An audiological profile of a cohort of school-aged children with HIV and AIDS attending an antiretroviral clinic in South Africa

South African Journal of Communication Disorders

Field Value
Title An audiological profile of a cohort of school-aged children with HIV and AIDS attending an antiretroviral clinic in South Africa
Creator Peter, Vuyelwa Z. Paken, Jessica Joseph, Lavanithum
Subject Audiology;peadiatric assessment audiological profile; HIV; AIDS; hearing loss; school children.
Description Background: Recent estimates reveal that there are approximately 280 000 children between the ages of birth and 14 years who are living with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in South Africa. These children are living with a compromised immune system, are vulnerable to opportunistic infections and subsequent hearing loss. However, there is limited research on the nature and extent of this sensory impairment amongst school-aged children.Objective: This study aimed to determine an audiological profile of a cohort of school-aged children attending an antiretroviral (ARV) clinic, describing the occurrence of hearing loss and nature in terms of degree, type, configuration and symmetry.Methods: A non-experimental descriptive exploratory study was conducted, where 30 children aged between 6 and 12 years underwent diagnostic audiological assessments. Audiological procedures included case history, medical record review, otoscopic examination, immittance audiometry, pure-tone audiometry, speech audiometry, distortion product otoacoustic emissions (DPOAEs) and neurological auditory brainstem response (ABR) testing. The results were analysed descriptively using SPSS version 22 software.Results: The results indicated abnormal otoscopic findings in half the participants, and consequently type C tympanograms were the most common. Of the 28 participants who could be assessed with pure-tone audiometry, 15 (54%) showed a hearing loss. A bilateral rising mild, conductive hearing loss was predominant. Thirteen (43%) of the participants could not be tested using DPOAE because of outer and middle-ear pathology. Neurological ABR testing revealed an abnormality in 18 (60%) of the participants suggesting the sensitivity of the ABR to detect subtle neurological changes.Conclusion: Half the children in this study showed hearing loss, which has serious implications for the holistic management of the children within the health and educational contexts. Therefore, there is a need for audiological monitoring of children with HIV and AIDS.
Publisher AOSIS
Contributor KZN Health King Edward UKZN CHS Scholarship
Date 2020-04-20
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative;crossection;exploratory;descriptive
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v67i1.651
Source South African Journal of Communication Disorders; Vol 67, No 1 (2020); 9 pages 2225-4765 0379-8046
Language eng
Coverage South Africa; KwaZulu-Natal; Durban 21 century age;gender;ethnicity;
Rights Copyright (c) 2020 Vuyelwa Zandile Peter, Jessica Paken, Lavanithum Joseph