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The combined effect of noise and ami...
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Rees, Katherine C.
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The combined effect of noise and aminoglycoside antibiotic exposure on the auditory system of the pre-term infant.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
The combined effect of noise and aminoglycoside antibiotic exposure on the auditory system of the pre-term infant./
作者:
Rees, Katherine C.
面頁冊數:
199 p.
附註:
Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2298.
Contained By:
Dissertation Abstracts International68-04B.
標題:
Health Sciences, Audiology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3262495
The combined effect of noise and aminoglycoside antibiotic exposure on the auditory system of the pre-term infant.
Rees, Katherine C.
The combined effect of noise and aminoglycoside antibiotic exposure on the auditory system of the pre-term infant.
- 199 p.
Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2298.
Thesis (Ph.D.)--The Johns Hopkins University, 2007.
Purpose. This study examined the effects of exposure to noise, aminoglycosides, and related factors on the risk of hearing loss in pre-term infants hospitalized in a NICU.Subjects--Topical Terms:
1018138
Health Sciences, Audiology.
The combined effect of noise and aminoglycoside antibiotic exposure on the auditory system of the pre-term infant.
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199 p.
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Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2298.
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Thesis (Ph.D.)--The Johns Hopkins University, 2007.
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Purpose. This study examined the effects of exposure to noise, aminoglycosides, and related factors on the risk of hearing loss in pre-term infants hospitalized in a NICU.
520
$a
Background. Hearing loss occurs in 2%--15% of pre-term infants, versus 0.1%--0.3% in full-term infants. It is hypothesized that the combination of ototoxic exposures, such as noise and aminoglycosides, experienced in the NICU may explain much of this incidence.
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Methods. Noise exposure was modeled from measurements specific to the NICU. Exposure information regarding additional risk factors relating to hearing loss was obtained through a medical records review of former NICU patients. Using predicted noise exposure data along with other risk factor information, a model was developed to calculate the probability of hearing loss following NICU hospitalization.
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Results. Pre-term infants born <27 weeks gestational age who required aminoglycosides >7 days while exposed to noise levels produced by mechanical ventilation (>80 dBA) had a 68% probability of hearing loss, increasing to a 79% probability following in utero exposure to cigarette smoke. Regardless of gestational age, infants exposed to aminoglycosides and noise at levels >80 dBA were 14% more likely to fail a hearing screen than were infants exposed to aminoglycosides and noise <80 dBA.
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Conclusions. Exposure to high noise levels commonly measured in NICUs in combination with aminoglycosides increases the risk of hearing loss in pre-term infants, a risk that decreases as noise levels decrease. Thus, application of noise abatement strategies may decrease hearing loss incidence in NICU infants.
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