Practice Parameters for Managing Children with Febrile Convulsion
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Objectives: This study intended to determine and evaluate the care of children with Febrile Convulsion seen at Misurata Teaching Hospital, using some of the measures regarding the appropriate documentation of hospital records, adverse outcome, inappropriate investigations and the unnecessary treatment. Patients and Methods: Descriptive study (Longitudinal hospital based study) in paediatric department Misurata Teaching Hospital where hospital records of patients admitted for febrile convulsion, from January 2012-December 2012 were prospectively reviewed. All hospital admissions, of children presented with febrile convulsion aged 6 months to 5 years are included in the study. We define basic standards practice parameters in management of children of febrile convulsion to which our clinical practice can be compared and we evaluate our care using these standards. Results: 91 patients were admitted for febrile convulsion during January 2012-December 2012 (7.7 % from the total hospital admission). 71 (78%) had simple febrile convulsion (Complex febrile convulsion 22% and 3.2% with Status febrile convulsion) and 23 patients (25.3%) had family history of febrile convulsion in firstdegree relatives. Accurate description of seizure was observed in 72%, while only 63% of records had complete information about the presence/absence of signs of meningitis. Routine blood investigations, complete blood count, blood glucose, electrolytes, and urea were completed for over 90% of cases. We have just one patient in the study group require computed tomography scan but no child with simple febrile convulsion required neuro-imaging studies. 74 patients (81%) were given regular antipyretics every 4 to 6 hours, regardless of body temperature. 9 patients (10%) of children received antibiotics for their underlying febrile illness. Conclusion: This study shows clear gap between our hospital practice parameters and the recommended basic standards Practice parameters in terms of appropriate information in hospital records, and concerning the use of unnecessary investigations and treatment which remain common in our practice
Authors and Affiliations
Dr Anwar T Elgasseir
Keywords
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