Healthcare-Associated Ventriculitis in Children during COVID-19 Pandemic: Clinical Characteristics and Outcome of a First Infection.

Jesús David Licona-Enríquez, María Guadalupe Labra-Zamora, Alma Griselda Ramírez-Reyes, María Guadalupe Miranda-Novales

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Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 citing paper in PubMed.

Surgical Nuances in Ultrasound-Guided Percutaneous Distal Catheter Placement in Pediatric Ventriculoatrial Shunts.Cureus · 2025
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5 · Who and what money

Authors and funding

4 authors.

Jesús David Licona-EnríquezInfectious Diseases Department, Pediatric Hospital, National Medical Center, XXI Century, Mexican Institute of Social Security, Mexico City 06720, Mexico.

María Guadalupe Labra-ZamoraInfectious Diseases Department, Pediatric Hospital, National Medical Center, XXI Century, Mexican Institute of Social Security, Mexico City 06720, Mexico.

Alma Griselda Ramírez-ReyesNeurosurgery Department, Pediatric Hospital, National Medical Center, XXI Century, Mexican Institute of Social Security, Mexico City 06720, Mexico.

María Guadalupe Miranda-NovalesAnalysis and Synthesis of Evidence Research Unit, National Medical Center, XXI Century, Mexican Institute of Social Security, Mexico City 06720, Mexico.ORCID 0000-0003-3262-2608

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the COVID-19 pandemic, patients in need of neurosurgical care suffered. Elective procedures were postponed, and emergency care visits decreased. Healthcare-associated ventriculitis (HAV) is a serious problem in children, with poor outcomes and frequent relapses. Our objective was to describe the clinical characteristics and the factors associated with a first HAV in children during two years of the pandemic. A retrospective cross-sectional study was performed from January 2021 to December 2022. The inclusion criteria were patients who developed a first HAV after a primary cerebrospinal fluid diversion procedure. The controls included patients without a first infection. Intraoperative and clinical data were extracted from medical records. A total of 199 CSF diversion surgeries were registered. A first infection occurred in 17 patients (8.5%), including 10 with external ventricular drain (EVD) and 6 with ventricular shunts. Gram-positive cocci were identified in 70.6%. Six patients recovered uneventfully, eight had relapse or superinfections, and three eventually died. Twenty patients were included as controls. Factors associated with a first infection were a younger age (median 9 vs. 102 months,

Indexed as

COVID-19 pandemicCSF (cerebrospinal fluid) diversion procedureshealthcare-associated ventriculitisneurosurgerysurgical site infection

Identifiers

PMID37887202

DOI10.3390/antibiotics12101501

PMCPMC10604527

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