<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8748</journal-id>
<journal-title><![CDATA[Acta Neurológica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Neurol Colomb.]]></abbrev-journal-title>
<issn>0120-8748</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87482017000200084</article-id>
<article-id pub-id-type="doi">10.22379/24224022138</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y paraclínicas de niños con meningitis bacteriana aguda en el Hospital Universitario San Vicente Fundación en Medellín, Colombia. 2011 - 2015: estudio descriptivo - retrospectivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and paraclinical characteristics in children with acute bacterial meningitis at the Hospital Universitario San Vicente Fundación, in Medellín, Colombia. 2011 - 2015: descriptive- retrospective study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Otero Flórez]]></surname>
<given-names><![CDATA[Julissa Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Navas]]></surname>
<given-names><![CDATA[María del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cornejo Ochoa]]></surname>
<given-names><![CDATA[José William]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Hemer]]></surname>
<given-names><![CDATA[Dagoberto Nicanor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina Departamento de Pediatría]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia Hospital Universitario San Vicente Fundación ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>84</fpage>
<lpage>93</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87482017000200084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87482017000200084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87482017000200084&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVOS: Describir las características clínicas y paraclínicas de niños entre 3 meses y 14 años diagnosticados con meningitis bacteriana aguda. Describir los hallazgos de neuroimágenes, especificar los gérmenes aislados en los pacientes y su patrón de susceptibilidad por antibiograma. Evidenciar las complicaciones neurológicas al egreso y documentar la frecuencia de la mortalidad que presentan los pacientes hospitalizados por meningitis bacteriana aguda (MBA) en el Hospital Universitario San Vicente Fundación (HUSVF).  MATERIALES Y MÉTODOS: Estudio de tipo descriptivo, retrospectivo. Se incluyeron los registros de pacientes con diagnóstico al egreso hospitalario de MBA desde el 1 de enero de 2011 al 31 de diciembre de 2015. Los datos fueron tomados de las historias clínicas de pacientes del Hospital Infantil del HUSVF. Los pacientes admitidos fueron aquellos niños entre 3 meses y 14 años con diagnóstico clínico de meningitis bacteriana aguda con LCR alterado y que cumplieran con uno o más de los siguientes requisitos: hemocultivos positivos, látex positivo, aislamiento en cultivo LCR, o clínica y evolución característica de MBA. Se extrajo información demográfica, manifestaciones clínicas al ingreso hospitalario y los hallazgos en los exámenes de laboratorio así como la presencia de complicaciones durante la estancia hospitalaria. Se utilizó el programa estadístico SPSS IBM statistics 23,0.  RESULTADOS: Se incluyeron en el estudio 44 pacientes con un promedio de edad de 63,7 meses (56,4 DE). Predominó el sexo masculino con 27 niños (61,4 %). La mayoría de los pacientes residían en el departamento de Antioquia 86,4%. Los síntomas más frecuentes fueron: fiebre en el 77,3 %, alteración del estado de conciencia en el 77,3 %, vómito en un 70,5 % y convulsiones en el 54,5 %. La cefalea solo se evidenció en el 40,9 % de los casos. Los signos de irritación meníngea también fueron visualizados en un gran porcentaje, la rigidez de nuca en el 70,5 %. En 30 pacientes la toma de la punción lumbar fue posterior al inicio del tratamiento antibiótico, es por esto que solo en el 22,5 % de los casos se pudo obtener aislamiento microbiológico en el cultivo de LCR, siendo S .pneumoniae el microorganismo predominante. El segundo microorganismo aislado en frecuencia fue H. influenzae no tipificable y N. meningitidis. En el 50 % de la muestra evaluada se observaron complicaciones neurológicas, entre ellas: algún tipo de déficit motor, epilepsia, hipoacusia neurosensorial, y compromiso de pares craneanos. La mortalidad fue del 13,6 %.  CONCLUSIÓN:  El Streptococcus pneumoniae es el agente causal más frecuente, aunque no se debe descuidar la vigilancia epidemiológica de H. influenzae no tipificable y Neisseria meningitidis. Este estudio nos muestra las dificultades que involucra la identificación de la etiología de la meningitis. Muchos casos recibieron antibióticos antes del diagnóstico definitivo. Aun utilizando todas las técnicas de laboratorio, un número considerable de pacientes permanecieron sin diagnóstico definitivo. Por lo tanto, conocer el perfil etiológico de las meningitis en una región, antes de ser una simple curiosidad médica, tiene valor fundamental en la toma de decisiones terapéuticas y profilácticas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  OBJECTIVES:  To describe the clinical and paraclinical features in children between 3 months and 14 years of age with acute bacterial meningitis diagnosis. To describe neuroimaging finds, to specify germs isolated and its susceptibility pattern by antiobiogram. To establish neurological after hospital discharge-effects and to document the frequency of mortality in hospitalized patients by ABM at San Vicente Foundation University Hospital (from HUSVF).  MATERIALS AND METHODS:  Retrospective-descriptive study. Registries of patients with acute bacterial meningitis diagnose at the moment of hospital discharge were included, since January 1, 2011 to December 31, 2015. Data was collected from medical histories at the HUSVF Children Hospital. Patients admitted were children between 3 months and 14 years of age with acute bacterial meningitis clinical diagnose having altered CSF; they also had to fulfill one ore more of the following requirements: positive hemoculture, positive latex, culture isolation of CSF, or clinical requirement and suggestive ABM evolution. Demographic information, clinical manifestations while hospital admission and findings in laboratory tests were extracted as well as after-effect presence and complications during the hospital-stay. SPSS IBM Statistics 23,0 was used.  RESULTS: 44 patients with an average of 63,7 months (SD 56,4) were included. Male sex was predominant with 27 boys (61,4%). Most of the patients (86,4%) lived in Antioquia, Colombia. Most frequent symptoms were: fever 77,3%, altered state of consciousness 77,3%, vomiting 70,5%, and seizure 54,5%. Only 40,9% of the cases showed headache. Meningeal irritation had also a high percentage, neck stiffness had 70,5%. Lumbar puncture was performed after antibiotic treatment in 30 patients, so that microbiological isolation in CSF culture was only possible in 22,5% of the cases, being the S. pneumoniae the predominant microorganism. The second isolated microorganism by frecuency was non typeable H. influenzae and N. meningitidis. Neurological deficits were observed in the 50% of the sample like: sort of motor deficit, epilepsy, sensorineural hearing loss, and alteration of cranial nerves. Mortality represented 13,6%.  CONCLUSIONS:  Streptococcus pneumoniae is the most frequent agent-cause though H. influenzae tipificable and Neisseria meningitides epidemiological monitoring must not be overlooked. This study shows difficulties involving meningitis etiology identification. Many of the cases get antibiotics before definitive diagnose. Although all laboratory techniques were used, representative number of patients remained without diagnoses. Therefore, to know meningitis etiological profile at a region is not only a simple medical curiosity, it is a fundamental basis for making therapeutic and prophylactic decisions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[meningitis]]></kwd>
<kwd lng="es"><![CDATA[manifestaciones clínicas]]></kwd>
<kwd lng="es"><![CDATA[líquido cefalorraquídeo]]></kwd>
<kwd lng="es"><![CDATA[punción lumbar]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[(DeCS)]]></kwd>
<kwd lng="en"><![CDATA[meningitis]]></kwd>
<kwd lng="en"><![CDATA[neurologic manifestations]]></kwd>
<kwd lng="en"><![CDATA[cerebrospinal fluid]]></kwd>
<kwd lng="en"><![CDATA[Spinal puncture]]></kwd>
<kwd lng="en"><![CDATA[(MeSH)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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