Ventriculitis: experiencia en un servicio de neonatología
Experience Of Ventriculitis In A Neonatology Department
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Gómez del Castillo" "autores" => array:8 [ 0 => array:3 [ "nombre" => "N." "apellidos" => "Nieto del Rincón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "de Alba Romero" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "P." "apellidos" => "Egea Nadal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "F." "apellidos" => "Mateos Beato" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "M.L." "apellidos" => "Peralta Ibáñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "J.T." "apellidos" => "Ramos Amador" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "M." "apellidos" => "Miralles Molina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 7 => array:3 [ "nombre" => "E." "apellidos" => "Gómez del Castillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Neonatología. Hospital 12 de Octubre. Madrid" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neurología Infantil. Hospital 12 de Octubre. Madrid" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad de Niños Pequeños e Inmunodeficiencias. Hospital 12 de Octubre. Madrid" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Radiología Pediátrica. Hospital 12 de Octubre. Madrid" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Neonatología. Hospital 12 de Octubre.Ctra. de Andalucía, km 5,4. 28041 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Experience Of Ventriculitis In A Neonatology Department" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-04-30" "fechaAceptado" => "1999-12-31" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186239" "palabras" => array:3 [ 0 => "Ventriculitis" 1 => "Meningitis" 2 => "Recién nacidos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudiar las características, tratamiento y evolución de los pacientes diagnosticados de ventriculitis en nuestroservicio de neonatología.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de los casos de ventriculitis diagnosticados desde enero de 1990 a diciembre de 1997. Los criterios diagnosticos fueron presencia de germen en el liquido cefalorraquideo (LCR) ventricular y pleocitosis (100 leucocitos l). Se estudiaron los antecedentes de cada paciente, sus hallazgos clinicos y analiticos y su evolucion tras el diagnostico de ventriculitis.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se registraron 10 episodios de ventriculitis en 9 pacientes.Seis de los episodios cursaron como complicación de una meningitis previa y los cuatro restantes fueron secundarios a intervenciones neuroquirúrgicas. La edad media al diagnóstico fue de 38,8 días (rango, 8-130) y la edad gestacional media de 29,4 semanas (rango, 25-38) Las alteraciones clínicas o del LCR estuvieron presentes en 6 de los episodios, diagnosticándose los otros cuatro por la autopsia.</p><p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">Se trataron con antibioterapia sistémica, y se añadió antibiótico intraventricular en 2 casos. Fallecieron 6 pacientes, siendo la ventriculitis causa directa de la muerte en cinco de ellos. De los 3 pacientes supervivientes, uno presenta retraso psicomotor profundo y leve los otros dos.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En el período neonatal, son necesarios un elevado grado de sospecha clínica y ciertas técnicas diagnósticas para la detección precoz y tratamiento adecuado de la ventriculitis.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To study the characteristics, treatment and follow-up of patients with ventriculitis in our neonatal unit.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of patients diagnosed with ventriculitis from January 1990 to December 1997. Diagnostic criteria were the identification of any bacteria in the ventricular fluid and pleocytosis (. 100 leukocytes perl). Personal history, clinical and analytical findings and evolution after diagnosis were studied.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We recorded ten cases of ventriculitis in nine patients.Six of them occurred as a complication of previous meningitis and four occurred after neurosurgical treatment. The mean age at diagnosis was of 38.8 days (range 8-130),and mean gestational age was 29.4 weeks (range 25-38).Clinical and ventricular fluid anomalies were seen in six cases and in four the diagnosis was made at autopsy.</p><p id="spar0215" class="elsevierStyleSimplePara elsevierViewall">Treatment was systemic antibiotics. In two cases intraventricular antibiotics were added. Six patients died, ventriculitis being the direct cause of death in five. Of the three survivors, one had mental retardation and cerebral palsy and the other two had minor disabilities.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">During the neonatal period, a high degree of clinical suspicion and techniques for an early diagnosis and treatment are needed for ventriculitis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bacterial and fungal intracranial infections" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.J. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 21 | 17 | 38 |
| 2024 Octubre | 134 | 90 | 224 |
| 2024 Septiembre | 107 | 67 | 174 |
| 2024 Agosto | 92 | 100 | 192 |
| 2024 Julio | 73 | 85 | 158 |
| 2024 Junio | 67 | 77 | 144 |
| 2024 Mayo | 100 | 73 | 173 |
| 2024 Abril | 105 | 68 | 173 |
| 2024 Marzo | 74 | 61 | 135 |
| 2024 Febrero | 59 | 68 | 127 |
| 2024 Enero | 88 | 49 | 137 |
| 2023 Diciembre | 98 | 53 | 151 |
| 2023 Noviembre | 68 | 48 | 116 |
| 2023 Octubre | 86 | 57 | 143 |
| 2023 Septiembre | 83 | 64 | 147 |
| 2023 Agosto | 63 | 28 | 91 |
| 2023 Julio | 58 | 42 | 100 |
| 2023 Junio | 71 | 46 | 117 |
| 2023 Mayo | 84 | 45 | 129 |
| 2023 Abril | 66 | 36 | 102 |
| 2023 Marzo | 74 | 55 | 129 |
| 2023 Febrero | 40 | 36 | 76 |
| 2023 Enero | 50 | 41 | 91 |
| 2022 Diciembre | 52 | 44 | 96 |
| 2022 Noviembre | 62 | 49 | 111 |
| 2022 Octubre | 50 | 68 | 118 |
| 2022 Septiembre | 59 | 43 | 102 |
| 2022 Agosto | 53 | 63 | 116 |
| 2022 Julio | 39 | 47 | 86 |
| 2022 Junio | 35 | 39 | 74 |
| 2022 Mayo | 53 | 53 | 106 |
| 2022 Abril | 37 | 79 | 116 |
| 2022 Marzo | 42 | 70 | 112 |
| 2022 Febrero | 47 | 55 | 102 |
| 2022 Enero | 57 | 51 | 108 |
| 2021 Diciembre | 41 | 56 | 97 |
| 2021 Noviembre | 62 | 100 | 162 |
| 2021 Octubre | 71 | 83 | 154 |
| 2021 Septiembre | 67 | 92 | 159 |
| 2021 Agosto | 49 | 76 | 125 |
| 2021 Julio | 51 | 77 | 128 |
| 2021 Junio | 59 | 106 | 165 |
| 2021 Mayo | 83 | 112 | 195 |
| 2021 Abril | 127 | 230 | 357 |
| 2021 Marzo | 140 | 152 | 292 |
| 2021 Febrero | 104 | 85 | 189 |
| 2021 Enero | 72 | 119 | 191 |
| 2020 Diciembre | 90 | 70 | 160 |
| 2020 Noviembre | 58 | 82 | 140 |
| 2020 Octubre | 59 | 60 | 119 |
| 2020 Septiembre | 70 | 97 | 167 |
| 2020 Agosto | 69 | 132 | 201 |
| 2020 Julio | 54 | 113 | 167 |
| 2020 Junio | 44 | 113 | 157 |
| 2020 Mayo | 58 | 93 | 151 |
| 2020 Abril | 35 | 80 | 115 |
| 2020 Marzo | 50 | 115 | 165 |
| 2020 Febrero | 53 | 57 | 110 |
| 2020 Enero | 58 | 85 | 143 |
| 2019 Diciembre | 56 | 79 | 135 |
| 2019 Noviembre | 27 | 101 | 128 |
| 2019 Octubre | 37 | 139 | 176 |
| 2019 Septiembre | 55 | 133 | 188 |
| 2019 Agosto | 46 | 123 | 169 |
| 2019 Julio | 53 | 100 | 153 |
| 2019 Junio | 83 | 124 | 207 |
| 2019 Mayo | 149 | 128 | 277 |
| 2019 Abril | 146 | 103 | 249 |
| 2019 Marzo | 36 | 111 | 147 |
| 2019 Febrero | 34 | 56 | 90 |
| 2019 Enero | 28 | 46 | 74 |
| 2018 Diciembre | 27 | 36 | 63 |
| 2018 Noviembre | 35 | 59 | 94 |
| 2018 Octubre | 71 | 41 | 112 |
| 2018 Septiembre | 34 | 36 | 70 |
| 2018 Agosto | 2 | 0 | 2 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 2 | 0 | 2 |
| 2018 Abril | 31 | 1 | 32 |
| 2018 Marzo | 28 | 2 | 30 |
| 2018 Febrero | 19 | 0 | 19 |
| 2018 Enero | 9 | 1 | 10 |
| 2017 Diciembre | 24 | 0 | 24 |
| 2017 Noviembre | 8 | 0 | 8 |
| 2017 Octubre | 7 | 0 | 7 |
| 2017 Septiembre | 8 | 1 | 9 |
| 2017 Agosto | 7 | 0 | 7 |
| 2017 Julio | 8 | 6 | 14 |
| 2017 Junio | 23 | 119 | 142 |
| 2017 Mayo | 17 | 109 | 126 |
| 2017 Abril | 13 | 117 | 130 |
| 2017 Marzo | 22 | 225 | 247 |
| 2017 Febrero | 10 | 237 | 247 |
| 2017 Enero | 4 | 87 | 91 |
| 2016 Diciembre | 21 | 166 | 187 |
| 2016 Noviembre | 30 | 196 | 226 |
| 2016 Octubre | 37 | 232 | 269 |
| 2016 Septiembre | 102 | 288 | 390 |
| 2016 Agosto | 213 | 241 | 454 |
| 2016 Julio | 135 | 256 | 391 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 3 | 0 | 3 |
| 2016 Febrero | 6 | 0 | 6 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Noviembre | 2 | 0 | 2 |
| 2015 Octubre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 15 | 0 | 15 |
| 2015 Junio | 10 | 0 | 10 |
| 2015 Mayo | 14 | 0 | 14 |
| 2015 Abril | 20 | 0 | 20 |
| 2015 Marzo | 14 | 0 | 14 |
| 2015 Febrero | 12 | 0 | 12 |
| 2015 Enero | 23 | 0 | 23 |
| 2014 Diciembre | 23 | 0 | 23 |
| 2014 Noviembre | 12 | 0 | 12 |
| 2014 Octubre | 19 | 0 | 19 |
| 2014 Septiembre | 15 | 0 | 15 |
| 2014 Agosto | 12 | 0 | 12 |
| 2014 Julio | 24 | 0 | 24 |
| 2014 Junio | 31 | 0 | 31 |
| 2014 Mayo | 20 | 0 | 20 |
| 2014 Abril | 24 | 0 | 24 |
| 2014 Marzo | 20 | 0 | 20 |
| 2014 Febrero | 21 | 0 | 21 |
| 2014 Enero | 18 | 0 | 18 |
| 2013 Diciembre | 19 | 0 | 19 |
| 2013 Noviembre | 62 | 0 | 62 |
| 2013 Octubre | 78 | 0 | 78 |
| 2013 Septiembre | 55 | 0 | 55 |
| 2013 Agosto | 22 | 0 | 22 |
| 2013 Julio | 12 | 0 | 12 |
| 2013 Junio | 4 | 0 | 4 |
| 2013 Mayo | 6 | 0 | 6 |
| 2013 Abril | 3 | 0 | 3 |
| 2013 Marzo | 3 | 0 | 3 |
| 2013 Febrero | 19 | 0 | 19 |
| 2013 Enero | 30 | 0 | 30 |
| 2012 Diciembre | 8 | 0 | 8 |
| 2012 Noviembre | 9 | 0 | 9 |
| 2012 Octubre | 4 | 0 | 4 |
| 2012 Septiembre | 5 | 0 | 5 |
| 2012 Agosto | 2 | 0 | 2 |
| 2000 Marzo | 4773 | 0 | 4773 |
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