Infecciones Intracraneales Focales en el Hospital de Niños Dr. Roberto Gilbert Elizalde: Series De Casos, Periodo 2012-2022

Introduction: Brain abscess, subdural empyema and epidural empyema constitute the most frequent focal intracranial infections. Objective: To carry out a characterization of focal intracranial infections at the Dr. Roberto Gilbert Elizalde Children's Hospital, period 2012-2022. Methodology: Observational, analytical and retrospective study, which involved the review of medical records of 37 patients who met the inclusion criteria. Results: The incidence predominated in males (70.2%) and adolescents (35.1%). Risk factors detected most frequently: associated infections (78.3%), congenital heart disease (21.6%) and head trauma (18.9%). Most frequent clinical presentation: fever (72.97%), headache (54.05%) and seizures (40.54%). Single injury (71.27%) and Multiple injury (29.73%). The single lesion in the parietal location predominated (29.73%). Most commonly used antibiotic thera-py: ceftriaxone, vancomycin and metronidazole (55.3%). The pathogenic microorganism was isolated in 24.31%, with Staphylococcus aureus being the most frequent. Associated complications in 18.92%, with the formation of new brain abscesses (8.11%) being the most frequent. A mortality of 6.25% was recorded. Conclusions: Brain abscess and subdural empyema were the most frequent focal intracranial infections.