{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T16:40:02Z","timestamp":1750005602444,"version":"3.41.0"},"reference-count":67,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Data on the neurodevelopment of children who experienced central nervous system (CNS) infections with enteroviruses (EV) or parechoviruses (hPeV) is scarce and mostly limited to follow up of short-term outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Parents of children who presented between 2014 and 2019, underwent a lumbar puncture and whose cerebrospinal fluid was polymerase chain reaction positive for EV or hPeV, were asked to complete a care-giver-administered neurodevelopmental assessment tool (The Ages and Stages Instrument [ASQ3]). Clinical data of the infective episode were collected from patient notes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Of 101 children, 43 (10 hPeV+, 33 EV+) submitted ASQ3 results. Median age at assessment was 38.9 months (interquartile range, 15.4\u201354.8), the follow-up interval 3 years (median 37 months; interquartile range, 13.9\u201353.1). Age, inflammatory markers, and cerebrospinal fluid pleocytosis during the infective event were not associated with ASQ3 scores. In 23 children (17 EV+, 6 hPeV+), no neurodevelopmental concerns were reported. Two more had preexisting developmental delay and were excluded. Of the remaining, 18\/41 (43.9%) reported ASQ3 scores indicating need for monitoring or professional review in at least 1 category, not differing by pathogen (EV 14\/31, 45.2%; hPeV 4\/10, 40%; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.71). Seven children will require formal review, scoring \u22652 SD below the mean in at least 1 category (6\/31 EV+, 1\/10 hPeV+, <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.7), 3 scored \u22652 SD below the mean in more than 1 area.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Parent-administered developmental assessment of children with a history of early picornavirus infection of the CNS identified a subgroup that requires formal neurodevelopmental review. Wider application of community-based developmental screening will complement our understanding of the impact of CNS infections in early childhood.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/inf.0000000000003192","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T17:05:48Z","timestamp":1626282348000},"page":"867-872","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Parent-administered Neurodevelopmental Follow up in Children After Picornavirus CNS Infections"],"prefix":"10.1097","volume":"40","author":[{"given":"Carol","family":"Stephens","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Cork University Hospital, Wilton, Cork, Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Cork University Hospital, Wilton, Cork, 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