2017
DOI: 10.1016/j.jcf.2017.01.006
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The cumulative effects of intravenous antibiotic treatments on hearing in patients with cystic fibrosis

Abstract: Background Aminoglycosides (AGs) and glycopeptides are antibiotics essential for treating life-threatening respiratory infections in patients with cystic fibrosis (CF). The goal of this study was to examine the effects of cumulative intravenous AG (amikacin and/or tobramycin) and/or glycopeptide (vancomycin) dosing on hearing status. Methods Hearing thresholds were measured from 0.25 to 16.0 kHz, in 81 participants with CF. Participants were categorized into two groups: normal hearing in both ears (≤25 dB HL… Show more

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Cited by 87 publications
(73 citation statements)
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“…Nonetheless, these drugs can induce acute dose-dependent kidney failure (nephrotoxicity), and permanent hearing loss (cochleotoxicity; defined here as hearing loss in the conventional frequency range, i.e., <8 kHz) and/or balance disorders (vestibulotoxicity). Aminoglycoside-induced vestibulotoxicity and/or cochleotoxicity occurs in as many as 20% of patients who received these drugs intravenously for multiple days (Ariano et al, 2008 ; Al-Malky et al, 2015 ; Garinis et al, 2017a ). Hearing loss delays speech acquisition, education and psychosocial development, reducing employability, income and tax revenues (Jones and White, 1990 ; Järvelin et al, 1997 ; Mehl and Thomson, 1998 ; Naramura et al, 1999 ; Tambs, 2004 ), with a socioeconomic burden >$1,393,000 in 2015 dollars over the life-time of each pre-lingually deafened child (Mohr et al, 2000 ).…”
Section: Aminoglycoside Antibioticsmentioning
confidence: 99%
“…Nonetheless, these drugs can induce acute dose-dependent kidney failure (nephrotoxicity), and permanent hearing loss (cochleotoxicity; defined here as hearing loss in the conventional frequency range, i.e., <8 kHz) and/or balance disorders (vestibulotoxicity). Aminoglycoside-induced vestibulotoxicity and/or cochleotoxicity occurs in as many as 20% of patients who received these drugs intravenously for multiple days (Ariano et al, 2008 ; Al-Malky et al, 2015 ; Garinis et al, 2017a ). Hearing loss delays speech acquisition, education and psychosocial development, reducing employability, income and tax revenues (Jones and White, 1990 ; Järvelin et al, 1997 ; Mehl and Thomson, 1998 ; Naramura et al, 1999 ; Tambs, 2004 ), with a socioeconomic burden >$1,393,000 in 2015 dollars over the life-time of each pre-lingually deafened child (Mohr et al, 2000 ).…”
Section: Aminoglycoside Antibioticsmentioning
confidence: 99%
“…Aminoglycoside-induced ototoxicity can manifest as vestibulotoxicity (balance disorder) and/or cochleotoxicity (tinnitus and/or hearing loss) with intravenous aminoglycoside administration for multiple days, espe-cially if multiple courses of treatment are administered (24,(31)(32)(33). Ototoxicity prevalence varies from 2 to 25% for cochleotoxicity and 1 to 10% for vestibulotoxicity (24,(31)(32)(33). Ototoxicity may be permanent, occurs in a dosedependent manner, and is correlated with aminoglycoside blood concentration and duration of therapy; furthermore, patients may be genetically predisposed to ototoxicity via specific mitochondrial or nuclear genome mutations (33).…”
Section: Associated Toxicitiesmentioning
confidence: 99%
“…The effects of aging on the auditory system are considered the leading cause of adult-onset hearing loss [5]. The association between hearing loss and genetic mutations [6], noise exposure [7], use of ototoxic drugs in treatment [8,9], and chronic diseases such as hypertension and diabetes [10,11] has also been demonstrated in existent studies.…”
Section: Introductionmentioning
confidence: 99%