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Suboptimal management of central nervous system infections in children: a multi-centre retrospective study
OBJECTIVE: We aimed to audit the regional management of central nervous system (CNS) infection in children. METHODS: The study was undertaken in five district general hospitals and one tertiary paediatric hospital in the Mersey region of the UK. Children admitted to hospital with a suspected CNS inf...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443041/ https://www.ncbi.nlm.nih.gov/pubmed/22958329 http://dx.doi.org/10.1186/1471-2431-12-145 |
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author | Kelly, Christine Sohal, Aman Michael, Benedict D Riordan, Andrew Solomon, Tom Kneen, Rachel |
author_facet | Kelly, Christine Sohal, Aman Michael, Benedict D Riordan, Andrew Solomon, Tom Kneen, Rachel |
author_sort | Kelly, Christine |
collection | PubMed |
description | OBJECTIVE: We aimed to audit the regional management of central nervous system (CNS) infection in children. METHODS: The study was undertaken in five district general hospitals and one tertiary paediatric hospital in the Mersey region of the UK. Children admitted to hospital with a suspected CNS infection over a three month period were identified. Children were aged between 4 weeks and 16 years old. Details were recorded from the case notes and electronic records. We measured the appropriateness of management pathways as outlined by national and local guidelines. RESULTS: Sixty-five children were identified with a median age of 6 months (range 1 month to 15 years). Ten had a CNS infection: 4 aseptic meningitis, 3 purulent meningitis, 3 encephalitis [2 with herpes simplex virus (HSV) type 1]. A lumbar puncture (LP) was attempted in 50 (77%) cases but only 43 had cerebrospinal fluid (CSF) available for analysis. Of these 24 (57%) had a complete standard set of tests performed. Fifty eight (89%) received a third generation cephalosporin. Seventeen (26%) also received aciclovir with no obvious indication in 9 (53%). Only 11 (65%) of those receiving aciclovir had CSF herpes virus PCR. Seventeen had cranial imaging and it was the first management step in 14. Treatment lengths of both antibiotics and aciclovir were highly variable: one child with HSV encephalitis was only treated with aciclovir for 7 days. CONCLUSIONS: The clinical management of children with suspected CNS infections across the Mersey region is heterogeneous and often sub-optimal, particularly for the investigation and treatment of viral encephalitis. National guidelines for the management of viral encephalitis are needed. |
format | Online Article Text |
id | pubmed-3443041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34430412012-09-15 Suboptimal management of central nervous system infections in children: a multi-centre retrospective study Kelly, Christine Sohal, Aman Michael, Benedict D Riordan, Andrew Solomon, Tom Kneen, Rachel BMC Pediatr Research Article OBJECTIVE: We aimed to audit the regional management of central nervous system (CNS) infection in children. METHODS: The study was undertaken in five district general hospitals and one tertiary paediatric hospital in the Mersey region of the UK. Children admitted to hospital with a suspected CNS infection over a three month period were identified. Children were aged between 4 weeks and 16 years old. Details were recorded from the case notes and electronic records. We measured the appropriateness of management pathways as outlined by national and local guidelines. RESULTS: Sixty-five children were identified with a median age of 6 months (range 1 month to 15 years). Ten had a CNS infection: 4 aseptic meningitis, 3 purulent meningitis, 3 encephalitis [2 with herpes simplex virus (HSV) type 1]. A lumbar puncture (LP) was attempted in 50 (77%) cases but only 43 had cerebrospinal fluid (CSF) available for analysis. Of these 24 (57%) had a complete standard set of tests performed. Fifty eight (89%) received a third generation cephalosporin. Seventeen (26%) also received aciclovir with no obvious indication in 9 (53%). Only 11 (65%) of those receiving aciclovir had CSF herpes virus PCR. Seventeen had cranial imaging and it was the first management step in 14. Treatment lengths of both antibiotics and aciclovir were highly variable: one child with HSV encephalitis was only treated with aciclovir for 7 days. CONCLUSIONS: The clinical management of children with suspected CNS infections across the Mersey region is heterogeneous and often sub-optimal, particularly for the investigation and treatment of viral encephalitis. National guidelines for the management of viral encephalitis are needed. BioMed Central 2012-09-07 /pmc/articles/PMC3443041/ /pubmed/22958329 http://dx.doi.org/10.1186/1471-2431-12-145 Text en Copyright ©2012 Kelly et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kelly, Christine Sohal, Aman Michael, Benedict D Riordan, Andrew Solomon, Tom Kneen, Rachel Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title | Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title_full | Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title_fullStr | Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title_full_unstemmed | Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title_short | Suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
title_sort | suboptimal management of central nervous system infections in children: a multi-centre retrospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443041/ https://www.ncbi.nlm.nih.gov/pubmed/22958329 http://dx.doi.org/10.1186/1471-2431-12-145 |
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