What’s New in Ototoxicity Management?

Details

• Personal Author:
  Dreisbach L ; Fernandez KA ; Garinis A ; Knight K ; Konrad-Martin D ; Morata, Thais C. ; Poling GL ; Reavis KM ; Sanchez VA
• Description:
  Purpose: Ototoxic medications and chemical agents in the workplace can put individuals' hearing and vestibular health at risk for permanent injury. Proactive ototoxicity management (OtoM) strategies aim to minimize exposure, avoid onset of symptoms, provide ongoing monitoring, and manage auditory and vestibular changes as the clinical needs of the patient evolve. During a 2021 American Speech-Language-Hearing Association Special Interest Groups Open House, members of the International Ototoxicity Management Group discussed how best to integrate OtoM into routine clinical practice, what tools to use, and what special considerations need to be understood to best support patients and their families. Here, we have summarized their viewpoints to encourage widespread adoption of improved OtoM services for at-risk individuals. Conclusions: The field of audiology needs to move to a place where we better understand the full extent of ototoxicity and can agree on expanding minimum guidelines that can be implemented more universally to mitigate, detect, and manage the damage from ototoxic exposures. Only recently has our field seen a therapeutic drug that can protect against ototoxicity; however, the population served is restricted only to children receiving treatment for nonmetastatic carcinoma. This is hopefully just the beginning of future therapeutic interventions to come, but, in the meantime, ototoxicity resulting from other medications in different patient populations and chemical agents persists. [Description provided by NIOSH]
• Subjects:
  Hazardous Substances Hearing Occupational Health Safety
• Keywords:
  Auditory System Chemical Hazards Clinical Symptoms Medicinal Chemicals Ototoxicity Vestibular Disorders
• ISSN:
  2381-473X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  California ; Florida ; Maryland ; Minnesota ; Ohio ; Oregon ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 9 ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  113-123
• Volume:
  9
• Issue:
  1
• NIOSHTIC Number:
  nn:20069282
• Citation:
  Perspect ASHA Spec Interest Groups 2024 Feb; 9(1):113-123
• Contact Point Address:
  Laura Dreisbach, School of Speech, Language, and Hearing Sciences, San Diego State University, CA
• Email:
  ldreisba@sdsu.edu
• Federal Fiscal Year:
  2024
• NORA Priority Area:
  Construction ; Manufacturing
• Peer Reviewed:
  True
• Source Full Name:
  Perspectives of the ASHA Special Interest Groups
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6fa2af093a3588ac37a2f527c7edce37966a4b83910916285449d81123eeff134ee2654e14c9bccd2877b50042e3324719b23f3ebe5409f6ed96ffc5f93c89d5
• Download URL:
  https://stacks.cdc.gov/view/cdc/207786/cdc_207786_DS1.pdf
• File Type:
  [PDF - 169.42 KB ]