratory study in South Africa

Vestibular assessment and management in adults

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