<?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>1665-5044</journal-id>
<journal-title><![CDATA[Revista mexicana de neurociencia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. neurocienc.]]></abbrev-journal-title>
<issn>1665-5044</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Neurología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-50442019000600255</article-id>
<article-id pub-id-type="doi">10.24875/rmn.m19000050</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Experience in the treatment of meningitis associated with health care in pediatric patients]]></article-title>
<article-title xml:lang="es"><![CDATA[Experiencia en tratamiento de meningitis y ventriculitis asociada a los cuidados de la salud en pacientes pediátricos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mercado]]></surname>
<given-names><![CDATA[Mónica C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero-Becerra]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Oliva]]></surname>
<given-names><![CDATA[Lorelay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Arce]]></surname>
<given-names><![CDATA[Pedro A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Merlo-Palomera]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo-Navarro]]></surname>
<given-names><![CDATA[Luis Á.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>20</volume>
<numero>6</numero>
<fpage>255</fpage>
<lpage>261</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-50442019000600255&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-50442019000600255&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-50442019000600255&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: The objective of the study was to describe our clinical experience in meningitis associated with health care (MAHC).  Methods: A retrospective study included pediatric patients, with MAHC, from 2010 to 2017. Parametric variables were evaluated by media, standard deviation, media and interquartile range. Non-parametric variables were described by reasons and proportions, Chi-square IC 95%. Significant variables (p &lt; 0.005) were evaluated by bivariate logistic regression model to identify related risks for adverse evolution. We obtained the approval of the research ethics committee of our hospital for publication of this data.  Results: A total of 114 cases of MAHC in children were analyzed. There were Gram-negative bacilli (62.6%) and ESBL producers (42.4%). Mortality was higher amongst cases exposed to more than three antibiotics OR = 5.50 (IC 95%, LI 0.996, LS 30.36) sig 0.050 mortality correlation 0.847.  Conclusions: Gram-negative bacteria are frequent in MAHC, mortality was correlated to exposition more than three antibiotics.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Describir experiencia clínica en tratamiento de MACS.  Métodos: Estudio retrospectivo en pacientes pediátricos con MACS durante 2010 a 2017. Variables paramétricas evaluadas con medias, desviación estándar y rango intercuartil. Variables no paramétricas por razones, proporciones, Chi cuadrada IC 95%. Variables significativas (p &lt; 0.005) evaluadas por modelo de regresión logística bivariada para identificar riesgos de evolución adversa.  Resultados: 114 casos de MACS en niños con predominio de gramnegativos (62.6%) BLEE (42.4%). Mortalidad mayor entre casos expuestos a más de tres antibióticos OR = 5.50 (IC 95%, LI 0.996, LS 30.36) sig. 0.050, correlación con mortalidad 0.847.  Conclusiones: Las bacterias gramnegativas son más frecuentes en MACS, con mortalidad correlacionada a exposición con más de tres antibióticos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Meningitis]]></kwd>
<kwd lng="en"><![CDATA[Acinetobacter baumannii]]></kwd>
<kwd lng="en"><![CDATA[Antibiotics]]></kwd>
<kwd lng="es"><![CDATA[Meningitis]]></kwd>
<kwd lng="es"><![CDATA[Acinetobacter baumanii]]></kwd>
<kwd lng="es"><![CDATA[Antibióticos]]></kwd>
</kwd-group>
</article-meta>
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<article-title xml:lang=""><![CDATA[Epidemiology, diagnosis, and antimicrobial treatment of acute bacterial meningitis]]></article-title>
<source><![CDATA[Clin Microbiol Rev]]></source>
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</article>
