Bone-Anchored Hearing Aid Infections in Immunocompromised Patients: Case Summary and Literature Review

AbstractBone-anchored hearing aids (BAHA implants) have been shown to result in increased auditory capabilities and subsequently higher life quality in patients with hearing loss. Complications surrounding the implants are typically minor; however, the presence of the implant can cause serious infections in patients who have cancer or are otherwise immunocompromised. This article details on one such interesting case, in which tissue surrounding the BAHA implant of a neutropenic patient was infected by Staphylococcus epidermidis.

[1]  M. Otto Staphylococcal biofilms. , 2008, Current topics in microbiology and immunology.

[2]  Y. Guldiken,et al.  Transcutaneous Bone-anchored Hearing Aids Versus Percutaneous Ones: Multicenter Comparative Clinical Study , 2015, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[3]  P. Cayé-Thomasen,et al.  Long-term Results of 185 Consecutive Osseointegrated Hearing Device Implantations: A Comparison Among Children, Adults, and Elderly , 2014, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[4]  G. Dimitriou,et al.  Coagulase-negative staphylococcal bloodstream and prosthetic-device-associated infections: the role of biofilm formation and distribution of adhesin and toxin genes. , 2014, Journal of medical microbiology.

[5]  A. Ashshi,et al.  Clinically significant Coagulase Negative Staphylococci and their antibiotic resistance pattern in a tertiary care hospital. , 2014, JPMA. The Journal of the Pakistan Medical Association.

[6]  S. Solmaz,et al.  [An unusual cause of febrile neutropenia: brucellosis]. , 2014, Mikrobiyoloji bulteni.

[7]  S. Foghsgaard [The bone-anchored hearing aid]. , 2014, Ugeskrift for laeger.

[8]  A. Charpiot,et al.  BAHA implant: implantation technique and complications. , 2014, European annals of otorhinolaryngology, head and neck diseases.

[9]  A. Asma,et al.  Surgical Outcome of Bone Anchored Hearing Aid (Baha) Implant Surgery: A 10 Years Experience , 2013, Indian Journal of Otolaryngology and Head & Neck Surgery.

[10]  A. Reid,et al.  Biofilm formation on bone-anchored hearing aids , 2011, The Journal of Laryngology & Otology.

[11]  Rashmi,et al.  Speciation of clinically significant coagulase negative staphylococci and their antibiotic resistant patterns in a tertiary care hospital. , 2011 .

[12]  R. Eikelboom,et al.  Long-Term Benefit Perception, Complications, and Device Malfunction Rate of Bone-Anchored Hearing Aid Implantation for Profound Unilateral Sensorineural Hearing Loss , 2010, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[13]  B. Hathiram,et al.  Hearing with Bone-anchored Hearing Aid (BAHA) , 2010 .

[14]  K. Green,et al.  Complications of bone-anchored hearing aid implantation. , 2010, The Journal of laryngology and otology.

[15]  A. Arya,et al.  Long-term complications of bone-anchored hearing aids: a 14-year experience , 2008, The Journal of Laryngology & Otology.

[16]  A. Hagr BAHA: Bone-Anchored Hearing Aid. , 2007, International journal of health sciences.

[17]  R. Yellon Bone anchored hearing aid in children--prevention of complications. , 2007, International journal of pediatric otorhinolaryngology.

[18]  M. Pichichero Use of selected cephalosporins in penicillin-allergic patients: a paradigm shift. , 2007, Diagnostic microbiology and infectious disease.

[19]  J. W. House,et al.  Bone-Anchored Hearing Aids: Incidence and Management of Postoperative Complications , 2007, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[20]  S. Marzo,et al.  Perioperative Complications with the Bone-Anchored Hearing Aid , 2006, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[21]  Perry J. Johnson,et al.  The Use of Full-Thickness Skin Grafts for the Skin-Abutment Interface around Bone-Anchored Hearing Aids , 2003, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[22]  P E Ochsner,et al.  Role of rifampin for treatment of orthopedic implant-related staphylococcal infections: a randomized controlled trial. Foreign-Body Infection (FBI) Study Group. , 1998, JAMA.

[23]  B. Andersen,et al.  Clinically significant coagulase-negative staphylococci: identification and resistance patterns. , 1992, The Journal of hospital infection.

[24]  A. Mudry Bone-anchored hearing aids (BAHA): skin healing process for skin flap technique versus linear incision technique in the first three months after the implantation. , 2009, Revue de laryngologie - otologie - rhinologie.

[25]  L. Bjursten,et al.  Soft tissue reactions around percutaneous implants: a clinical study of soft tissue conditions around skin-penetrating titanium implants for bone-anchored hearing aids. , 1988, The American journal of otology.