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Hearing of neonates without risk indicators for hearing loss and use of antimalarial drugs during pregnancy: a historical cohort study in the Northern Region of Brazil.
Patatt, Fernanda Soares Aurélio; Sampaio, André Luiz Lopes; Tauil, Pedro Luiz; Oliveira, Carlos Augusto Costa Pires de.
Afiliação
  • Patatt FSA; Universidade Federal de Santa Catarina (UFSC), Curso de Fonoaudiologia, Florianópolis, SC, Brazil; Universidade de Brasília (UnB), Ciências da Saúde, Brasília, DF, Brazil. Electronic address: fernandaurelio@yahoo.com.br.
  • Sampaio ALL; Universidade de Brasília (UnB), Faculdade de Medicina, Brasília, DF, Brazil.
  • Tauil PL; Universidade de Brasília (UnB), Faculdade de Medicina, Programa de Pós-Graduação em Medicina Tropical, Brasília, DF, Brazil.
  • Oliveira CACP; Universidade de Brasília (UnB), Brasília, DF, Brazil.
Braz J Otorhinolaryngol ; 87(1): 19-27, 2021.
Article em En | MEDLINE | ID: mdl-31387792
INTRODUCTION: Studies have demonstrated the ototoxic effects of antimalarial drugs in individuals who receive these drugs, but little is known regarding the toxicity of these drugs in the newborn auditory system when administered to the mother receive the drug during pregnancy. OBJECTIVE: To verify the incidence of hearing loss in neonates who have no other associated risk indicators, born to mothers treated for malaria during pregnancy. METHODS: A retrospective, quantitative cohort study was developed at Hospital de Base Dr. Ary Pinheiro and Clínica Limiar, both located in the municipality of Porto Velho (Rondônia). The sample consisted of 527 newborns divided into two groups: exposed to antimalarials drugs during pregnancy group (n = 32) and non-exposed group (n = 495). Data collection took place from September 2014 to December 2015, through an interview with the mothers and/or guardians of the newborn, through the newborns' and the mothers' records, and the neonatal hearing screening database of the above-mentioned institutions. RESULTS: All the neonates in the exposed group, assessed through the recording of transient otoacoustic emissions associated with the automated brainstem auditory evoked potential test, underwent neonatal hearing screening in the first examination. Among the newborns in the non-exposed group, 30 showed failure and were retested. Of these, one continued to fail and was referred for diagnosis, in whom the results showed to be within the normal range. Among the neonates of the exposed group, infection with Plasmodium vivax was the most frequent, and was similarly distributed among the gestational trimesters, and chloroquine was the most commonly used antimalarial drug treatment more often given during the third trimester; these findings did not show any influence on the audiological findings of the studied neonates. CONCLUSION: The present study did not identify any cases of hearing loss in neonates born to mothers who used antimalarial drugs during gestation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perda Auditiva / Antimaláricos Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perda Auditiva / Antimaláricos Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Newborn / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de publicação: Brasil