A proposed ototoxicity monitoring protocol based on specificity, feasibility, and early identification

Abstract

Ototoxicity is damage to inner ear structures resulting from exposure to an ototoxic medication. Ototoxic pharmacotherapy agents are commonly prescribed to treat infectious diseases and cancers. Establishment of an effective ototoxicity monitoring protocol can improve patient quality of life by focusing on feasibility, specificity, and early identification. Currently ototoxicity monitoring protocols exist, however these programs have inconsistency in success. In relation to developing countries, the need for an ototoxicity monitoring protocol is imperative as the use of ototoxic medications increase. However, U.S. guidelines are not feasible for application in these rural, developing countries due to resource restrictions. A literature review was conducted to evaluate the components of current programs. This study aims to propose a protocol that embellishes early identification and intervention through implementation of the most effective, precise, and feasible components.