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    Original site: www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/cochlear-implants.html?CDC_AA_refVal=https:/www.cdc.gov/vaccines/vpd/mening/hcp/dis-cochlear-gen.html | RestoredCDC.org is an independent project, not affiliated with CDC or any federal entity. Visit CDC.gov for free official information. Due to archival on January 6, 2025, recent outbreak data is unavailable. Videos are not restored. Access data.restoredcdc.org for restored data. Use of this site implies acceptance of this disclaimer.
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    Clinical Overview Clinical Guidance Clinical Features Vaccine Recommendations View All
June 26, 2024
  Vaccines for People with Cochlear Implants
          Key points
            * People with cochlear implants are more likely to get bacterial meningitis than people without cochlear implants.
            * The bacteria Streptococcus pneumoniae (pneumococcus) causes most cases of bacterial meningitis in people with cochlear implants.
            * Due to their increased risk, CDC recommends pneumococcal vaccination for people who have or are candidates for cochlear implants.
            * Follow the recommended immunization schedule to ensure that your patients get the pneumococcal vaccines that they need.
        Risk
        People with cochlear implants are more likely to get bacterial meningitis than people without cochlear implants.
        In addition, some people who are candidates for cochlear implants have anatomic factors that may increase their risk for meningitis. These factors include facial and cranial abnormalities, including of the temporal bone and cochlea.
        Pneumococcal vaccine recommendations
        Recommendations for the timing and type of pneumococcal vaccination vary with age and vaccination history.
        Children
        Children who have or are candidates for cochlear implants may need pneumococcal vaccination. It depends on their age and which pneumococcal vaccines they've already received.
        Adults
        Pneumococcal vaccination is recommended for adults who have or are candidates for cochlear implants.
          Keep Reading: Summary of Risk-based Pneumococcal Vaccination Recommendations
        Other vaccines help protect against meningitis
        There's no evidence people with cochlear implants are more likely than people without cochlear implants to get meningitis due to
          * Haemophilus influenzae type b (Hib)
          * Meningococcal bacteria
        However, Hib and meningococcal vaccines are routinely recommended based on age and other risk factors.
        Resources
        Treatment and prevention
        Treatment and intervention for hearing loss
        AAP: Policy statement—Cochlear implants in children: Surgical site infections and prevention and treatment of acute otitis media and meningitis (2010)
        Hib vaccine recommendations
        Meningococcal vaccine recommendations
        Patient resource
        Cochlear implants and vaccine recommendations
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    Clinical Overview
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  June 26, 2024
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          Content Source:
        National Center for Immunization and Respiratory Diseases; Division of Bacterial Diseases
        Sources
          * Kahue CN, Sweeney AD, Carlson ML, Haynes DS. Vaccination recommendations and risk of meningitis following cochlear implantation. Curr Opin Otolaryngol Head Neck Surg. 2014;22(5):359–66.
          * Lalwani AK and Cohen NL. Does meningitis after cochlear implantation remain a concern in 2011?Otol Neurotol. 2012;33(1):93–5.
          * Lalwani AK and Cohen NL. Longitudinal risk of meningitis after cochlear implantation associated with the use of the positioner. Otol Neurotol. 2011;32(7):1082–5.
          * Thigpen MC, Whitney CG, Messonnier NE, et al. Bacterial meningitis in the United States, 1998-2007. N Engl J Med. 2011;364(21):2016–25.
          * Cohen NL and Hirsch BE. Current status of bacterial meningitis after cochlear implantation. Otol Neurotol. 2010;31(8):1325–8.
          * Rubin LG, Papsin B, Committee on Infectious Diseases and Section on Otolaryngology-Head and Neck Surgery. Cochlear implants in children: surgical site infections and prevention and treatment of acute otitis media and meningitis. Pediatrics. 2010;126:381.
          * Hsu HE, Shutt KA, Moore MR, et al. Effect of pneumococcal conjugate vaccine on pneumococcal meningitis. N Engl J Med. 2009;360(3):244–56.
          * Mancini P, D'Elia C, Bosco E, et al. Follow-up of cochlear implant use in patients who developed bacterial meningitis following cochlear implantation. Laryngoscope. 2008;118(8):1467–71.
          * Biernath KR, Reefhuis J, Whitney CG, et al. Bacterial meningitis among children with cochlear implants beyond 24 months after implantation. Pediatrics. 2006:117;2:284–89.
          * Wilson-Clark SD, Squires S, Deeks S, Centers for Disease Control and Prevention (CDC). Bacterial meningitis among cochlear implant recipients–Canada, 2002. MMWR Morb Mortal Wkly Rep. 2006;55(Suppl 1):20.
          * Cohen N, Ramos A, Ramsden R, et al. International consensus on meningitis and cochlear implants. Acta Otolaryngol. 2005;125:916.
          * Cohen NL, Roland JT Jr, Marrinan M. Meningitis in cochlear implant recipients: the North American experience. Otol Neurotol. 2004;25(3):275–81.
          * Nadol JB Jr Eddington DK. Histologic evaluation of the tissue seal and biologic response around cochlear implant electrodes in the human. Otol Neurotol. 2004;25(3):257–62.
          * Reefhuis J, Honein M, Whitney C, et al. Risk of bacterial meningitis in children with cochlear implants. N Engl J Med. 2003:349;5:435–45.
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