Prevention and Treatment of Cochlear Implant–Related Infections in Children

Target Population: Pediatricians, infectious diseases specialists, otolaryngologists

Type: Evidence-based consensus guidelines

Key Points: Cochlear implants (CIs) are devices that provide a sensation of sound in individuals who are profoundly deaf or severely hard of hearing by electrically stimulating nerves inside the inner ear. Use of such devices is increasing, especially in children aged <3 years. Possible complications include surgical-site infections, complicated otitis media, inner ear infections, and bacterial (especially pneumococcal) meningitis. During episodes of acute otitis media, bacteria can enter the inner ear — where there is access to the cerebrospinal fluid (CSF) — thr…