Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
J Bras Pneumol. 2012 Jan-Feb;38(1):81-7. doi: 10.1590/s1806-37132012000100012.
To evaluate the hearing status of patients being treated for pulmonary tuberculosis at referral hospitals in Brazil.
This was a descriptive study involving 97 male and female inpatients/outpatients between 18 and 60 years of age who were undergoing treatment for active pulmonary tuberculosis at one of two referral hospitals in the state of Rio de Janeiro. After being interviewed, all of the patients underwent pure tone audiometry.
Of the 97 patients studied, 65 (67%) were male, 52 (54%) were receiving first-line treatment, and 45 (46%) were receiving second-line treatment, which included aminoglycosides. Smoking, alcohol consumption, exposure to noise, and ototoxic medication use were identified in 65 (67%), 51 (53%), 53 (55%), and 45 (46.4%) of the patients, respectively. The most common auditory and vestibular complaints were dizziness, in 28 patients (28.8%); tinnitus, in 27 (27.8%); and hypoacusis, in 23 (23.7%).
Due to the great number of patients with hearing loss in the present study, we recommend that all patients under tuberculosis treatment be submitted to auditory monitoring.
评估巴西转诊医院治疗肺结核患者的听力状况。
这是一项描述性研究，涉及 97 名年龄在 18 至 60 岁之间的男性和女性住院/门诊患者，他们正在里约热内卢州的两家转诊医院之一接受活动性肺结核治疗。在接受访谈后，所有患者均接受了纯音测听。
在所研究的 97 名患者中，65 名（67%）为男性，52 名（54%）接受一线治疗，45 名（46%）接受二线治疗，其中包括氨基糖苷类药物。65 名（67%）、51 名（53%）、53 名（55%）和 45 名（46.4%）患者分别存在吸烟、饮酒、噪声暴露和耳毒性药物使用情况。最常见的听觉和前庭主诉是头晕，28 名患者（28.8%）；耳鸣，27 名（27.8%）；听力下降，23 名（23.7%）。
由于本研究中听力损失的患者数量众多，我们建议所有接受肺结核治疗的患者都应进行听觉监测。
