PMID- 29061204 OWN - NLM STAT- MEDLINE DCOM- 20171121 LR - 20230916 IS - 1469-4409 (Electronic) IS - 0950-2688 (Print) IS - 0950-2688 (Linking) VI - 145 IP - 15 DP - 2017 Nov TI - A spatial and temporal analysis of paediatric central nervous system infections from 2005 to 2015 in Ho Chi Minh City, Vietnam. PG - 3307-3317 LID - 10.1017/S095026881700228X [doi] AB - Central nervous system infections (CNSI) are a leading cause of death and long-term disability in children. Using ICD-10 data from 2005 to 2015 from three central hospitals in Ho Chi Minh City (HCMC), Vietnam, we exploited generalized additive mixed models (GAMM) to examine the spatial-temporal distribution and spatial and climatic risk factors of paediatric CNSI, excluding tuberculous meningitis, in this setting. From 2005 to 2015, there were 9469 cases of paediatric CNSI; 33% were ⩽1 year old at admission and were mainly diagnosed with presumed bacterial CNSI (BI) (79%), the remainder were >1 year old and mainly diagnosed with presumed non-bacterial CNSI (non-BI) (59%). The urban districts of HCMC in proximity to the hospitals as well as some outer districts had the highest incidences of BI and non-BI; BI incidence was higher in the dry season. Monthly BI incidence exhibited a significant decreasing trend over the study. Both BI and non-BI were significantly associated with lags in monthly average temperature, rainfall, and river water level. Our findings add new insights into this important group of infections in Vietnam, and highlight where resources for the prevention and control of paediatric CNSI should be allocated. FAU - Ho, N T AU - Ho NT AD - Columbia University Medical Center,New York City,New York,USA. FAU - Hoang, V M T AU - Hoang VMT AD - Children's Hospital 2,Ho Chi Minh City,Vietnam. FAU - Le, N N T AU - Le NNT AD - Children's Hospital 1,Ho Chi Minh City,Vietnam. FAU - Nguyen, D T AU - Nguyen DT AD - Hospital for Tropical Diseases,Ho Chi Minh City,Vietnam. FAU - Tran, A AU - Tran A AD - Saint Louis University,Saint Louis,Missouri,USA. FAU - Kaki, D AU - Kaki D AD - Princeton University,Princeton,New Jersey,USA. FAU - Tran, P M AU - Tran PM AD - Oxford University Clinical Research Unit,Wellcome Trust Major Overseas Programme,Ho Chi Minh City,Vietnam. FAU - Thompson, C N AU - Thompson CN AD - Oxford University Clinical Research Unit,Wellcome Trust Major Overseas Programme,Ho Chi Minh City,Vietnam. FAU - Ngo, M N Q AU - Ngo MNQ AD - Children's Hospital 1,Ho Chi Minh City,Vietnam. FAU - Truong, K H AU - Truong KH AD - Children's Hospital 1,Ho Chi Minh City,Vietnam. FAU - Nguyen, H T AU - Nguyen HT AD - Children's Hospital 1,Ho Chi Minh City,Vietnam. FAU - Ha, T M AU - Ha TM AD - Children's Hospital 2,Ho Chi Minh City,Vietnam. FAU - Nguyen, C V V AU - Nguyen CVV AD - Hospital for Tropical Diseases,Ho Chi Minh City,Vietnam. FAU - Thwaites, G E AU - Thwaites GE AD - Oxford University Clinical Research Unit,Wellcome Trust Major Overseas Programme,Ho Chi Minh City,Vietnam. FAU - Thakur, K T AU - Thakur KT AD - Columbia University Medical Center,New York City,New York,USA. FAU - Hesdorffer, D AU - Hesdorffer D AD - Columbia University Medical Center,New York City,New York,USA. FAU - Baker, S AU - Baker S AD - Oxford University Clinical Research Unit,Wellcome Trust Major Overseas Programme,Ho Chi Minh City,Vietnam. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - 100087/Z/12/Z/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171024 PL - England TA - Epidemiol Infect JT - Epidemiology and infection JID - 8703737 SB - IM MH - Adolescent MH - Central Nervous System Infections/*epidemiology/microbiology MH - Child MH - Child, Preschool MH - Encephalitis, Viral/epidemiology MH - Female MH - Humans MH - Incidence MH - Infant MH - Male MH - Meningitis, Bacterial/epidemiology MH - Meningitis, Viral/epidemiology MH - Risk Factors MH - Seasons MH - Spatio-Temporal Analysis MH - Urban Population/statistics & numerical data MH - Vietnam/epidemiology PMC - PMC9148745 OTO - NOTNLM OT - Encephalitis OT - epidemiology OT - meningitis OT - paediatric OT - spatial temporal EDAT- 2017/10/25 06:00 MHDA- 2017/11/29 06:00 PMCR- 2022/05/29 CRDT- 2017/10/25 06:00 PHST- 2017/10/25 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] PHST- 2017/10/25 06:00 [entrez] PHST- 2022/05/29 00:00 [pmc-release] AID - S095026881700228X [pii] AID - 00228 [pii] AID - 10.1017/S095026881700228X [doi] PST - ppublish SO - Epidemiol Infect. 2017 Nov;145(15):3307-3317. doi: 10.1017/S095026881700228X. Epub 2017 Oct 24.