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Bacterial Infections Associated with Viperidae Snakebites in Children: A 14-Year Experience at the Hospital Nacional de Niños de Costa Rica

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  • 1 Pediatric Infectious Diseases Division, Pediatric Hemato-Oncology Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, Centro de Ciencias Médicas, Caja Costarricense de Seguro Social (CCSS), San José, Costa Rica;
  • | 2 Center for Infectious Disease Modeling and Analysis (CIDMA), Yale University, New Haven, Connecticut
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Secondary bacterial infections following Viperidae snakebite envenomation in children are common. Among 75 patients admitted because of snakebites at the only pediatric hospital in Costa Rica, 16 (21.3%) had a culture-confirmed secondary bacterial infection. Morganella morganii (37.5%), Aeromonas hydrophila (31.2%), and Providencia rettgeri (18.7%) were the most common pathogens. Empiric prophylaxis is still recommended and should be based on local etiological agents and antimicrobial susceptibilities.

Author Notes

Address correspondence to Helena Brenes-Chacón or María L. Ávila-Agüero, Pediatric Infectious Diseases Division, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, Centro de Ciencias Médicas, Caja Costarricense de Seguro Social (CCSS), Calle 20, Avenida 0, Paseo Colón, P.O. Box 1654-1000, San José, Costa Rica. E-mails: helenabrenes@gmail.com or mlavila@ccss.sa.cr

Presented in part at the 9th World Congress of the World Society for Pediatric Infectious Diseases (WSPID), November 2015, Rio de Janeiro, Brazil.11

Authors’ addresses: Helena Brenes-Chacón, Rolando Ulloa-Gutierrez, Alejandra Soriano-Fallas, Kattia Camacho-Badilla, and Kathia Valverde-Muñoz, Pediatric Infectious Diseases Division, Pediatric Haematology and Oncology Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, Centro de Ciencias Médicas, Caja Costarricense de Seguro Social (CCSS), San José, Costa Rica, E-mails: helenabrenes@gmail.com, rolandoug@gmail.com, alejsoriano@yahoo.com, kcamachocr@gmail.com, and kathyvalverdem@gmail.com. María L. Ávila-Agüero, Pediatric Infectious Diseases Division, Pediatric Haematology and Oncology Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, Centro de Ciencias Médicas, Caja Costarricense de Seguro Social (CCSS), San José, Costa Rica, and Center for Infectious Disease Modeling and Analysis (CIDMA), Yale University, New Haven, CT, E-mail: mlavila@ccss.sa.cr.

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