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Risk of Bacterial Meningitis in Children with Cochlear Implants

About the 2004 Study

Home | About the 2002 Study | About the 2004 Study | Recommendations | Questions and Answers | Resources (pdf)

Background

The study completed in 2002 found that bacterial meningitis occurred more often in children with any type of cochlear implant than in children of the same age group in the general population who did not have cochlear implants.  The group of children that was studied in 2002 had cochlear implants for two years or less at the time the study was conducted.  After the 2002 study was finished, the Food and Drug Administration (FDA) continued to receive reports of bacterial meningitis in children who had cochlear implants.  Some of these children got meningitis more than two years after they first received their cochlear implant.  The researchers wanted to know if the increased risk of bacterial meningitis continued more than two years after cochlear implant surgery.

Conducting the study

The 2004 study was conducted similarly to the 2002 study.  The same group of children was studied in both the 2002 and 2004 investigations. When information was collected for the 2004 investigation, the children were older and had had their implants in place longer than they did during the 2002 investigation.  Potential cases of bacterial meningitis in these children were identified from the FDA Adverse Events Reporting System.  The researchers also asked the implant manufacturers and CDC, state, and local health department tracking systems about cases of meningitis that were reported to them, however, no other cases were found.  The researchers learned more about these cases from the medical records of hospitalizations for meningitis.

Study findings

The study found that even two years after implant surgery, children with cochlear implants with a positioner were at greater risk of developing bacterial meningitis than children in the general US population. A positioner is a small rubber wedge that helps the physician position the implant during surgery.  Only Advanced Bionics Corporation sold an implant that had a positioner, and none were implanted after July 2002.

Recommendations

Home | About the 2002 Study | About the 2004 Study | Recommendations | Questions and Answers | Resources (pdf)

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Date: October 27, 2006
Content source: National Center on Birth Defects and Developmental Disabilities

 

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