患有非原性脑部感染的儿童的临床特征和结果
Retaj Mohammad1,2, Cilian Ó Maoldomhnaigh3, Darach Crimmins2,4
1Discipline of Surgery, School of Medicine, National University of Ireland, Galway, Ireland.
British journal of neurosurgery
|December 27, 2023
概括
在儿童中,中枢神经系统的补性感染会导致持续的神经认知缺陷并影响生活质量. 男性性别和多重与出院后的较差结果有关.
科学领域:
- 儿科神经学 儿科神经学
- 传染性疾病 传染性疾病
- 神经外科 神经外科
背景情况:
- 中枢神经系统 (CNS) 性感染在儿童中很罕见,但严重.
- 关于这些儿科患者的长期神经认知和生活质量结果的数据有限.
研究的目的:
- 审查儿科中枢神经系统补性感染的临床和微生物学概况.
- 评估受影响儿童的长期神经,学术和生活质量后果.
主要方法:
- 16岁以下患有需要神经外科手术的非源性中枢神经系统感染的儿童的回顾性队列审查 (2008-2021年).
- 对临床/微生物学数据的分析和对神经学和学术结果的后续评估.
- 统计分析以确定与不利结果相关的因素 (p < 0.05).
主要成果:
- 包括40名儿科患者;常见的症状是发烧和吐.
- 脑膜炎/脑炎是最常见的原因 (40%);诱导因素包括先天性心脏病和早产.
- 男性性别和多重与出院时的不良结果相关;运动障碍影响了生活质量.
结论:
- 儿科中枢神经系统补充性感染与显著的长期神经认知后果有关.
- 男性患者和患有多重的人面临更差的结果.
- 对与健康相关的生活质量 (HRQoL) 的持续的多学科跟踪和研究至关重要.
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