1
|
Effects of meteorological factor and air pollution on sudden sensorineural hearing loss using the health claims data in Busan, Republic of Korea. Am J Otolaryngol 2019; 40:393-399. [PMID: 30956004 DOI: 10.1016/j.amjoto.2019.02.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 02/01/2019] [Accepted: 02/18/2019] [Indexed: 02/04/2023]
Abstract
PURPOSE Specific meteorological factors, including air pollution in the form of particulate matter (PM), affect the development of otologic disease and have adverse effects on the cardiovascular and respiratory systems. This study investigated relationships between the development of sudden sensorineural hearing loss(SSNHL) and meteorological factor with air pollution including PM. MATERIALS AND METHODS The daily patient number in 2015 admitted to the hospital with SSNHL were extracted from the Health Insurance Review and Assessment Service Bigdata in Busan. The meteorological factors and air pollution data of Busan area were obtained from meteorological stations in Busan. The relationship between the number of hospitalizations and the climatic factors was checked. RESULTS SSNHL patient group showed more common in women, and the highest rates were observed in patients in their 50s. The daily mean patient numbers were 2.27. The number of SSNHL patients in spring was statistically significantly higher than that in summer. The mean daily PM10 and PM2.5 concentrations were 48.0 and 29.4 μg/m3, respectively. The mean wind speed, maximum wind speed and daily atmospheric pressure range was weakly positively associated with SSNHL patient number. There were weak negative correlations between maximum PM2.5 and SSNHL admissions. The mean temperature and wind chill index showed non-significantly negative relationships with SSNHL admissions. CONCLUSIONS In Busan area, statistically significant weak relationships were detected between the daily numbers of patients admitted to the hospital with SSNHL and meteorological data, including PM level. Further investigation of these associations is required.
Collapse
|
2
|
Rubella in Sub-Saharan Africa and sensorineural hearing loss: a case control study. BMC Public Health 2017; 17:146. [PMID: 28143602 PMCID: PMC5286841 DOI: 10.1186/s12889-017-4077-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Accepted: 01/27/2017] [Indexed: 11/10/2022] Open
Abstract
Background Rubella infection can affect several organs and cause birth defects that are responsible for congenital rubella syndrome (CRS). Congenital hearing loss is the most common symptom of this syndrome, occurring in approximately 60% of CRS cases. Worldwide, over 100 000 babies are born with CRS every year. There is no specific treatment for rubella, but the disease is preventable by vaccination. Since 1969, the rubella vaccine has been implemented in many countries, but in Africa, only a few countries routinely immunize against rubella. The aim of this study was to estimate the rate of infection from the wild-type rubella virus in São Tomé and Príncipe by determining rubella seroprevalence with a DBS method. The goal of this study was to reinforce the need for implementation of the rubella vaccine in this country. As secondary objectives, the validation of a DBS method was first attempted and an association between seroprevalence and hearing loss was assessed. Methods We collected samples from individuals observed during humanitarian missions in São Tomé and Príncipe. All individuals underwent an audiometric evaluation, and a drop of blood was collected for the dried blood spot (DBS). We define two groups: the case group (individuals with unilateral or bilateral hearing loss (HL)) and the control group (individuals with two normal ears). Patients were excluded if they suffered from conductive HL, if they showed evidence of possible causes of HL, if they had developmental delay or if they refused to participate in the study. Results Among the 315 subjects, we found 64.1% individuals with IgG for the rubella virus, 32.1% without immunity for the rubella virus and 3.8% who were borderline. In the control group, 62.6% were positive for the rubella IgG, whereas in the case group, 72% were positive. Analyzing both groups, with ages ranging from 2 to 14 years of age and from 15 to 35 years of age, we found a seroprevalence of 50.3% to rubella in the younger group and 82.1% in the older group, with a significant difference between cases and control group noted within the younger patients (p = 0.025). Conclusions Rubella is a disease that can be prevented. Rubella infections are still very common in São Tomé and Príncipe, and women of child-bearing age are still at risk for rubella infection during pregnancy, justifying the urgency of vaccination against rubella. A statistically significant association between the group of children under 14 years of age with HL and immunity for rubella was observed in this country, although this study did not allow us to establish a cause-effect relationship between rubella infection and SNHL.
Collapse
|
3
|
Caroça C, Vicente V, Campelo P, Chasqueira M, Caria H, Silva S, Paixão P, Paço J. Rubella in Sub-Saharan Africa and sensorineural hearing loss: a case control study. BMC Public Health 2017. [PMID: 28143602 DOI: 10.1186/s12889-017-4077-2.] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Rubella infection can affect several organs and cause birth defects that are responsible for congenital rubella syndrome (CRS). Congenital hearing loss is the most common symptom of this syndrome, occurring in approximately 60% of CRS cases. Worldwide, over 100 000 babies are born with CRS every year. There is no specific treatment for rubella, but the disease is preventable by vaccination. Since 1969, the rubella vaccine has been implemented in many countries, but in Africa, only a few countries routinely immunize against rubella. The aim of this study was to estimate the rate of infection from the wild-type rubella virus in São Tomé and Príncipe by determining rubella seroprevalence with a DBS method. The goal of this study was to reinforce the need for implementation of the rubella vaccine in this country. As secondary objectives, the validation of a DBS method was first attempted and an association between seroprevalence and hearing loss was assessed. METHODS We collected samples from individuals observed during humanitarian missions in São Tomé and Príncipe. All individuals underwent an audiometric evaluation, and a drop of blood was collected for the dried blood spot (DBS). We define two groups: the case group (individuals with unilateral or bilateral hearing loss (HL)) and the control group (individuals with two normal ears). Patients were excluded if they suffered from conductive HL, if they showed evidence of possible causes of HL, if they had developmental delay or if they refused to participate in the study. RESULTS Among the 315 subjects, we found 64.1% individuals with IgG for the rubella virus, 32.1% without immunity for the rubella virus and 3.8% who were borderline. In the control group, 62.6% were positive for the rubella IgG, whereas in the case group, 72% were positive. Analyzing both groups, with ages ranging from 2 to 14 years of age and from 15 to 35 years of age, we found a seroprevalence of 50.3% to rubella in the younger group and 82.1% in the older group, with a significant difference between cases and control group noted within the younger patients (p = 0.025). CONCLUSIONS Rubella is a disease that can be prevented. Rubella infections are still very common in São Tomé and Príncipe, and women of child-bearing age are still at risk for rubella infection during pregnancy, justifying the urgency of vaccination against rubella. A statistically significant association between the group of children under 14 years of age with HL and immunity for rubella was observed in this country, although this study did not allow us to establish a cause-effect relationship between rubella infection and SNHL.
Collapse
Affiliation(s)
- Cristina Caroça
- Otolaryngology Department, NOVA Medical School/Faculty of Medical Sciences, Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa, Portugal. .,Hospital CUF Infante Santo, Avenida Infante Santo, 34, 6°, 1350-079, Lisboa, Portugal. .,Centre for Toxicogenomics and Human Health (ToxOmics), NOVA Medical School / Faculty of Medical Sciences, Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa, Portugal.
| | - Vera Vicente
- CEDOC, NOVA Medical School/ Faculty of Medical Sciences, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Paula Campelo
- Hospital CUF Infante Santo, Avenida Infante Santo, 34, 6°, 1350-079, Lisboa, Portugal
| | - Maria Chasqueira
- CEDOC, NOVA Medical School/ Faculty of Medical Sciences, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Helena Caria
- Escola Superior de Tecnologia da Saúde de Lisboa, Avenida D. João II, Lote 4.69.01, 1990-096, Lisboa, Portugal.,BioISI-Biosystems and Integrative Sciences Institute, Faculty of Science of the University of Lisbon, Lisbon, Portugal.,ESS/IPS, School of Health, Polytechnic Institute of Setúbal, Setúbal, Portugal
| | - Susana Silva
- Otolaryngology Department, NOVA Medical School/Faculty of Medical Sciences, Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa, Portugal.,Centre for Toxicogenomics and Human Health (ToxOmics), NOVA Medical School / Faculty of Medical Sciences, Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa, Portugal
| | - Paulo Paixão
- CEDOC, NOVA Medical School/ Faculty of Medical Sciences, Universidade Nova de Lisboa, Lisboa, Portugal.,Clinical Pathology Laboratory-Labco, Hospital da Luz, Avenida Lusíada, 100, 1500-650, Lisboa, Portugal
| | - João Paço
- Otolaryngology Department, NOVA Medical School/Faculty of Medical Sciences, Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa, Portugal.,Hospital CUF Infante Santo, Avenida Infante Santo, 34, 6°, 1350-079, Lisboa, Portugal
| |
Collapse
|
5
|
Övet G, Alataş N, Kocacan FN, Gürcüoğlu SS, Görgülü H, Güzelkara F, Övet H. Sudden sensorineural hearing loss: Is antiviral treatment really necessary? Am J Otolaryngol 2015; 36:542-6. [PMID: 25749542 DOI: 10.1016/j.amjoto.2015.02.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Revised: 02/12/2015] [Accepted: 02/18/2015] [Indexed: 11/19/2022]
Abstract
OBJECTIVES It was aimed to investigate the necessity of antiviral agents in the ISSHL treatment. METHODS In this study, the patients, diagnosed with sudden hearing loss and admitted in the first 7 days of hearing loss were divided into two groups; a combination therapy was administered to one of the groups, and famciclovir was administered to the other group as an antiviral treatment in addition to the combined therapy. Both groups were compared in terms of levels of recovery. RESULTS No statistically significant difference was found in the recovery rates between the two groups (p=0.7). CONCLUSION In this study, the additional antiviral treatment was found to have no effect on the remission rates in patients with ISSHL treated with combined therapy.
Collapse
Affiliation(s)
- Gültekin Övet
- Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey.
| | - Necat Alataş
- Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey
| | - Fatma Nur Kocacan
- Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey
| | | | - Hakan Görgülü
- Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey
| | - Fatih Güzelkara
- Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey
| | - Habibe Övet
- Department of Microbiology, Konya Training and Research Hospital, Konya, Turkey
| |
Collapse
|
6
|
Liu Y, Li S. A Cell Culture Model of Latent and Lytic Herpes Simplex Virus Type 1 Infection in Spiral Ganglion. ORL J Otorhinolaryngol Relat Spec 2015; 77:141-9. [PMID: 26022499 DOI: 10.1159/000381679] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Accepted: 03/16/2015] [Indexed: 11/19/2022]
Abstract
PURPOSE OF THE STUDY Reactivation of latent herpes simplex virus type 1 (HSV-1) in spiral ganglion neurons (SGNs) is supposed to be one of the causes of idiopathic sudden sensorineural hearing loss. This study aims to establish a cell culture model of latent and lytic HSV-1 infection in spiral ganglia. PROCEDURES In the presence of acyclovir, primary cultures of SGNs were latently infected with HSV-1 expressing green fluorescent protein. Four days later, these cells were treated with trichostatin A (TSA), a known chemical reactivator of HSV-1. TCID50 was used to measure the titers of virus in cultures on Vero cells. RNA from cultures was detected for the presence of transcripts of ICP27 and latency-associated transcript (LAT) using reverse transcription polymerase chain reaction. RESULTS There is no detectable infectious HSV-1 in latently infected cultures, whereas they could be observed in both lytically infected and latently infected/TSA-treated cultures. LAT was the only detectable transcript during latent infection, whereas lytic ICP27 transcript was detected in lytically infected and latently infected/TSA-treated cultures. CONCLUSION Cultured SGNs can be both latently and lytically infected with HSV-1. Furthermore, latently infected SGNs can be reactivated using TSA, yielding infectious virus.
Collapse
Affiliation(s)
- Yuehong Liu
- Department of Otolaryngology, Eye and ENT Hospital of Fudan University, Shanghai, PR China
| | | |
Collapse
|
8
|
Merchant SN, Durand ML, Adams JC. Sudden deafness: is it viral? ORL J Otorhinolaryngol Relat Spec 2008; 70:52-60; discussion 60-2. [PMID: 18235206 DOI: 10.1159/000111048] [Citation(s) in RCA: 118] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
A number of theories have been proposed to explain the etiopathogenesis of idiopathic sudden sensorineural hearing loss (ISSHL), including viral infection, vascular occlusion, breaks of labyrinthine membranes, immune-mediated mechanisms and abnormal cellular stress responses within the cochlea. In the present paper, we provide a critical review of the viral hypothesis of ISSHL. The evidence reviewed includes published reports of epidemiological and serological studies, clinical observations and results of antiviral therapy, morphological and histopathological studies, as well as results of animal experiments. The published evidence does not satisfy the majority of the Henle-Koch postulates for viral causation of an infectious disease. Possible explanations as to why these postulates remain unfulfilled are reviewed, and future studies that may provide more insight are described. We also discuss other mechanisms that have been postulated to explain ISSHL. Our review indicates that vascular occlusion, labyrinthine membrane breaks and immune-mediated mechanisms are unlikely to be common causes of ISSHL. Finally, we review our recently proposed theory that abnormal cellular stress responses within the cochlea may be responsible for ISSHL.
Collapse
Affiliation(s)
- Saumil N Merchant
- Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.
| | | | | |
Collapse
|