Meningitis Vaccination Vital After Cochlear Implantation

[Guest guest]

Nursing Times magazine, August 20, 2004

Meningitis vaccination vital after cochlear implantation

New research suggests that children under six given cochlear implants

should also receive 7-valent pneumococcal conjugate vaccine (PCV-7) to prevent

bacterial meningitis.

The authors of the study, published in The Journal of Infectious Diseases,

say that older high risk implant patients, such as those with a history of

meningitis, should also be immunised.

They say pneumococcal meningitis has emerged as a rare but serious risk

after cochlear implantation and an earlier study found that cochlear implants

are associated with a more than 30-fold increased risk of pneumococcal

meningitis.

Children who have had bacterial meningitis are at particularly high risk

of recurrence after cochlear implantation, but there have been concerns that

routine vaccinations may not be adequate to prevent infection.

The current research studied the immunogenicity of pneumococcal vaccine in

174 cochlear implant patients.

A subgroup of patients received 23-valent pneumococcal polysaccharide

vaccine (PPV-23) instead of PCV-7.

PPV-23 produced a weaker immune response than PCV-7, the researchers

found.

The authors recommend immunization with PCV-7 for all cochlear implant

recipients younger than 6, and for those 6 and older with risk factors, such as

a history of bacterial meningitis or cranial malformation.

Reference: Rose M et al (2004) Immunogenicity of Pneumococcal Vaccination

of Patients with Cochlear Implants J Infect Dis 190 (3) 551-557

Link to the article:

http://www.nursingtimes.net/nav?page=nt.news.story & resource=1175020

[Guest guest]

Bob,

Thanks for sending this. This was a thread that was discussed just this past

week. My opinion is that for the sake of safety, when considering a CI or if

you have had one, it's best to follow the FDA recommendation and have the

inoculations that are recommended both adult and child. We have other

preventive inoculations - why not this?

Alice

Nursing Times magazine, August 20, 2004

Meningitis vaccination vital after cochlear implantation

New research suggests that children under six given cochlear implants

should also receive 7-valent pneumococcal conjugate vaccine (PCV-7) to prevent

bacterial meningitis.

The authors of the study, published in The Journal of Infectious

Diseases, say that older high risk implant patients, such as those with a

history of meningitis, should also be immunised.

They say pneumococcal meningitis has emerged as a rare but serious risk

after cochlear implantation and an earlier study found that cochlear implants

are associated with a more than 30-fold increased risk of pneumococcal

meningitis.

Children who have had bacterial meningitis are at particularly high risk

of recurrence after cochlear implantation, but there have been concerns that

routine vaccinations may not be adequate to prevent infection.

The current research studied the immunogenicity of pneumococcal vaccine

in 174 cochlear implant patients.

A subgroup of patients received 23-valent pneumococcal polysaccharide

vaccine (PPV-23) instead of PCV-7.

PPV-23 produced a weaker immune response than PCV-7, the researchers

found.

The authors recommend immunization with PCV-7 for all cochlear implant

recipients younger than 6, and for those 6 and older with risk factors, such as

a history of bacterial meningitis or cranial malformation.

Reference: Rose M et al (2004) Immunogenicity of Pneumococcal

Vaccination of Patients with Cochlear Implants J Infect Dis 190 (3) 551-557

Link to the article:

http://www.nursingtimes.net/nav?page=nt.news.story & resource=1175020<http://www.n\

ursingtimes.net/nav?page=nt.news.story & resource=1175020>

[Guest guest]

Bob,

Glad you saw this and sent it on......this is later information than

what I had passed on last week. The AB website also includes the

information that this innoculation should be obtained. Personally, I

will also ensure my tetanus and Hepatis-B vaccinations are up-to-date

before I have my surgery done.

--Gayle

> Nursing Times magazine, August 20, 2004

>

> Meningitis vaccination vital after cochlear implantation

>

>

>

> New research suggests that children under six given cochlear

implants should also receive 7-valent pneumococcal conjugate vaccine

(PCV-7) to prevent bacterial meningitis.

>

>

> The authors of the study, published in The Journal of

Infectious Diseases, say that older high risk implant patients, such

as those with a history of meningitis, should also be immunised.

>

>

> They say pneumococcal meningitis has emerged as a rare but

serious risk after cochlear implantation and an earlier study found

that cochlear implants are associated with a more than 30-fold

increased risk of pneumococcal meningitis.

>

>

> Children who have had bacterial meningitis are at

particularly high risk of recurrence after cochlear implantation, but

there have been concerns that routine vaccinations may not be

adequate to prevent infection.

>

>

> The current research studied the immunogenicity of

pneumococcal vaccine in 174 cochlear implant patients.

>

>

> A subgroup of patients received 23-valent pneumococcal

polysaccharide vaccine (PPV-23) instead of PCV-7.

>

>

> PPV-23 produced a weaker immune response than PCV-7, the

researchers found.

>

>

> The authors recommend immunization with PCV-7 for all

cochlear implant recipients younger than 6, and for those 6 and older

with risk factors, such as a history of bacterial meningitis or

cranial malformation.

>

>

> Reference: Rose M et al (2004) Immunogenicity of Pneumococcal

Vaccination of Patients with Cochlear Implants J Infect Dis 190 (3)

551-557

>

> Link to the article:

> http://www.nursingtimes.net/nav?

page=nt.news.story & resource=1175020

>

>

>

[Guest guest]

My daughters Early Start teacher just contracted meningitis, they tell us it's

not contagious, but it worries me. has the implant and ear tubes due to

multiple ear infections. Ironic after these discussions. I'm going to contact

her pediatrician to find out about this shot.

A ADAMS <justagram14@...> wrote:Bob,

Thanks for sending this. This was a thread that was discussed just this past

week. My opinion is that for the sake of safety, when considering a CI or if

you have had one, it's best to follow the FDA recommendation and have the

inoculations that are recommended both adult and child. We have other

preventive inoculations - why not this?

Alice

Nursing Times magazine, August 20, 2004

Meningitis vaccination vital after cochlear implantation

New research suggests that children under six given cochlear implants

should also receive 7-valent pneumococcal conjugate vaccine (PCV-7) to prevent

bacterial meningitis.

The authors of the study, published in The Journal of Infectious

Diseases, say that older high risk implant patients, such as those with a

history of meningitis, should also be immunised.

They say pneumococcal meningitis has emerged as a rare but serious risk

after cochlear implantation and an earlier study found that cochlear implants

are associated with a more than 30-fold increased risk of pneumococcal

meningitis.

Children who have had bacterial meningitis are at particularly high risk

of recurrence after cochlear implantation, but there have been concerns that

routine vaccinations may not be adequate to prevent infection.

The current research studied the immunogenicity of pneumococcal vaccine

in 174 cochlear implant patients.

A subgroup of patients received 23-valent pneumococcal polysaccharide

vaccine (PPV-23) instead of PCV-7.

PPV-23 produced a weaker immune response than PCV-7, the researchers

found.

The authors recommend immunization with PCV-7 for all cochlear implant

recipients younger than 6, and for those 6 and older with risk factors, such as

a history of bacterial meningitis or cranial malformation.

Reference: Rose M et al (2004) Immunogenicity of Pneumococcal

Vaccination of Patients with Cochlear Implants J Infect Dis 190 (3) 551-557

Link to the article:

http://www.nursingtimes.net/nav?page=nt.news.story & resource=1175020<http://www.n\

ursingtimes.net/nav?page=nt.news.story & resource=1175020>

[Guest guest]

I thnk that's an excellent idea, and please let us know what happens with

this. I can certainly understand your concerns.

Alice

Re: Meningitis Vaccination Vital After Cochlear Implantation

My daughters Early Start teacher just contracted meningitis, they tell us it's

not contagious, but it worries me. has the implant and ear tubes due to

multiple ear infections. Ironic after these discussions. I'm going to contact

her pediatrician to find out about this shot.

A ADAMS <justagram14@...<mailto:justagram14@...>> wrote:Bob,

Thanks for sending this. This was a thread that was discussed just this past

week. My opinion is that for the sake of safety, when considering a CI or if

you have had one, it's best to follow the FDA recommendation and have the

inoculations that are recommended both adult and child. We have other

preventive inoculations - why not this?

Alice

Nursing Times magazine, August 20, 2004

Meningitis vaccination vital after cochlear implantation